How much does Medicare pay for CPT 25447?

Medicare allowed an average of $787.28 per service and paid $621.78 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5681.70, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 25447?

Removal of bone joints between wrist and fingers. It was billed 19,191 times to 18,466 Medicare beneficiaries by 978 providers in 2024.

Does 25447 pay differently in an office than a hospital?

Yes. The allowed amount averaged $698.81 in an office setting and $788.62 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 25447 most?

Ambulatory Surgical Center, with 7,632 services from 335 clinicians. Next are Hand Surgery, Orthopedic Surgery, Physician Assistant.

CPT 25447

Removal of bone joints between wrist and fingers

$787.28Medicare-allowed amount per service, averaged across 19,191 services

Providers submitted

$5681.70

Asking price, not received

Medicare allowed

$787.28

The fee schedule figure

Medicare paid

$621.78

Balance is patient coinsurance

Providers submitted an average of $5681.70 for this code and Medicare allowed $787.28 — 7.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $621.78 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $698.81
Hospital / facility: $788.62

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 287 services were billed in an office setting and 18,904 in a facility.

Services: 19,191
Beneficiaries: 18,466
Providers billing it: 978
Total allowed: $15,108,690

What Medicare pays for CPT 25447

Across 19,191 services billed by 978 providers to 18,466 beneficiaries, Medicare allowed an average of $787.28 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 25447

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	7,632	7,427	$1003.72	335
Hand Surgery	5,437	5,162	$776.69	290
Orthopedic Surgery	3,372	3,255	$781.66	192
Physician Assistant	2,011	1,926	$105.52	120
Plastic and Reconstructive Surgery	377	361	$777.31	21
Nurse Practitioner	297	272	$103.50	16
General Surgery	53	51	$830.42	3
Physical Medicine and Rehabilitation	12	12	$802.12	1

25447 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	1,823	$780.49	$636.84	89
California	1,136	$941.76	$650.21	57
Arizona	1,097	$708.85	$574.86	48
Virginia	997	$773.29	$631.83	41
Texas	976	$775.84	$638.63	53
Colorado	784	$822.50	$650.42	38
Washington	763	$811.11	$620.19	35
North Carolina	687	$831.31	$686.37	37
Pennsylvania	687	$779.81	$627.56	40
South Carolina	633	$772.19	$652.96	30
Tennessee	577	$745.96	$663.53	32
Ohio	565	$783.29	$643.84	32
Indiana	548	$744.77	$618.74	29
Illinois	511	$911.49	$728.02	32
Maryland	505	$850.12	$671.49	24
Massachusetts	485	$832.55	$626.44	26
Georgia	385	$836.79	$698.69	19
New York	382	$1004.15	$757.67	24
Utah	381	$755.47	$626.13	17
Oregon	375	$822.93	$630.66	14
Alabama	305	$709.52	$650.17	19
Idaho	304	$635.40	$540.74	12
Montana	302	$656.93	$542.69	17
Minnesota	277	$931.94	$757.98	16
Nebraska	259	$621.50	$524.25	14
Arkansas	253	$763.54	$665.08	9
Iowa	236	$605.78	$520.53	12
Wisconsin	216	$716.11	$598.10	13
Louisiana	203	$682.08	$590.46	11
Missouri	201	$691.63	$586.00	10
Connecticut	196	$949.92	$702.23	13
Kentucky	193	$682.33	$582.57	11
Alaska	190	$800.46	$559.32	8
New Jersey	187	$886.55	$657.82	11
Mississippi	182	$866.69	$771.99	11
South Dakota	177	$501.67	$418.40	11
Oklahoma	176	$602.60	$504.61	9
North Dakota	160	$658.29	$540.40	7
New Hampshire	156	$755.44	$610.65	10
Kansas	154	$732.62	$611.04	10
Nevada	135	$1002.97	$800.47	6
Delaware	131	$734.96	$568.78	5
Michigan	122	$608.40	$511.12	5
Wyoming	72	$654.65	$535.93	5
New Mexico	34	$898.46	$745.16	1
Rhode Island	27	$949.09	$789.76	2
West Virginia	21	$810.31	$636.07	1
Guam	13	$866.36	$659.13	1
Maine	12	$954.53	$793.83	1

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.