How much does Medicare pay for CPT 35301?

Medicare allowed an average of $882.83 per service and paid $702.20 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3392.74, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 35301?

Removal of blood clot and portion of chest, neck, or brain artery. It was billed 10,897 times to 10,385 Medicare beneficiaries by 606 providers in 2024.

Which specialty bills 35301 most?

Vascular Surgery, with 6,568 services from 366 clinicians. Next are Physician Assistant, Thoracic Surgery, General Surgery.

CPT 35301

Removal of blood clot and portion of chest, neck, or brain artery

$882.83Medicare-allowed amount per service, averaged across 10,897 services

Providers submitted

$3392.74

Asking price, not received

Medicare allowed

$882.83

The fee schedule figure

Medicare paid

$702.20

Balance is patient coinsurance

Providers submitted an average of $3392.74 for this code and Medicare allowed $882.83 — 3.8× 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 $702.20 (80%); the rest is the patient’s coinsurance and deductible.

Services: 10,897
Beneficiaries: 10,385
Providers billing it: 606
Total allowed: $9,620,199

What Medicare pays for CPT 35301

Across 10,897 services billed by 606 providers to 10,385 beneficiaries, Medicare allowed an average of $882.83 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 35301

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	6,568	6,281	$1030.50	366
Physician Assistant	1,235	1,196	$146.57	74
Thoracic Surgery	975	897	$959.16	52
General Surgery	839	790	$996.78	45
Cardiac Surgery	568	539	$1030.76	26
Nurse Practitioner	459	438	$145.02	27
Neurosurgery	114	108	$950.51	7
Peripheral Vascular Disease	60	59	$973.41	4
Interventional Radiology	30	30	$1016.19	2
Undefined Physician type	27	25	$1053.66	1
Cardiology	22	22	$984.05	2

35301 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	988	$862.49	$629.27	51
Texas	977	$915.21	$734.84	49
California	613	$859.63	$690.88	33
Illinois	577	$973.48	$712.57	28
New York	478	$924.00	$670.02	28
Kansas	427	$897.45	$777.18	17
Georgia	398	$894.47	$702.26	24
Louisiana	367	$894.36	$727.85	17
Missouri	361	$797.40	$644.33	21
New Jersey	347	$1035.34	$761.73	21
Indiana	305	$811.27	$717.68	16
Virginia	299	$1058.68	$845.73	18
Mississippi	295	$799.76	$660.12	13
Tennessee	279	$825.76	$715.68	17
Nebraska	272	$473.29	$430.67	12
Oklahoma	268	$871.53	$736.75	12
Maryland	263	$913.96	$697.57	15
Alabama	247	$737.06	$644.05	14
Pennsylvania	242	$1034.35	$778.30	15
Ohio	239	$997.80	$798.94	16
Arizona	231	$1041.26	$854.51	13
Washington	231	$836.41	$641.36	14
Wisconsin	217	$818.37	$725.36	15
North Carolina	190	$848.11	$711.46	15
Massachusetts	188	$1104.32	$851.46	10
South Carolina	177	$836.33	$698.10	9
Michigan	146	$878.86	$660.35	10
Kentucky	144	$834.68	$668.92	9
Arkansas	141	$851.45	$754.48	8
Nevada	137	$926.40	$782.04	9
Idaho	125	$778.53	$658.35	7
Iowa	91	$948.67	$852.65	6
Minnesota	88	$692.00	$611.77	6
South Dakota	78	$964.21	$849.26	5
Oregon	73	$828.83	$679.19	5
Montana	66	$737.45	$566.73	5
Delaware	59	$1054.42	$840.31	4
North Dakota	52	$660.91	$579.47	3
West Virginia	41	$757.82	$611.78	3
New Hampshire	31	$1077.01	$838.07	2
Alaska	27	$186.55	$108.35	1
New Mexico	24	$574.63	$459.53	2
Colorado	24	$1078.26	$854.64	2
Utah	14	$927.90	$758.00	1
Connecticut	13	$1204.42	$843.60	1
Vermont	13	$991.28	$828.36	1
Wyoming	12	$1034.50	$863.82	1
Rhode Island	11	$1033.66	$775.63	1
U.S. Virgin Islands	11	$148.30	$116.96	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.