How much does Medicare pay for CPT 36514?

Medicare allowed an average of $92.43 per service and paid $72.16 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1177.78, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 36514?

Mechanical separation of plasma from blood. It was billed 9,860 times to 2,989 Medicare beneficiaries by 160 providers in 2024.

Does 36514 pay differently in an office than a hospital?

Yes. The allowed amount averaged $737.18 in an office setting and $88.75 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 36514 most?

Pathology, with 5,920 services from 111 clinicians. Next are Nephrology, Physician Assistant, Internal Medicine.

CPT 36514

Mechanical separation of plasma from blood

$92.43Medicare-allowed amount per service, averaged across 9,860 services

Providers submitted

$1177.78

Asking price, not received

Medicare allowed

$92.43

The fee schedule figure

Medicare paid

$72.16

Balance is patient coinsurance

Providers submitted an average of $1177.78 for this code and Medicare allowed $92.43 — 12.7× 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 $72.16 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $737.18
Hospital / facility: $88.75

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 56 services were billed in an office setting and 9,804 in a facility.

Services: 9,860
Beneficiaries: 2,989
Providers billing it: 160
Total allowed: $911,360

What Medicare pays for CPT 36514

Across 9,860 services billed by 160 providers to 2,989 beneficiaries, Medicare allowed an average of $92.43 per service. That is 3.3 services per beneficiary, so this is a code patients typically receive more than once. 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 36514

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pathology	5,920	2,049	$89.93	111
Nephrology	2,008	373	$92.02	17
Physician Assistant	785	230	$73.88	11
Internal Medicine	384	82	$91.10	6
Nurse Practitioner	233	31	$73.40	2
Neurology	187	52	$90.48	2
Hematology-Oncology	154	52	$90.57	3
Interventional Pain Management	78	59	$556.45	3
Hematopoietic Cell Transplantation and Cellular Therapy	35	26	$92.60	2
Anesthesiology	33	12	$85.34	1
Medical Oncology	28	12	$87.38	1
Hematology	15	11	$92.59	1

36514 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
California	1,815	$94.73	$69.06	18
Texas	1,296	$88.58	$67.77	18
Pennsylvania	981	$89.99	$69.95	10
Wisconsin	677	$79.79	$65.37	10
Ohio	479	$84.42	$68.64	9
Arkansas	390	$83.90	$70.37	5
New York	339	$151.82	$106.54	10
South Carolina	326	$75.95	$60.83	2
Michigan	303	$92.70	$68.50	9
Arizona	281	$88.75	$70.68	6
Virginia	277	$90.77	$70.96	7
Kansas	275	$87.16	$69.87	3
Nebraska	273	$84.06	$69.26	3
Illinois	269	$94.29	$69.59	4
Georgia	219	$89.81	$68.11	4
Florida	218	$91.64	$69.48	6
North Carolina	209	$81.10	$65.41	5
Maryland	187	$95.16	$71.44	5
Massachusetts	187	$95.64	$67.87	4
Alabama	128	$84.93	$70.68	4
Louisiana	125	$87.44	$71.15	3
Indiana	123	$75.10	$64.48	3
Minnesota	107	$87.12	$69.18	3
Missouri	98	$92.60	$71.38	2
Iowa	58	$85.33	$69.63	1
Tennessee	51	$86.60	$67.34	1
Washington	45	$84.29	$71.52	1
Connecticut	34	$96.85	$71.68	1
Alaska	33	$110.84	$69.35	1
Rhode Island	29	$83.28	$69.84	1
Nevada	28	$652.86	$518.26	1

Related codes

36556Insertion of non-tunneled central venous tube for infusion (5 years or$81.86
36561Insertion of central venous tube$398.30
36558Insertion of tunneled central venous tube for infusion (5 years or old$285.71
36591Collection of blood sample from implanted device$27.38
36589Removal of tunneled central venous tube$161.38
36573Insertion of tube for infusion$94.78
36581Replacement of tunneled central venous tube$744.12
36590Removal of central venous tube$196.77
36593Declotting of central venous tube$38.30
36569Insertion of tube for infusion (5 years or older)$91.24
36500Insertion of tube into vein$91.52
36522Mechanical separation of white blood cells and platelets from blood$90.95

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.