How much does Medicare pay for CPT 37191?

Medicare allowed an average of $215.02 per service and paid $170.22 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3221.48, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37191?

Insertion of vena cava filter with review by radiologist. It was billed 2,405 times to 2,395 Medicare beneficiaries by 170 providers in 2024.

Does 37191 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1749.75 in an office setting and $207.97 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 37191 most?

Diagnostic Radiology, with 1,038 services from 76 clinicians. Next are Interventional Radiology, Vascular Surgery, General Surgery.

CPT 37191

Insertion of vena cava filter with review by radiologist

$215.02Medicare-allowed amount per service, averaged across 2,405 services

Providers submitted

$3221.48

Asking price, not received

Medicare allowed

$215.02

The fee schedule figure

Medicare paid

$170.22

Balance is patient coinsurance

Providers submitted an average of $3221.48 for this code and Medicare allowed $215.02 — 15.0× 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 $170.22 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1749.75
Hospital / facility: $207.97

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. 11 services were billed in an office setting and 2,394 in a facility.

Services: 2,405
Beneficiaries: 2,395
Providers billing it: 170
Total allowed: $517,123

What Medicare pays for CPT 37191

Across 2,405 services billed by 170 providers to 2,395 beneficiaries, Medicare allowed an average of $215.02 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 37191

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,038	1,034	$219.06	76
Interventional Radiology	753	749	$212.17	53
Vascular Surgery	442	441	$218.98	30
General Surgery	88	87	$216.72	5
Cardiology	41	41	$191.22	3
Interventional Cardiology	17	17	$123.13	1
Cardiac Surgery	15	15	$161.24	1
Peripheral Vascular Disease	11	11	$160.93	1

37191 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	373	$205.65	$156.13	26
Illinois	293	$224.68	$160.57	19
Florida	286	$208.30	$151.86	19
New York	208	$234.75	$156.13	14
New Jersey	200	$223.14	$161.45	15
Pennsylvania	112	$221.08	$157.42	8
Texas	95	$177.68	$143.19	7
Maryland	92	$214.97	$160.64	6
Arizona	80	$411.57	$346.18	6
Missouri	63	$185.13	$148.54	5
Tennessee	59	$188.38	$158.42	5
Idaho	55	$165.98	$131.45	2
Georgia	54	$203.23	$152.91	4
Mississippi	46	$182.14	$153.93	3
Arkansas	37	$184.14	$155.57	3
Virginia	34	$209.05	$160.43	3
Montana	31	$146.93	$118.64	2
Michigan	27	$213.13	$154.73	2
Colorado	27	$224.21	$154.68	2
Ohio	27	$195.03	$141.97	2
South Carolina	25	$226.41	$157.41	2
Minnesota	24	$183.57	$152.84	2
Oregon	24	$167.64	$128.81	2
Alabama	23	$170.10	$142.99	2
West Virginia	22	$178.05	$140.39	2
Louisiana	15	$197.68	$161.78	1
North Carolina	13	$229.58	$167.34	1
Washington	13	$222.28	$166.92	1
Connecticut	13	$221.45	$167.34	1
Indiana	12	$187.28	$159.88	1
Nevada	11	$196.71	$167.55	1
Alaska	11	$214.75	$129.22	1

Related codes

37184Primary removal and dissolving of blood clot from artery or artery gra$897.53
37187Removal and dissolving of blood clot from vein$2088.23

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.