How much does Medicare pay for CPT 37215?

Medicare allowed an average of $885.92 per service and paid $704.35 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3383.08, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37215?

Insertion of stent and blood clot protection device in neck artery with review by radiologist. It was billed 5,980 times to 5,677 Medicare beneficiaries by 317 providers in 2024.

Which specialty bills 37215 most?

Vascular Surgery, with 3,432 services from 182 clinicians. Next are Neurosurgery, Interventional Cardiology, Neurology.

CPT 37215

Insertion of stent and blood clot protection device in neck artery with review by radiologist

$885.92Medicare-allowed amount per service, averaged across 5,980 services

Providers submitted

$3383.08

Asking price, not received

Medicare allowed

$885.92

The fee schedule figure

Medicare paid

$704.35

Balance is patient coinsurance

Providers submitted an average of $3383.08 for this code and Medicare allowed $885.92 — 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 $704.35 (80%); the rest is the patient’s coinsurance and deductible.

Services: 5,980
Beneficiaries: 5,677
Providers billing it: 317
Total allowed: $5,297,802

What Medicare pays for CPT 37215

Across 5,980 services billed by 317 providers to 5,677 beneficiaries, Medicare allowed an average of $885.92 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 37215

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	3,432	3,256	$897.25	182
Neurosurgery	474	442	$956.62	26
Interventional Cardiology	351	330	$922.12	17
Neurology	316	307	$872.34	17
Cardiac Surgery	220	206	$874.05	9
Thoracic Surgery	212	200	$866.50	11
General Surgery	210	199	$895.72	11
Cardiology	197	190	$922.11	11
Diagnostic Radiology	179	168	$927.54	10
Interventional Radiology	159	155	$973.19	10
Physician Assistant	99	96	$121.15	6
Critical Care (Intensivists)	32	31	$839.47	1
Nurse Practitioner	27	26	$129.05	2
Peripheral Vascular Disease	23	23	$856.05	1
General Practice	21	21	$505.88	1

37215 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	721	$997.49	$734.35	38
California	505	$811.24	$661.84	29
Texas	329	$940.71	$751.99	17
Indiana	303	$713.90	$611.55	11
New York	300	$991.87	$721.53	15
Kentucky	251	$914.79	$734.46	9
Missouri	224	$902.86	$734.41	9
Tennessee	211	$849.34	$745.41	9
Pennsylvania	210	$892.69	$691.10	12
Virginia	203	$895.44	$737.16	13
Maryland	173	$866.98	$669.12	10
Arizona	171	$841.53	$694.26	10
Oklahoma	153	$889.64	$751.99	8
Illinois	148	$1027.29	$752.68	9
Delaware	140	$902.98	$713.11	7
Arkansas	138	$837.51	$754.53	7
South Carolina	136	$822.15	$686.24	9
Massachusetts	131	$919.77	$738.35	8
New Jersey	128	$882.03	$678.19	7
Iowa	122	$547.11	$497.64	7
Washington	121	$886.63	$735.90	7
South Dakota	108	$775.94	$682.08	5
Louisiana	102	$822.46	$657.04	5
Michigan	97	$981.54	$743.48	6
West Virginia	87	$937.04	$754.32	3
Alabama	75	$847.67	$751.29	5
Wisconsin	69	$841.34	$741.74	3
Oregon	63	$898.32	$756.10	4
North Carolina	62	$873.36	$753.39	4
Ohio	61	$843.37	$680.97	4
Colorado	53	$938.32	$752.83	3
Nevada	49	$914.36	$745.89	3
Rhode Island	45	$947.70	$743.17	2
Mississippi	44	$888.82	$739.82	3
Idaho	35	$861.59	$757.51	2
Montana	31	$945.32	$755.48	2
Alaska	31	$1110.32	$740.06	1
Minnesota	26	$852.25	$755.48	2
New Hampshire	26	$868.81	$707.00	2
Utah	23	$894.18	$729.65	2
Nebraska	23	$469.71	$442.26	2
Georgia	19	$999.87	$757.22	1
Kansas	18	$850.52	$720.35	1
North Dakota	15	$878.54	$754.56	1

Related codes

37253Ultrasound evaluation of blood vessel$158.74
37252Ultrasound evaluation of blood vessel$758.72
37229Removal of plaque in artery of leg$7260.85
37225Removal of plaque in arteries of leg$5516.77
37243Occlusion of growths or obstructed vessels$4293.10
37227Removal of plaque and insertion of stents in arteries of leg$9119.72
37228Balloon dilation of artery of leg$1158.26
37224Balloon dilation of artery of leg$562.15
37242Occlusion of artery$4565.89
37248Balloon dilation of vein$1242.61
37238Insertion of stent in vein$2975.98
37233Removal of plaque in artery of leg$1004.57

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.