How much does Medicare pay for CPT 37224?

Medicare allowed an average of $562.15 per service and paid $446.73 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $4935.79, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37224?

Balloon dilation of artery of leg. It was billed 6,707 times to 5,872 Medicare beneficiaries by 356 providers in 2024.

Does 37224 pay differently in an office than a hospital?

Yes. The allowed amount averaged $1970.42 in an office setting and $370.88 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 37224 most?

Vascular Surgery, with 4,123 services from 238 clinicians. Next are Cardiology, Interventional Cardiology, General Surgery.

CPT 37224

Balloon dilation of artery of leg

$562.15Medicare-allowed amount per service, averaged across 6,707 services

Providers submitted

$4935.79

Asking price, not received

Medicare allowed

$562.15

The fee schedule figure

Medicare paid

$446.73

Balance is patient coinsurance

Providers submitted an average of $4935.79 for this code and Medicare allowed $562.15 — 8.8× 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 $446.73 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $1970.42
Hospital / facility: $370.88

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. 802 services were billed in an office setting and 5,905 in a facility.

Services: 6,707
Beneficiaries: 5,872
Providers billing it: 356
Total allowed: $3,770,340

What Medicare pays for CPT 37224

Across 6,707 services billed by 356 providers to 5,872 beneficiaries, Medicare allowed an average of $562.15 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 37224

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	4,123	3,712	$458.57	238
Cardiology	848	734	$794.34	39
Interventional Cardiology	543	453	$427.97	25
General Surgery	338	303	$339.19	20
Diagnostic Radiology	312	220	$1039.46	7
Interventional Radiology	184	174	$539.57	13
Ambulatory Surgical Center	158	93	$2029.54	2
Peripheral Vascular Disease	52	45	$768.33	3
Physician Assistant	49	49	$123.25	4
Internal Medicine	32	28	$359.69	2
Thoracic Surgery	27	25	$313.89	1
General Practice	24	21	$419.18	1
Nephrology	17	15	$2275.73	1

37224 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	1,296	$846.94	$612.05	51
New York	506	$697.01	$490.89	25
Florida	426	$688.52	$524.18	22
Illinois	316	$360.42	$252.96	18
Ohio	296	$329.10	$263.97	17
Maryland	273	$666.10	$479.59	14
Massachusetts	226	$484.93	$357.91	15
Washington	210	$400.07	$328.20	11
Texas	202	$704.18	$572.30	13
Pennsylvania	167	$357.57	$268.14	10
North Carolina	163	$498.63	$432.63	9
Oregon	151	$423.71	$348.63	8
Oklahoma	142	$321.03	$266.53	7
South Carolina	142	$697.75	$582.55	9
Kansas	140	$466.99	$413.75	6
Virginia	139	$331.08	$261.21	8
New Jersey	139	$353.21	$248.87	9
Indiana	128	$320.47	$290.05	6
Arkansas	122	$553.71	$485.22	7
Missouri	114	$324.26	$264.66	5
Kentucky	106	$320.98	$259.97	6
South Dakota	102	$434.91	$366.99	5
Wisconsin	100	$297.19	$260.60	7
Mississippi	93	$921.70	$829.11	5
Tennessee	90	$313.18	$259.93	5
District of Columbia	81	$370.13	$258.20	5
Nebraska	80	$264.65	$231.69	4
West Virginia	73	$321.21	$255.62	4
Michigan	63	$848.85	$687.40	4
Arizona	56	$1032.93	$865.54	4
Connecticut	55	$362.75	$256.73	3
Colorado	55	$279.52	$213.85	4
Minnesota	54	$277.85	$252.07	3
New Hampshire	53	$340.82	$266.61	4
North Dakota	50	$284.14	$241.28	4
Georgia	37	$335.26	$264.31	3
Idaho	36	$317.91	$279.74	2
Iowa	36	$333.49	$288.98	2
Rhode Island	33	$295.80	$232.43	2
Alabama	30	$308.74	$275.74	2
Delaware	28	$1240.44	$990.75	2
New Mexico	28	$297.60	$229.50	1
Alaska	27	$1439.50	$1005.99	2
Hawaii	17	$297.14	$247.18	1
Maine	13	$421.42	$310.87	1
Montana	13	$317.88	$240.72	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
37242Occlusion of artery$4565.89
37215Insertion of stent and blood clot protection device in neck artery$885.92
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.