How much does Medicare pay for CPT 37227?

Medicare allowed an average of $9119.72 per service and paid $7268.30 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $28,944, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37227?

Removal of plaque and insertion of stents in arteries of leg. It was billed 10,443 times to 8,390 Medicare beneficiaries by 351 providers in 2024.

Does 37227 pay differently in an office than a hospital?

Yes. The allowed amount averaged $10,242 in an office setting and $5113.60 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 37227 most?

Vascular Surgery, with 4,763 services from 160 clinicians. Next are Cardiology, Interventional Radiology, Ambulatory Surgical Center.

CPT 37227

Removal of plaque and insertion of stents in arteries of leg

$9119.72Medicare-allowed amount per service, averaged across 10,443 services

Providers submitted

$28,944

Asking price, not received

Medicare allowed

$9119.72

The fee schedule figure

Medicare paid

$7268.30

Balance is patient coinsurance

Providers submitted an average of $28,944 for this code and Medicare allowed $9119.72 — 3.2× 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 $7268.30 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $10,242
Hospital / facility: $5113.60

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. 8,158 services were billed in an office setting and 2,285 in a facility.

Services: 10,443
Beneficiaries: 8,390
Providers billing it: 351
Total allowed: $95,237,236

What Medicare pays for CPT 37227

Across 10,443 services billed by 351 providers to 8,390 beneficiaries, Medicare allowed an average of $9119.72 per service. That is 1.2 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 37227

Specialty	Services	Beneficiaries	Avg allowed	Providers
Vascular Surgery	4,763	3,850	$8808.11	160
Cardiology	1,401	1,098	$8835.31	49
Interventional Radiology	1,105	878	$9222.27	30
Ambulatory Surgical Center	858	705	$12,551	26
Interventional Cardiology	626	525	$7544.07	30
General Surgery	471	380	$8500.56	13
Diagnostic Radiology	425	353	$10,695	14
Peripheral Vascular Disease	238	148	$9963.63	2
Internal Medicine	140	108	$8872.85	7
Thoracic Surgery	127	105	$10,641	5
Physician Assistant	124	108	$1340.12	7
Cardiac Surgery	79	66	$7153.12	4
General Practice	44	34	$11,485	2
Clinical Cardiac Electrophysiology	22	19	$9996.83	1
Undefined Physician type	20	13	$12,663	1

37227 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	1,695	$9327.39	$7505.39	49
California	1,493	$9595.05	$6256.84	43
Maryland	896	$10,473	$7868.45	27
New Jersey	874	$11,429	$8004.00	19
Texas	796	$9659.56	$7908.27	35
New York	739	$10,183	$7166.62	29
Tennessee	603	$8313.46	$7568.52	20
Illinois	408	$6057.21	$5063.07	8
Kansas	290	$7114.58	$6268.13	6
Arizona	272	$7457.76	$6260.48	11
Michigan	205	$9712.18	$8339.35	8
Pennsylvania	205	$7847.49	$6400.61	8
Massachusetts	169	$7818.65	$6070.14	10
Oklahoma	136	$3608.52	$3047.63	6
North Carolina	130	$7722.94	$6592.46	5
Alabama	129	$9118.48	$8576.03	6
Georgia	122	$8443.09	$7438.92	7
South Dakota	118	$8133.25	$6556.22	5
Delaware	115	$11,196	$8445.77	3
Kentucky	102	$9301.46	$8468.85	3
Virginia	100	$10,607	$8588.92	7
Nebraska	96	$2668.77	$2332.64	3
Utah	87	$5779.72	$5055.49	2
Missouri	79	$5003.36	$4128.98	4
Arkansas	75	$5764.95	$5285.97	3
Oregon	74	$10,472	$8418.38	4
Indiana	57	$9844.52	$8532.68	1
Louisiana	56	$7386.55	$6758.18	4
Mississippi	56	$8958.67	$8486.95	2
Washington	55	$6744.70	$4813.14	2
South Carolina	34	$9292.00	$8334.20	2
Nevada	33	$9910.72	$8495.18	1
Iowa	33	$5669.50	$4821.54	2
Hawaii	33	$11,584	$8140.49	1
Connecticut	29	$12,091	$8540.29	2
Ohio	22	$9555.98	$8488.25	1
New Mexico	14	$690.22	$541.07	1
District of Columbia	13	$5155.73	$3459.07	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
37228Balloon dilation of artery of leg$1158.26
37224Balloon dilation of artery of leg$562.15
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.