How much does Medicare pay for CPT 37607?

Medicare allowed an average of $520.21 per service and paid $413.36 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1954.47, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 37607?

Tying or banding of surgically created artery-vein connection. It was billed 1,361 times to 1,288 Medicare beneficiaries by 66 providers in 2024.

Does 37607 pay differently in an office than a hospital?

Yes. The allowed amount averaged $350.20 in an office setting and $523.65 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 37607 most?

General Surgery, with 536 services from 24 clinicians. Next are Vascular Surgery, Ambulatory Surgical Center, Nephrology.

CPT 37607

Tying or banding of surgically created artery-vein connection

$520.21Medicare-allowed amount per service, averaged across 1,361 services

Providers submitted

$1954.47

Asking price, not received

Medicare allowed

$520.21

The fee schedule figure

Medicare paid

$413.36

Balance is patient coinsurance

Providers submitted an average of $1954.47 for this code and Medicare allowed $520.21 — 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 $413.36 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $350.20
Hospital / facility: $523.65

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 27 services were billed in an office setting and 1,334 in a facility.

Services: 1,361
Beneficiaries: 1,288
Providers billing it: 66
Total allowed: $708,006

What Medicare pays for CPT 37607

Across 1,361 services billed by 66 providers to 1,288 beneficiaries, Medicare allowed an average of $520.21 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 37607

Specialty	Services	Beneficiaries	Avg allowed	Providers
General Surgery	536	499	$273.19	24
Vascular Surgery	356	347	$291.58	20
Ambulatory Surgical Center	312	291	$1286.45	13
Nephrology	118	113	$335.16	7
Critical Care (Intensivists)	25	24	$422.22	1
Interventional Radiology	14	14	$449.42	1

37607 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
Arizona	181	$724.94	$589.87	7
New York	166	$738.91	$500.01	8
New Jersey	123	$241.99	$166.62	2
Texas	105	$643.90	$531.99	4
Florida	89	$720.96	$559.50	5
District of Columbia	71	$324.09	$191.20	3
North Carolina	68	$631.36	$524.48	4
Illinois	61	$540.24	$443.29	4
Nevada	53	$743.06	$555.25	3
California	50	$198.48	$161.41	2
Ohio	40	$514.55	$420.62	3
Kansas	33	$799.54	$691.18	2
Michigan	32	$234.25	$160.33	1
Arkansas	30	$596.62	$523.14	2
Maryland	30	$284.95	$201.72	2
Connecticut	29	$279.38	$208.47	2
Mississippi	27	$304.64	$261.45	1
Oklahoma	27	$334.21	$267.82	1
North Dakota	24	$217.29	$154.23	1
Massachusetts	24	$343.19	$261.98	2
Missouri	18	$201.79	$149.78	1
Oregon	16	$271.51	$220.87	1
Virginia	14	$232.67	$191.90	1
Kentucky	14	$269.07	$208.84	1
Louisiana	13	$210.86	$164.35	1
Pennsylvania	12	$306.90	$244.16	1
Delaware	11	$295.41	$236.37	1

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.