How much does Medicare pay for CPT 61782?

Medicare allowed an average of $167.85 per service and paid $133.94 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $841.19, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 61782?

Computer-assisted procedure outside membrane covering brain. It was billed 8,567 times to 8,431 Medicare beneficiaries by 417 providers in 2024.

Does 61782 pay differently in an office than a hospital?

Yes. The allowed amount averaged $166.68 in an office setting and $168.24 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 61782 most?

Otolaryngology, with 8,509 services from 413 clinicians. Next are General Surgery, Ophthalmology, Plastic and Reconstructive Surgery.

CPT 61782

Computer-assisted procedure outside membrane covering brain

$167.85Medicare-allowed amount per service, averaged across 8,567 services

Providers submitted

$841.19

Asking price, not received

Medicare allowed

$167.85

The fee schedule figure

Medicare paid

$133.94

Balance is patient coinsurance

Providers submitted an average of $841.19 for this code and Medicare allowed $167.85 — 5.0× 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 $133.94 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $166.68
Hospital / facility: $168.24

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 2,173 services were billed in an office setting and 6,394 in a facility.

Services: 8,567
Beneficiaries: 8,431
Providers billing it: 417
Total allowed: $1,437,971

What Medicare pays for CPT 61782

Across 8,567 services billed by 417 providers to 8,431 beneficiaries, Medicare allowed an average of $167.85 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 61782

Specialty	Services	Beneficiaries	Avg allowed	Providers
Otolaryngology	8,509	8,373	$167.83	413
General Surgery	17	17	$171.51	1
Ophthalmology	15	15	$186.76	1
Plastic and Reconstructive Surgery	14	14	$151.82	1
Neurosurgery	12	12	$172.19	1

61782 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	1,056	$173.46	$133.40	48
Texas	993	$169.50	$133.86	40
Florida	911	$175.16	$133.92	46
Pennsylvania	398	$173.77	$133.80	18
New York	359	$193.75	$133.63	20
Arizona	336	$164.23	$133.87	15
Alabama	313	$148.35	$134.21	14
Virginia	254	$162.97	$133.82	11
South Carolina	254	$155.50	$134.48	10
Kansas	252	$153.08	$133.69	12
North Carolina	241	$162.32	$133.66	13
Tennessee	213	$153.30	$134.54	10
Ohio	212	$163.64	$133.72	13
Massachusetts	211	$178.17	$133.99	12
Maryland	201	$174.58	$133.73	7
Indiana	181	$151.64	$133.96	7
Illinois	177	$182.96	$133.40	11
Missouri	164	$157.56	$134.37	11
Georgia	164	$165.12	$132.44	10
Washington	150	$171.79	$133.59	9
Colorado	141	$164.01	$133.38	8
New Jersey	132	$181.46	$133.59	7
Oklahoma	127	$154.85	$134.43	5
Oregon	114	$162.45	$134.66	5
Nebraska	112	$152.36	$134.42	7
Louisiana	111	$160.35	$133.75	5
Nevada	104	$159.27	$135.03	2
Minnesota	97	$165.88	$133.38	3
Wisconsin	80	$162.98	$133.38	5
Delaware	79	$167.26	$133.66	4
Mississippi	71	$147.88	$134.00	5
Michigan	67	$172.67	$133.52	5
Montana	56	$167.11	$133.41	2
Connecticut	37	$177.96	$133.59	3
Idaho	30	$154.86	$133.52	2
New Hampshire	26	$167.48	$133.38	1
Iowa	25	$158.28	$133.53	2
Maine	23	$169.58	$127.77	2
Kentucky	20	$154.98	$133.43	1
Hawaii	15	$169.05	$133.73	1
Utah	13	$162.89	$133.21	1
District of Columbia	13	$184.93	$133.21	1
Arkansas	12	$157.57	$133.51	1
South Dakota	11	$154.62	$136.72	1
North Dakota	11	$160.54	$133.28	1

Related codes

61783Computer-assisted spinal procedure$211.81
61781Computer-assisted procedure inside brain$235.29
61797Computer-assisted radiosurgery of simple growth of brain$222.21
61796Computer-assisted radiosurgery of simple growth of brain$1039.54
61798Computer-assisted radiosurgery of complex growth of brain$1414.29

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.