How much does Medicare pay for CPT 62367?

Medicare allowed an average of $28.62 per service and paid $21.93 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $221.70, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 62367?

Electronic analysis of spinal canal drug infusion pump. It was billed 3,148 times to 1,578 Medicare beneficiaries by 83 providers in 2024.

Does 62367 pay differently in an office than a hospital?

Yes. The allowed amount averaged $29.27 in an office setting and $21.19 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 62367 most?

Anesthesiology, with 596 services from 17 clinicians. Next are Interventional Pain Management, Physician Assistant, Pain Management.

CPT 62367

Electronic analysis of spinal canal drug infusion pump

$28.62Medicare-allowed amount per service, averaged across 3,148 services

Providers submitted

$221.70

Asking price, not received

Medicare allowed

$28.62

The fee schedule figure

Medicare paid

$21.93

Balance is patient coinsurance

Providers submitted an average of $221.70 for this code and Medicare allowed $28.62 — 7.7× 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 $21.93 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $29.27
Hospital / facility: $21.19

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. 2,897 services were billed in an office setting and 251 in a facility.

Services: 3,148
Beneficiaries: 1,578
Providers billing it: 83
Total allowed: $90,096

What Medicare pays for CPT 62367

Across 3,148 services billed by 83 providers to 1,578 beneficiaries, Medicare allowed an average of $28.62 per service. That is 2.0 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 62367

Specialty	Services	Beneficiaries	Avg allowed	Providers
Anesthesiology	596	300	$30.91	17
Interventional Pain Management	582	269	$30.18	12
Physician Assistant	476	190	$25.55	13
Pain Management	460	247	$29.41	11
Nurse Practitioner	339	181	$23.25	10
Physical Medicine and Rehabilitation	239	137	$30.37	9
Family Practice	234	116	$28.66	4
Emergency Medicine	76	24	$30.43	1
Neurology	50	34	$25.48	2
Internal Medicine	43	36	$32.27	1
Neurosurgery	20	15	$34.07	1
General Practice	19	15	$30.16	1
Orthopedic Surgery	14	14	$25.41	1

62367 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	430	$32.09	$24.05	12
Oklahoma	337	$28.25	$23.70	5
Ohio	322	$28.37	$23.13	7
Kentucky	224	$28.16	$23.24	4
South Carolina	191	$27.16	$24.17	2
Florida	185	$29.75	$22.86	4
Pennsylvania	162	$28.33	$23.23	4
Missouri	139	$21.42	$17.24	4
Idaho	131	$22.74	$19.09	3
Texas	128	$30.83	$25.09	5
Illinois	121	$28.81	$21.30	4
Utah	99	$30.35	$24.99	1
Minnesota	82	$27.24	$21.16	4
Alaska	74	$37.95	$23.06	2
New York	70	$34.64	$24.71	2
Nevada	69	$26.56	$20.33	1
Indiana	66	$26.00	$19.13	3
South Dakota	55	$23.03	$18.59	3
Arizona	46	$29.02	$24.47	3
Arkansas	42	$28.04	$25.31	1
Michigan	38	$30.49	$25.00	2
Tennessee	35	$29.09	$23.07	1
Virginia	23	$35.17	$24.94	1
Washington	22	$18.25	$13.95	1
New Jersey	17	$26.02	$25.00	1
Montana	14	$20.34	$15.45	1
Massachusetts	14	$34.57	$23.23	1
Wisconsin	12	$22.93	$19.26	1

Related codes

62323Injection of substance into lower spine canal$200.33
62321Injection of substance into middle or upper spine canal$215.08
62370Electronic analysis reprogramming and refill of spinal canal drug infu$76.65
62328Removal of spinal fluid$81.96
62369Electronic analysis reprogramming and refill of spinal canal drug infu$78.93
62368Electronic analysis and reprogramming of spinal canal drug infusion pu$39.38
62322Injection of substance into lower spine canal$84.43
62362Insertion of programmable spinal canal drug infusion pump$4222.97
62324Insertion of tube and injection of substance into middle or upper spin$90.95
62304X-ray of lower spinal canal$156.91
62350Insertion, revision, or repositioning of spinal canal tube for medicat$922.79

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.