How much does Medicare pay for CPT 75989?

Medicare allowed an average of $75.63 per service and paid $59.13 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $328.62, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75989?

Review by radiologist of image for drainage of fluid. It was billed 1,562 times to 1,164 Medicare beneficiaries by 62 providers in 2024.

Does 75989 pay differently in an office than a hospital?

Yes. The allowed amount averaged $122.60 in an office setting and $55.04 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 75989 most?

Orthopedic Surgery, with 448 services from 1 clinicians. Next are Pulmonary Disease, Diagnostic Radiology, Interventional Radiology.

CPT 75989

Review by radiologist of image for drainage of fluid

$75.63Medicare-allowed amount per service, averaged across 1,562 services

Providers submitted

$328.62

Asking price, not received

Medicare allowed

$75.63

The fee schedule figure

Medicare paid

$59.13

Balance is patient coinsurance

Providers submitted an average of $328.62 for this code and Medicare allowed $75.63 — 4.3× 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 $59.13 (78%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $122.60
Hospital / facility: $55.04

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. 476 services were billed in an office setting and 1,086 in a facility.

Services: 1,562
Beneficiaries: 1,164
Providers billing it: 62
Total allowed: $118,134

What Medicare pays for CPT 75989

Across 1,562 services billed by 62 providers to 1,164 beneficiaries, Medicare allowed an average of $75.63 per service. That is 1.3 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 75989

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	448	118	$122.91	1
Pulmonary Disease	346	331	$56.02	18
Diagnostic Radiology	296	282	$59.76	17
Interventional Radiology	175	155	$51.67	11
Cardiac Surgery	114	104	$57.56	3
Thoracic Surgery	62	58	$55.54	4
Internal Medicine	34	33	$57.20	2
Physician Assistant	31	28	$45.58	2
Critical Care (Intensivists)	29	29	$54.53	2
Nurse Practitioner	14	13	$44.71	1
Urology	13	13	$106.63	1

75989 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	715	$97.81	$68.42	14
New York	165	$65.63	$46.41	6
Florida	134	$60.49	$43.32	9
Texas	102	$53.94	$42.47	5
Massachusetts	78	$56.64	$42.38	4
Delaware	71	$53.66	$42.39	4
Louisiana	45	$53.21	$42.36	2
Mississippi	35	$50.93	$42.46	2
New Jersey	29	$57.87	$42.44	2
Nebraska	28	$47.99	$42.42	2
Ohio	26	$52.48	$42.40	2
Illinois	22	$55.89	$42.35	2
Indiana	19	$50.89	$40.31	1
South Dakota	18	$50.71	$42.35	1
Maryland	14	$53.98	$42.24	1
Missouri	14	$44.71	$35.95	1
Connecticut	13	$57.80	$42.49	1
Michigan	12	$55.51	$42.48	1
Pennsylvania	11	$52.24	$42.34	1
South Carolina	11	$44.33	$36.16	1

Related codes

75984Review by radiologist of image for replacement of stomach or large bow$36.29

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.