How much does Medicare pay for CPT 80047?

Medicare allowed an average of $13.42 per service and paid $13.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $38.58, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 80047?

Blood test, basic group of blood chemicals (calcium, ionized). It was billed 183,913 times to 82,026 Medicare beneficiaries by 1,542 providers in 2024.

Which specialty bills 80047 most?

Nurse Practitioner, with 52,483 services from 339 clinicians. Next are Internal Medicine, Nephrology, Clinical Laboratory.

CPT 80047

Blood test, basic group of blood chemicals (calcium, ionized)

$13.42Medicare-allowed amount per service, averaged across 183,913 services

Providers submitted

$38.58

Asking price, not received

Medicare allowed

$13.42

The fee schedule figure

Medicare paid

$13.42

Balance is patient coinsurance

Providers submitted an average of $38.58 for this code and Medicare allowed $13.42 — 2.9× 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 $13.42 (100%); the rest is the patient’s coinsurance and deductible.

Services: 183,913
Beneficiaries: 82,026
Providers billing it: 1,542
Total allowed: $2,468,112

What Medicare pays for CPT 80047

Across 183,913 services billed by 1,542 providers to 82,026 beneficiaries, Medicare allowed an average of $13.42 per service. That is 2.2 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 80047

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	52,483	12,810	$13.45	339
Internal Medicine	24,832	6,879	$13.44	101
Nephrology	23,811	1,906	$13.45	9
Clinical Laboratory	18,546	10,893	$13.44	32
Physician Assistant	17,406	16,474	$13.34	427
Family Practice	17,228	15,689	$13.36	325
Hematology-Oncology	9,086	3,421	$13.39	52
Medical Oncology	5,688	1,828	$13.30	13
Emergency Medicine	2,861	2,720	$13.36	69
Cardiology	2,640	1,794	$13.43	31
Vascular Surgery	2,268	1,649	$13.33	39
Urology	1,520	1,340	$13.42	17
Diagnostic Radiology	1,500	1,458	$13.43	15
Interventional Cardiology	874	643	$13.42	21
General Surgery	672	509	$13.42	7

80047 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	77,325	$13.46	$13.46	29
Maryland	14,430	$13.34	$13.46	191
Kentucky	12,035	$13.46	$13.46	2
Virginia	11,391	$13.31	$13.46	266
Michigan	8,733	$13.32	$13.46	17
Texas	6,925	$13.43	$13.46	90
Florida	5,975	$13.45	$13.46	59
Tennessee	4,911	$13.36	$13.46	34
New York	4,845	$13.41	$13.46	73
California	4,832	$13.44	$13.47	86
Illinois	3,648	$13.45	$13.46	38
Pennsylvania	3,595	$13.45	$13.46	89
Georgia	2,520	$13.39	$13.43	52
Oklahoma	2,371	$13.37	$13.46	15
Utah	2,330	$13.33	$13.46	65
New Jersey	1,939	$13.45	$13.46	45
Iowa	1,875	$13.44	$13.46	36
Minnesota	1,848	$13.40	$13.46	72
Washington	1,483	$13.34	$13.46	43
South Carolina	1,480	$13.38	$13.49	34
Colorado	1,220	$13.29	$13.31	38
Wisconsin	1,043	$13.43	$13.46	24
Kansas	997	$13.43	$13.46	13
North Carolina	764	$13.44	$13.46	19
Arkansas	657	$13.40	$13.46	6
Missouri	649	$13.38	$13.46	13
Massachusetts	612	$13.46	$13.46	7
South Dakota	596	$13.22	$13.46	1
Alabama	531	$13.04	$13.28	16
Ohio	531	$13.36	$13.46	19
Indiana	437	$13.46	$13.46	2
Wyoming	149	$13.46	$13.46	4
District of Columbia	144	$13.37	$13.46	5
Montana	131	$13.21	$13.46	4
Nevada	123	$13.46	$13.46	5
Mississippi	117	$12.11	$12.11	4
Oregon	115	$13.34	$13.46	4
Rhode Island	111	$13.46	$13.46	2
West Virginia	107	$13.37	$13.46	4
Nebraska	91	$13.46	$13.46	5
Delaware	85	$13.46	$13.46	2
New Mexico	62	$13.46	$13.47	2
Alaska	51	$13.46	$13.46	1
Idaho	48	$13.46	$13.46	2
New Hampshire	24	$13.46	$13.46	2
Louisiana	15	$12.68	$13.48	1
Guam	12	$13.46	$13.46	1

Related codes

80053Blood test, comprehensive group of blood chemicals$10.33
80061Blood test, lipids (cholesterol and triglycerides)$13.10
80048Blood test, basic group of blood chemicals (calcium, total)$8.27
80076Liver function blood test panel$7.99
80069Kidney function blood test panel$8.48
80051Blood test panel for electrolytes (sodium potassium$6.83
80074Acute hepatitis panel$46.60

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.