How much does Medicare pay for CPT 82805?

Medicare allowed an average of $72.75 per service and paid $72.75 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $145.13, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82805?

Blood gases measurement, with o2 saturation. It was billed 2,623 times to 2,335 Medicare beneficiaries by 44 providers in 2024.

Which specialty bills 82805 most?

Pulmonary Disease, with 1,376 services from 25 clinicians. Next are Clinical Laboratory, Internal Medicine, Pathology.

CPT 82805

Blood gases measurement, with o2 saturation

$72.75Medicare-allowed amount per service, averaged across 2,623 services

Providers submitted

$145.13

Asking price, not received

Medicare allowed

$72.75

The fee schedule figure

Medicare paid

$72.75

Balance is patient coinsurance

Providers submitted an average of $145.13 for this code and Medicare allowed $72.75 — 2.0× 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 $72.75 (100%); the rest is the patient’s coinsurance and deductible.

Services: 2,623
Beneficiaries: 2,335
Providers billing it: 44
Total allowed: $190,823

What Medicare pays for CPT 82805

Across 2,623 services billed by 44 providers to 2,335 beneficiaries, Medicare allowed an average of $72.75 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 82805

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pulmonary Disease	1,376	1,275	$76.54	25
Clinical Laboratory	520	391	$63.76	8
Internal Medicine	328	311	$67.55	5
Pathology	250	220	$76.62	2
Sleep Medicine	94	84	$72.13	1
Nurse Practitioner	28	27	$77.19	1
Diagnostic Radiology	15	15	$77.19	1
Emergency Medicine	12	12	$77.19	1

82805 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
Missouri	489	$76.36	$77.19	9
Nevada	461	$64.39	$77.19	7
Florida	418	$73.05	$77.19	7
Minnesota	320	$76.54	$77.19	3
California	276	$77.04	$77.19	4
North Carolina	199	$76.86	$77.19	4
Georgia	167	$58.25	$77.19	2
Arizona	107	$76.54	$77.19	1
Texas	58	$75.98	$77.19	3
Pennsylvania	57	$77.19	$77.19	1
South Dakota	35	$77.19	$77.19	1
New York	24	$77.19	$77.19	1
Wisconsin	12	$77.19	$77.19	1

Related codes

82803Blood gases measurement$25.47

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.