RxDoctor Payments Data

CPT 83718

Hdl cholesterol level

$8.02Medicare-allowed amount per service, averaged across 83,582 services
Providers submitted
$47.95

Asking price, not received

Medicare allowed
$8.02

The fee schedule figure

Medicare paid
$8.02

Balance is patient coinsurance

Providers submitted an average of $47.95 for this code and Medicare allowed $8.026.0× 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 $8.02 (100%); the rest is the patient’s coinsurance and deductible.

Services
83,582

Medicare Part B, 2024

Beneficiaries
64,542
Providers billing it
239
Total allowed
$670,328

Services × allowed amount

What Medicare pays for CPT 83718

Across 83,582 services billed by 239 providers to 64,542 beneficiaries, Medicare allowed an average of $8.02 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 83718

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory57,05947,318$8.03122
Internal Medicine8,8374,766$8.0238
Urology5,4763,007$8.027
Family Practice4,6723,740$8.0038
Pathology3,4502,852$8.036
Cardiology1,8081,071$8.014
Nurse Practitioner1,264968$8.0015
Pediatric Medicine303284$8.031
Geriatric Medicine262192$8.011
Allergy/ Immunology201146$8.031
General Practice7661$8.031
Endocrinology7542$8.031
Physician Assistant7167$7.813
Emergency Medicine2828$8.031

83718 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.

StateServicesAllowedStandardized pmtProviders
California19,065$8.02$8.0333
Florida11,475$8.03$8.0315
Michigan8,177$8.03$8.034
Arizona6,352$8.03$8.035
Minnesota5,766$8.02$8.038
Missouri5,066$8.01$8.0317
New York4,687$8.03$8.0316
Texas3,838$8.03$8.0310
New Jersey3,335$8.03$8.039
Indiana1,607$8.00$8.037
Ohio1,544$8.01$8.0315
Massachusetts1,438$8.02$8.038
Pennsylvania1,423$8.03$8.0312
Georgia1,217$8.00$8.035
North Carolina1,043$8.03$8.033
Louisiana817$8.03$8.031
Iowa702$8.01$8.037
Maryland653$8.02$8.034
Oklahoma578$8.03$8.038
Kansas545$8.03$8.035
Utah530$8.03$8.033
Washington495$8.03$8.033
Virginia451$8.03$8.032
Illinois447$8.03$8.033
Mississippi421$8.02$8.032
Tennessee383$8.03$8.037
Wisconsin349$8.01$8.034
South Carolina267$7.95$8.036
Arkansas258$7.97$8.031
Alabama160$8.03$8.031
South Dakota146$7.93$8.034
Colorado95$8.03$8.032
Rhode Island84$8.03$8.031
Kentucky64$8.03$8.032
Oregon41$7.87$8.033
Nevada26$8.03$8.031
Hawaii21$8.03$8.031
New Mexico16$8.03$8.031

Related codes

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.