RxDoctor Payments Data

CPT 84450

Liver enzyme (sgot), level

$4.97Medicare-allowed amount per service, averaged across 711,787 services
Providers submitted
$21.27

Asking price, not received

Medicare allowed
$4.97

The fee schedule figure

Medicare paid
$4.97

Balance is patient coinsurance

Providers submitted an average of $21.27 for this code and Medicare allowed $4.974.3× 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 $4.97 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$4.97
Hospital / facility
$5.08

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 711,723 services were billed in an office setting and 64 in a facility.

Services
711,787

Medicare Part B, 2024

Beneficiaries
481,928
Providers billing it
1,488
Total allowed
$3,537,581

Services × allowed amount

What Medicare pays for CPT 84450

Across 711,787 services billed by 1,488 providers to 481,928 beneficiaries, Medicare allowed an average of $4.97 per service. That is 1.5 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 84450

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory522,500371,657$4.93355
Rheumatology53,75627,497$5.06170
Internal Medicine41,92126,756$5.07243
Family Practice34,35521,813$5.06265
Hematology-Oncology16,8063,755$5.0520
Pathology10,5057,481$5.0744
Nurse Practitioner7,4065,903$5.06132
Physician Assistant5,4454,121$5.0488
Cardiology4,1253,026$5.0742
Endocrinology3,5202,070$5.0623
Interventional Cardiology3,3162,426$5.0627
Urology1,264822$5.035
Ophthalmology836230$5.072
Pulmonary Disease726327$5.082
Medical Oncology713384$5.085

84450 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
New Jersey97,669$4.87$4.8718
California80,792$4.90$4.91107
Florida65,418$5.00$5.0685
Texas57,880$4.99$4.9936
North Carolina43,931$4.85$4.8636
Massachusetts38,038$5.04$5.0482
Minnesota32,147$5.06$5.08149
Ohio30,210$5.00$5.0171
New York21,321$5.05$5.0689
Indiana21,101$5.05$5.0834
Arizona20,809$4.62$4.637
Michigan19,065$5.06$5.0837
Alabama15,490$4.96$4.9711
Illinois14,900$5.02$5.0356
Pennsylvania13,500$5.06$5.0831
Iowa12,784$5.04$5.0869
Kansas11,259$5.06$5.0719
Hawaii10,919$5.03$5.089
Wisconsin10,516$5.05$5.0857
Tennessee9,249$5.05$5.0731
Colorado8,864$5.02$5.0320
Georgia8,592$5.07$5.0829
Mississippi7,675$5.04$5.0836
South Carolina7,360$5.07$5.0859
Washington7,260$4.82$4.8415
Louisiana5,815$5.03$5.0646
Arkansas5,470$5.06$5.0826
Virginia4,816$5.06$5.0817
Maryland4,251$5.07$5.0817
Nebraska4,141$5.04$5.0810
Rhode Island3,417$5.07$5.081
Oklahoma2,835$4.88$4.9015
New Hampshire2,609$5.07$5.0827
Missouri2,255$5.07$5.0852
Kentucky1,877$5.02$5.0810
Nevada1,355$5.08$5.083
South Dakota1,233$5.05$5.0812
New Mexico1,062$5.04$5.063
Connecticut975$5.07$5.0813
Oregon773$4.79$4.816
Puerto Rico747$4.96$4.9612
North Dakota519$5.04$5.0810
Maine284$4.89$4.932
Utah264$5.06$5.085
Delaware188$5.08$5.082
Montana67$5.08$5.082
Idaho41$5.08$5.082
District of Columbia31$5.08$5.081
Vermont13$5.08$5.081

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.