RxDoctor Payments Data

CPT 89051

Body fluid cell count with cell identification

$5.48Medicare-allowed amount per service, averaged across 38,638 services
Providers submitted
$52.38

Asking price, not received

Medicare allowed
$5.48

The fee schedule figure

Medicare paid
$5.48

Balance is patient coinsurance

Providers submitted an average of $52.38 for this code and Medicare allowed $5.489.6× 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 $5.48 (100%); the rest is the patient’s coinsurance and deductible.

Services
38,638

Medicare Part B, 2024

Beneficiaries
28,181
Providers billing it
149
Total allowed
$211,736

Services × allowed amount

What Medicare pays for CPT 89051

Across 38,638 services billed by 149 providers to 28,181 beneficiaries, Medicare allowed an average of $5.48 per service. That is 1.4 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 89051

SpecialtyServicesBeneficiariesAvg allowedProviders
Clinical Laboratory33,71126,881$5.48121
Rheumatology4,6051,022$5.4921
Pathology219199$5.493
Physician Assistant5735$5.492
Hematology-Oncology3230$5.491
Orthopedic Surgery1414$5.491

89051 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
Maryland7,441$5.49$5.4916
Florida5,752$5.48$5.498
New Jersey4,874$5.49$5.495
California3,488$5.49$5.4916
Texas3,282$5.48$5.4910
Mississippi2,322$5.47$5.472
North Carolina1,846$5.47$5.482
New York1,138$5.48$5.495
Pennsylvania891$5.45$5.489
Minnesota763$5.48$5.492
Illinois748$5.49$5.492
Massachusetts705$5.48$5.496
Washington537$5.48$5.493
Arizona464$5.47$5.493
Ohio426$5.48$5.496
Tennessee365$5.49$5.495
Kansas319$5.48$5.483
Colorado317$5.48$5.493
Wisconsin301$5.23$5.492
Alabama293$5.49$5.492
Virginia281$5.49$5.494
Georgia261$5.49$5.491
Oklahoma228$5.45$5.493
Nevada206$5.49$5.491
South Dakota200$5.47$5.493
Utah176$5.49$5.492
Hawaii156$5.49$5.492
Oregon155$5.49$5.492
Iowa128$5.49$5.491
Louisiana98$5.49$5.493
Michigan74$5.43$5.494
Nebraska64$5.49$5.491
North Dakota56$5.37$5.492
New Mexico52$5.49$5.491
Missouri49$5.49$5.491
Kentucky41$5.49$5.491
Indiana40$5.49$5.491
Maine33$5.34$5.492
Idaho27$5.49$5.491
District of Columbia19$5.49$5.491
Arkansas11$5.49$5.491
Delaware11$5.49$5.491

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.