How much does Medicare pay for CPT 92950?

Medicare allowed an average of $178.69 per service and paid $140.80 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $874.51, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 92950?

Manual attempt to restore blood circulation and breathing. It was billed 1,105 times to 1,033 Medicare beneficiaries by 76 providers in 2024.

Which specialty bills 92950 most?

Pulmonary Disease, with 355 services from 24 clinicians. Next are Critical Care (Intensivists), Emergency Medicine, Internal Medicine.

CPT 92950

Manual attempt to restore blood circulation and breathing

$178.69Medicare-allowed amount per service, averaged across 1,105 services

Providers submitted

$874.51

Asking price, not received

Medicare allowed

$178.69

The fee schedule figure

Medicare paid

$140.80

Balance is patient coinsurance

Providers submitted an average of $874.51 for this code and Medicare allowed $178.69 — 4.9× 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 $140.80 (79%); the rest is the patient’s coinsurance and deductible.

Services: 1,105
Beneficiaries: 1,033
Providers billing it: 76
Total allowed: $197,452

What Medicare pays for CPT 92950

Across 1,105 services billed by 76 providers to 1,033 beneficiaries, Medicare allowed an average of $178.69 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 92950

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pulmonary Disease	355	328	$180.57	24
Critical Care (Intensivists)	303	280	$180.49	20
Emergency Medicine	178	175	$179.23	13
Internal Medicine	130	116	$185.79	9
Nurse Practitioner	88	84	$150.69	6
Family Practice	17	17	$191.30	1
Vascular Surgery	12	11	$177.49	1
Hospitalist	11	11	$186.14	1
Anesthesiology	11	11	$174.38	1

92950 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
California	243	$179.31	$140.58	15
Florida	175	$187.26	$137.52	12
New York	106	$197.09	$138.88	8
Mississippi	90	$170.18	$137.64	7
Tennessee	72	$155.09	$123.82	5
North Carolina	69	$169.19	$141.25	5
South Carolina	60	$171.13	$136.00	4
Nevada	57	$174.00	$139.66	4
Texas	48	$165.80	$134.49	3
Illinois	41	$191.18	$139.39	3
Arizona	33	$180.87	$139.17	2
Georgia	31	$181.45	$140.44	2
Maryland	25	$172.25	$131.69	2
Indiana	17	$181.96	$140.91	1
New Jersey	14	$200.13	$120.69	1
Louisiana	13	$172.38	$140.65	1
Michigan	11	$186.14	$120.00	1

Related codes

92928Insertion of stents$525.63
92960External shock to heart to regulate heart beat$103.99
92978Ultrasound evaluation of heart blood vessel or graft$91.55
92979Ultrasound evaluation of heart blood vessel or graft$72.73
92972Shockwave destruction of calcified plaque in coronary artery accessed$141.81
92941Removal of plaque and blood clot$623.51
92933Removal of plaque$610.77
92920Balloon dilation of single coronary artery or branch$406.19
92943Removal of plaque$618.11

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.