How much does Medicare pay for CPT 94760?

Medicare allowed an average of $2.51 per service and paid $1.62 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $12.67, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 94760?

Test to measure oxygen level in blood using ear or finger device. It was billed 6,315 times to 3,851 Medicare beneficiaries by 64 providers in 2024.

Does 94760 pay differently in an office than a hospital?

Yes. The allowed amount averaged $2.52 in an office setting and $2.32 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 94760 most?

Nurse Practitioner, with 2,203 services from 18 clinicians. Next are Family Practice, Internal Medicine, General Practice.

CPT 94760

Test to measure oxygen level in blood using ear or finger device

$2.51Medicare-allowed amount per service, averaged across 6,315 services

Providers submitted

$12.67

Asking price, not received

Medicare allowed

$2.51

The fee schedule figure

Medicare paid

$1.62

Balance is patient coinsurance

Providers submitted an average of $12.67 for this code and Medicare allowed $2.51 — 5.0× 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 $1.62 (65%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $2.52
Hospital / facility: $2.32

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 6,163 services were billed in an office setting and 152 in a facility.

Services: 6,315
Beneficiaries: 3,851
Providers billing it: 64
Total allowed: $15,851

What Medicare pays for CPT 94760

Across 6,315 services billed by 64 providers to 3,851 beneficiaries, Medicare allowed an average of $2.51 per service. That is 1.6 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 94760

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	2,203	1,445	$2.43	18
Family Practice	1,861	990	$2.56	18
Internal Medicine	1,560	830	$2.45	16
General Practice	228	223	$2.37	2
Physician Assistant	201	195	$3.33	2
Cardiology	109	46	$3.02	2
Pulmonary Disease	62	60	$2.51	4
Hematology-Oncology	51	39	$2.31	1
General Surgery	40	23	$2.70	1

94760 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
Kentucky	3,895	$2.31	$1.54	10
New York	981	$3.27	$1.76	23
Indiana	362	$2.31	$1.67	1
Pennsylvania	259	$2.39	$1.67	4
Massachusetts	201	$2.71	$1.80	8
California	182	$2.82	$1.69	6
Illinois	97	$3.00	$2.06	1
Texas	80	$2.76	$1.65	4
Louisiana	69	$2.34	$1.97	2
Arizona	62	$2.52	$1.17	1
Tennessee	51	$2.31	$1.98	1
Maryland	38	$2.65	$1.64	1
Michigan	38	$2.60	$1.94	2

Related codes

94729Test to examine how well the lungs exchange gases$34.47
94726Test to determine lung volumes$34.10
94727Test to determine lung volumes$35.30
94762Test to measure oxygen level in blood$29.99
94728Test to measure resistance of the airways and lungs to differing frequ$40.57
94761Test to measure oxygen level in blood$4.63

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.