RxDoctor Payments Data

HCPCS C1747

Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)

$1598.22Medicare-allowed amount per service, averaged across 1,344 services
Providers submitted
$2610.59

Asking price, not received

Medicare allowed
$1598.22

The fee schedule figure

Medicare paid
$1273.47

Balance is patient coinsurance

Providers submitted an average of $2610.59 for this code and Medicare allowed $1598.221.6× 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 $1273.47 (80%); the rest is the patient’s coinsurance and deductible.

Services
1,344

Medicare Part B, 2024

Beneficiaries
1,237
Providers billing it
39
Total allowed
$2,148,008

Services × allowed amount

What Medicare pays for HCPCS C1747

Across 1,344 services billed by 39 providers to 1,237 beneficiaries, Medicare allowed an average of $1598.22 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 C1747

SpecialtyServicesBeneficiariesAvg allowedProviders
Ambulatory Surgical Center1,3441,237$1598.2239

C1747 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
Tennessee175$1102.01$882.493
Ohio126$1797.65$1432.272
Georgia125$745.78$602.255
Illinois123$1317.38$1063.202
Maryland94$1197.92$954.442
Arizona89$6200.80$4940.471
Florida83$1316.48$1048.903
Mississippi80$1042.13$830.323
Nevada80$1472.96$1173.581
Texas66$2058.74$1640.353
Iowa62$1476.00$1176.001
Kansas34$843.38$671.961
Pennsylvania34$2112.71$1683.291
New Jersey31$1225.65$976.542
Virginia27$729.84$610.202
North Carolina21$901.21$785.211
Oregon20$722.45$575.611
Washington17$1235.21$984.151
Indiana17$1032.59$822.721
New York15$787.20$627.201
Missouri13$876.99$698.741
Delaware12$1476.00$1176.001

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.