How much does Medicare pay for HCPCS C7513?

Medicare allowed an average of $963.47 per service and paid $766.73 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5366.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Which specialty bills C7513 most?

Ambulatory Surgical Center, with 8,277 services from 77 clinicians.

HCPCS C7513

Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis a

$963.47Medicare-allowed amount per service, averaged across 8,277 services

Providers submitted

$5366.41

Asking price, not received

Medicare allowed

$963.47

The fee schedule figure

Medicare paid

$766.73

Balance is patient coinsurance

Providers submitted an average of $5366.41 for this code and Medicare allowed $963.47 — 5.6× 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 $766.73 (80%); the rest is the patient’s coinsurance and deductible.

Services: 8,277
Beneficiaries: 4,789
Providers billing it: 77
Total allowed: $7,974,641

What Medicare pays for HCPCS C7513

Across 8,277 services billed by 77 providers to 4,789 beneficiaries, Medicare allowed an average of $963.47 per service. That is 1.7 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 C7513

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	8,277	4,789	$963.47	77

C7513 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	1,362	$1079.19	$715.38	9
Texas	649	$935.73	$788.72	9
Florida	627	$902.97	$758.24	5
New Jersey	609	$1018.46	$748.54	4
Illinois	592	$851.59	$664.80	2
Georgia	527	$874.83	$700.89	7
New York	443	$1132.97	$767.87	2
Ohio	438	$880.90	$739.34	6
Maryland	414	$824.01	$655.49	2
Nevada	396	$1075.90	$820.17	3
Virginia	393	$991.72	$789.79	2
North Carolina	332	$964.48	$790.50	2
Pennsylvania	294	$953.81	$742.85	5
Arizona	228	$930.67	$752.87	3
Rhode Island	119	$947.77	$751.46	1
Alabama	107	$950.46	$842.06	2
Indiana	100	$915.76	$752.39	1
Tennessee	92	$798.50	$697.04	1
Wisconsin	91	$805.38	$646.76	1
Arkansas	67	$803.85	$688.26	1
Washington	65	$970.66	$709.45	1
Louisiana	58	$834.71	$729.05	1
Mississippi	56	$898.18	$790.96	1
South Carolina	54	$890.26	$760.69	1
Missouri	48	$987.57	$809.02	1
Utah	38	$1039.56	$862.23	1
Kansas	33	$1325.67	$1149.14	1
Nebraska	32	$861.64	$701.56	1
Colorado	13	$1048.24	$837.33	1

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.