How much does Medicare pay for HCPCS C9740?

Medicare allowed an average of $7015.36 per service and paid $5581.67 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $21,033, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code C9740?

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants. It was billed 3,870 times to 3,857 Medicare beneficiaries by 134 providers in 2024.

Which specialty bills C9740 most?

Ambulatory Surgical Center, with 3,870 services from 134 clinicians.

HCPCS C9740

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants

$7015.36Medicare-allowed amount per service, averaged across 3,870 services

Providers submitted

$21,033

Asking price, not received

Medicare allowed

$7015.36

The fee schedule figure

Medicare paid

$5581.67

Balance is patient coinsurance

Providers submitted an average of $21,033 for this code and Medicare allowed $7015.36 — 3.0× 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 $5581.67 (80%); the rest is the patient’s coinsurance and deductible.

Services: 3,870
Beneficiaries: 3,857
Providers billing it: 134
Total allowed: $27,149,443

What Medicare pays for HCPCS C9740

Across 3,870 services billed by 134 providers to 3,857 beneficiaries, Medicare allowed an average of $7015.36 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 C9740

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	3,870	3,857	$7015.36	134

C9740 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
Florida	571	$6727.63	$5755.71	21
Maryland	539	$7129.00	$5757.06	15
Georgia	333	$7167.64	$5769.63	11
Pennsylvania	191	$6994.80	$5761.99	4
Mississippi	191	$6223.79	$5771.26	5
Arizona	167	$6973.31	$5745.39	6
Virginia	155	$6922.87	$5751.55	6
Tennessee	155	$6442.47	$5763.06	6
Washington	141	$8029.71	$5753.96	4
Ohio	119	$6754.19	$5789.00	2
South Carolina	110	$6585.08	$5768.55	3
New Jersey	109	$7540.42	$5755.74	4
Colorado	102	$7151.55	$5746.21	5
California	100	$8878.53	$5750.28	4
Oklahoma	92	$6392.54	$5787.05	3
Arkansas	92	$6672.34	$5762.25	2
New York	85	$7712.22	$5752.86	3
Oregon	84	$7634.76	$5780.88	4
Texas	83	$6946.10	$5769.51	6
Missouri	77	$6878.84	$5747.52	3
Kansas	75	$6795.08	$5741.82	3
Nebraska	60	$7039.03	$5736.48	2
Kentucky	47	$6809.41	$5746.57	2
Illinois	42	$7379.62	$5749.76	1
Delaware	42	$7329.46	$5742.30	1
Idaho	29	$6896.67	$5755.11	1
Iowa	12	$6641.78	$5743.57	1
Utah	12	$6909.60	$5758.89	1
Michigan	11	$6869.69	$5749.11	1
Hawaii	11	$8321.20	$5758.90	1
Louisiana	11	$6572.42	$5758.90	1
North Carolina	11	$6126.05	$5844.44	1
Wisconsin	11	$6721.66	$5758.89	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.