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See a sample rate comparisonCPT 00528 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Anesthesia For Chest Procedure, Anesthesia Services For A Procedure Involving The Interior Of The Chest. Examples Include Withdrawing Fluid And Scope-Assisted Exams.
| Key Fact | Detail |
|---|---|
| Service Type | Anesthesia Anesthesia for Intrathoracic Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None P3 - A patient with severe systemic disease AA - Anesthesia by anesthesiologist |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 00528 |
National average anesthesia conversion factor for CPT 00528 by major payers:
$58.03
$55.79
$56.98
$54.91
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CPT 00528
5 of 25 sample ratesHigher to lower in this preview
Marisa Hernandez-Morgan
$121.22Published rateWilliam Papanickolas
Greater Modesto Medical Surgical Associates, Inc
$82.00Published rateRasheed Amireh
Anesthesia Consultants Of Fresno
$62.50Published rateSamuel Hong
$55.50Published rateArpna Dave'
Mochi Medical PA
$35.00Published rate
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See a sample payer proposalCPT 00528 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00528 code is part of the Anesthesia services used for Anesthesia for Intrathoracic Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 00528 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 00524-CPT | Low | Anesthesia For Chest Procedure, Anesthesia Services For A Procedure Involving The Interior Of The Chest. Examples Include Withdrawing Fluid And Scope-Assisted Exams. |
| 00528-CPT | Moderate | Anesthesia For Chest Procedure, Anesthesia Services For A Procedure Involving The Interior Of The Chest. Examples Include Withdrawing Fluid And Scope-Assisted Exams. |
| 00529-CPT | Moderate | Anesthesia For Chest Procedure, Anesthesia Services For A Procedure Involving The Interior Of The Chest. Examples Include Withdrawing Fluid And Scope-Assisted Exams. |
| 00532-CPT | Low | Anesthesia For Access Device, Anesthesia Services For Insertion Of A Device Under The Surface Of The Skin. Examples Of Devices Include Ivs Drainage Tubes And Catheters (Small Tubes) To Provide Access To A Blood Vessel. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00528. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00528 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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