CPT 00528 Fee Schedule
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.
| 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 |
National average anesthesia conversion factor for CPT 00528 by major payers:
$58.03
$55.79
$56.98
$54.91
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 00528 | ||||||
United | 00528 | $65.00 | 1669834602 - DANIEL DOUZJIAN | 330636378 - (CA) ANESTHESIA CONSULTANTS OF CALIFORNIA MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $65.00 | 1962468561 - CARLOS MORENO | 161576637 - FAXTON-ST LUKES HEALTHCARE | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $57.00 | 1114123775 - NATHANIEL PONSTEIN | 941708041 - (CA) ANESTHESIOLOGISTS MEDICAL GROUP OF SAN FRANCISCO INC | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $70.00 | 1679159818 - ANA BELEN GOYA ARCE | 260089066 | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00528 | $75.00 | 1205214723 - LIORA YEHUSHUA | 10510040 - (ME) SPECTRUM HEALTHCARE PARTNERS, P.A. | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $84.66 | 1972571693 - WILLIAM LENNARD | 951965700 - (CA) ANESTHESIA SERVICE MEDICAL GROUP, INC. | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $55.00 | 1417156498 - STEVE LEE | 364999438 - (CA) CA MEDICAL CONSULTANTS | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $82.00 | 1811920937 - WILLIAM PAPANICKOLAS | 264290978 - (CA) GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $117.22 | 1942436324 - ROBIN KIM | 952226406 - REGENTS OF THE UNIVERSITY OF CALIFORNIA AT IRVINE | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $55.00 | 1881038891 - JACKLYNN SZTAIN | 237064656 - HEALING THE SOUL | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $55.50 | 1902395213 - LISA NGUYEN | 954401759 | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $113.00 | 1538102884 - TAMIM WAFA | 680273974 - SUTTER VALLEY MEDICAL FOUNDATION | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $30.19 | 1154697340 - WILSON LEE | 680360801 - (CA) JOHN MUIR PHYSICIAN NETWORK | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $65.00 | 1639638547 - TIFFANY KUNG | 770465765 | CA | Anesthesiology Physician (207L00000X) |
United | 00528 | $62.00 | 1639190820 - NICHOLAS SAKELLARIOU | 954444226 - (CA) BUENA VISTA ANESTHESIA MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 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 | Anes Closed Chest; Pneumocentesis |
| 00528-CPT | Moderate | Snf,Nfor Icfmror Other Residential Facility - Visit Byrhc/Fqhcpractitioner To Other Non-Rhc/Fqhcsite (E.G., Scene Of Accident) |
| 00529-CPT | Moderate | Anesthesia For Closed Chest Procedures; Mediastinoscopy And Diagnostic Thoracoscopy Utilizing One Lung Ventilation |
| 00532-CPT | Low | Anes Access Central Venous Circulation |
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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 00528) and we'll show you how you compare in 15 minutes or less.