CPT 00561 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 24 - Ambulatory Surgical Center |
| Common Modifiers | • AA - Anesthesia by anesthesiologist • P4 - A Patient with severe systemic disease • None |
| Complexity Level | Moderate |
National average anesthesia conversion factor for CPT 00561 by major payers:
$59.57
$56.17
$58.01
$57.75
| 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 00561 | ||||||
United | 00561 | $128.69 | 1417976085 - JEFFREY SALL | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $57.20 | 1548550767 - ANDREW DIXON | 941502014 - SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $57.50 | 1316971278 - MARY KEYES | 954395492 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $61.00 | 1235636051 - HEMRA CIL | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $99.00 | 1104868710 - MICHAEL SOPHER | 954377219 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $61.00 | 1568880607 - JENNIFER WOODBURY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $31.00 | 1679176754 - TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION | 853015429 - (CA) TAHER SAIFULLAH MD A PROFESSIONAL MEDICAL CORPORATION | CA | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 00561 | $52.50 | 1063688851 - ROBINDER KHEMANI | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00561 | $61.00 | 1043274319 - MANUEL PARDO | 943281663 | CA | Critical Care Medicine (Anesthesiology) Physician (207LC0200X) |
United | 00561 | $61.00 | 1669637575 - KRISTINE BREYER | 943281657 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $53.00 | 1255659181 - ARIEL HURTADO | 464150987 - (CA) VALLEY CHILDRENS MEDICAL GROUP | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $52.50 | 1912225673 - EUGENE KIM | 953777340 - CHILDRENS HOSPITAL LOS ANGELES MEDICAL GROUP INC | CA | Pediatric Anesthesiology Physician (207LP3000X) |
United | 00561 | $86.00 | 1174853477 - PRITUL PATEL | 953812774 | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $56.00 | 1245211762 - HUNG NGUYEN | 820545905 - (CA) HUNG NGUYEN MD INC | CA | Anesthesiology Physician (207L00000X) |
United | 00561 | $128.69 | 1912392291 - DANIELLE HOLLAND | 943281657 | 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 00561 vs. Other Anesthesia for Intrathoracic Procedures Codes
The CPT 00561 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 00561 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 |
|---|---|---|
| 00561-CPT | Moderate | Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; With Pump Oxygenator, Younger Than 1 Year Of Age |
| 00562-CPT | Moderate | Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; With Pump Oxygenator, Age 1 Year Or Older, For All Noncoronary Bypass Procedures (Eg, Valve Procedures) Or For Re-Operation For Coronary Bypass More Than 1 Month After Original Operati |
| 00563-CPT | Moderate | Anesthesia For Procedures On Heart, Pericardial Sac, And Great Vessels Of Chest; With Pump Oxygenator With Hypothermic Circulatory Arrest |
| 00566-CPT | Moderate | Anesthesia, Direct Coronary Artery Bypass Grafting Wo Pump Oxygenator |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 00561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 00561 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 00561) and we'll show you how you compare in 15 minutes or less.