Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 00561 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 Heart Surgery, Anesthesia Services For Heart Surgery Performed On A Newborn Or Infant. The Procedure Involves The Protective Sac Or The Large Blood Vessels (Aorta Vena Cava). Supplementary Ventilation May Be Provided.
| 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 |
| Medicare Fee Schedule | View Medicare rates for 00561 |
National average anesthesia conversion factor for CPT 00561 by major payers:
$59.57
$56.17
$58.01
$57.75
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 00561.
CPT 00561
5 of 25 sample ratesHigher to lower in this preview
Jeffrey Sall
$128.69Published rateBenjamin Record
Memorial Pediatric Group
$109.50Published rateRobin Li
Anesthesia Service Medical Group, Inc.
$84.66Published rateJudi Cain
$60.00Published rateChase Smith
Cedars-Sinai Medical Care Foundation
$35.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 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 Heart Surgery, Anesthesia Services For Heart Surgery Performed On A Newborn Or Infant. The Procedure Involves The Protective Sac Or The Large Blood Vessels (Aorta Vena Cava). Supplementary Ventilation May Be Provided. |
| 00562-CPT | Moderate | Anesth Hrt Surg W Pmp Age 1, 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 Operation |
| 00563-CPT | Moderate | Anesthesia For Heart Surgery, Anesthesia Services For Heart Surgery Involving The Valves Or For A Repeat Bypass Surgery. The Procedure May Involve Supplementary Ventilation Or Induced Circulatory Arrest. |
| 00567-CPT | Moderate | Anesthesia For Heart Bypass, Anesthesia Services During Heart Surgery To Create A Bypass Graft For A Heart Artery. The Surgery Involves Use Of An Oxygen Pump. |
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.
FREE SAMPLE MARKET COMPARISON
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.