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See a sample rate comparisonHealthcare 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 | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | UA 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $143.96 national non-facility rate (2026) · View Medicare rates for 36450 |
| Medicaid Fee Schedule | $116.505 median of the 8 states in the free preview · View Medicaid rates for 36450 |
National average reimbursement for CPT 36450 by major payers:

$205.08

$205.40

$241.24

$257.98
Choose a payer to see a sample of rates for CPT 36450.
Texas Health Harris Methodist Hospital Southwest Fort Worth
Physicians Surgery Center Of Tempe, LLC, Physicians Surgery Center Of Tempe
Physicians Surgery Center Of Tempe LLC
Torrance Ca Multispecialty Asc LLC, Surgery Center Of South Bay
Torrance Ca Multispecialty Asc LLC
Southern Ob Gyn Ambulatory Surgery Center, Inc
Southern Ob Gyn Ambulatory Surgery Center Inc
Eye Care Surgery Center Of Memphis, LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 36450 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 36450 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. 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 36450 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 |
|---|---|---|
| 36430-CPT | Low | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
| 36440-CPT | Low | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
| 36450-CPT | Moderate | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
| 36455-CPT | Low | Blood Transfusion, A Blood Transfusion Delivers Additional Or Needed Blood Or Blood Products. It May Be Manually Injected (Push Transfusion) Or As An Exchange Simultaneously While Blood Is Removed From The Body. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 36450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 36450 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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