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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 | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $379.10 national non-facility rate (2026) · View Medicare rates for 92950 |
| Medicaid Fee Schedule | $289.825 median of the 8 states in the free preview · View Medicaid rates for 92950 |
National average reimbursement for CPT 92950 by major payers:

$414.62

$400.17

$448.10

$508.85
Choose a payer to see a sample of rates for CPT 92950.
Ahs Hospital Corp., Overlook Hospital
Atlantic Health System Inc
Kph-Consolidation, Inc., Hca Houston Healthcare North Cypress A Campus Of Hca Houston Healthcar
Hospital Service District No. 1 Of Iberia Parish, Iberia Medical Center
Physicians Medical Center, LLC
Julie Webster
Musc Community Physicians
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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 92950 vs. Other Cardiovascular Procedures Codes
The CPT 92950 code is part of the Medicine Services and Procedures services used for Cardiovascular 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 92950 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 |
|---|---|---|
| 92920-CPT | Moderate | Prq Cardiac Angioplast 1 Art, Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin) Each Additional Artery Or Branch |
| 92950-CPT | Moderate | Administer Cpr, Emergency Cardiopulmonary Resuscitation (Cpr) Provided To Restart The Heartbeat And Breathing Following A Cardiac Arrest (Heart Stops Beating). |
| 92953-CPT | Low | Temporary Heart Pacer, A Temporary Pacemaker Is Placed On The Skin To Regulate The Heartbeat By Delivering Tiny Electric Shocks. |
| 92960-CPT | Moderate | Electric Shock For Heartbeat, An Electrical Charge Delivered Into The Heart Muscle In Order To Reset The Heartbeat To A Different Rhythm. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92950 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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