CPT 00580: Anesthesia for Heart or Heart-and-Lungs Transplant
Commercial payers pay $68 on average nationally for this procedure.
CPT code 00580 describes anesthesia services provided for a patient undergoing transplant of the heart or of both the heart and lungs, representing perioperative anesthesia care for major cardiothoracic transplant surgery; service type: anesthesiology for cardiothoracic transplant; typical site of service: operating room in a hospital or tertiary transplant center.
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National Reimbursement Benchmarks
National commercial rates for CPT 00580 cluster around BUCA’s mean commercial benchmark of $67.50, with notable variation across major carriers. Blue Cross Blue Shield’s interquartile spread (P75–P25) is $35.40, Cigna’s spread is $54.50, Aetna’s spread is $33.00, and UnitedHealth Group’s spread is $28.80. These spreads show Cigna with the widest middle 50% dispersion and UnitedHealth Group the tightest, indicating more consistent reimbursement from UnitedHealth Group and greater variability from Cigna relative to BUCA’s average.
Comparing medians and means, Cigna posts a higher median ($85.70) and mean ($92.10) than BUCA’s mean, while Aetna, Blue Cross Blue Shield, and UnitedHealth Group have medians and means closer to BUCA’s level. Payer-specific extremes such as Aetna’s max of $149.10 and Blue Cross Blue Shield’s max of $177.80 indicate occasional high reimbursements, but the interquartile spreads are more informative for typical commercial variability.