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Cardiovascular & Thoracic Surgery IDR: win rates and median awards
What Cardiovascular & Thoracic Surgery providers win in No Surprises Act arbitration, from 46,751 published disputes.
What do Cardiovascular & Thoracic Surgery providers win at federal IDR? In the CMS federal IDR public use files, providers in Cardiovascular & Thoracic Surgery won 85.6 percent of decided federal IDR disputes under the No Surprises Act, across 46,751 published disputes. The median award was 5.6x the qualifying payment amount across decided line items in the specialty, and the median time from filing to decision was 35 days. Estimate your own case with the free IDR calculator.
Cardiovascular & Thoracic Surgery line items in the CMS federal IDR public use files, 2023 through 2025. Method on the methodology page.
A worked example
Take the most disputed Cardiovascular & Thoracic Surgery billing code, 36415, with a median qualifying payment amount of $11 in the files. A Cardiovascular & Thoracic Surgery dispute with a qualifying payment amount of $11 resolves at the specialty median of 5.6x, an estimated award of $62. A median is not a floor or a ceiling: half of decided line items in the specialty resolve higher and half lower.
Top Cardiovascular & Thoracic Surgery billing codes at federal IDR
The most disputed Cardiovascular & Thoracic Surgery codes in the public use files, at the line-item grain. Median award is the median decided award in dollars for that code. Win rates are within decided line items for the code.
| Code | Line items | Win rate | Median QPA | Median award |
|---|---|---|---|---|
| 36415 | 29,473 | 86.3% | $11 | $37 |
| 36000 | 3,953 | 69.5% | $82 | $458 |
| 36475 | 2,426 | 82.2% | $571 | $43,500 |
| 36465 | 799 | 84.4% | $254 | $41,500 |
| 36561 | 670 | 91.7% | $453 | $4,253 |
| 36226 | 663 | 85.2% | $613 | $33,739 |
Source: CMS federal IDR public use files, 2023 through 2025. "n/a" means CMS did not publish a usable dollar figure for that code.
Common questions
What percentage of Cardiovascular & Thoracic Surgery federal IDR disputes do providers win?
Providers won 85.6 percent of decided federal IDR disputes in Cardiovascular & Thoracic Surgery, across 46,751 disputes in the CMS federal IDR public use files. Decided disputes exclude default decisions, where one side never submitted an offer.
What is the median IDR award for code 36415?
Code 36415, the most disputed Cardiovascular & Thoracic Surgery code in the files, shows a median decided award of $37 against a median qualifying payment amount of $11, with an 86.3 percent provider win rate across 29,473 line items.
How long does a Cardiovascular & Thoracic Surgery IDR case take?
The median Cardiovascular & Thoracic Surgery dispute took 35 days from filing to decision. The No Surprises Act process is written only: after the payer's initial payment there are 30 business days to start open negotiation, 30 to negotiate, then 4 to initiate arbitration. There is no hearing.
Related pages
Cardiology IDR, General Surgery IDR, and Anesthesiology IDR have their own pages, and the IDR calculator covers all 22 specialties. For filing help, Lido IDR files federal IDR for a flat fee per arbitration. To browse every published dispute, see idrexplorer.com.