CPT 74021 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Radiology Procedures • Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Common Place of Service | • 11 - Office • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 74021 by major payers:

$51.17

$47.30

$51.50

$70.53
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 74021 | ||||||
United | 74021 | $224.16 | 1972557064 - BILOXI HMA LLC, MERIT HEALTH BILOXI | 592754033 | MS | General Acute Care Hospital (282N00000X) |
United | 74021 | $250.17 | 1699772541 - KARNES COUNTY HOSPITAL DISTRICT, OTTO KAISER MEMORIAL HOSPITAL | 741718215 - (TX) KARNES COUNTY HOSPITAL DISTRICT | TX | Critical Access Hospital (282NC0060X) |
United | 74021 | $224.16 | 1972557064 - BILOXI HMA LLC, MERIT HEALTH BILOXI | 592754033 | MS | General Acute Care Hospital (282N00000X) |
United | 74021 | $217.94 | 1003925959 - HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA., HOOD MEMORIAL HOSPITAL | 720694946 - (LA) HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA | LA | Critical Access Hospital (282NC0060X) |
United | 74021 | $245.17 | 1295723229 - ST FRANCIS MEDICAL CENTER, INC | 720408970 - (LA) ST FRANCIS MEDICAL CENTER INC | LA | General Acute Care Hospital (282N00000X) |
United | 74021 | $108.97 | 1912937624 - HILTON HEAD HEALTH SYSTEM, L.P., HILTON HEAD HOSPITAL | 934604680 | SC | General Acute Care Hospital (282N00000X) |
United | 74021 | $23.86 | 1033426622 - CLERMONT RADIOLOGY LLC | 810607616 - (FL) CLERMONT RADIOLOGY | FL | Radiology Clinic/Center (261QR0200X) |
United | 74021 | $272.42 | 1770569832 - RARITAN BAY MEDICAL CENTER | 221487576 - HACKENSACK MERIDIAN HEALTH INC | NJ | General Acute Care Hospital (282N00000X) |
United | 74021 | $180.02 | 1033214416 - COMMUNITY FIRST HEALTHCARE OF ILLINOIS, INC, COMMUNITY FIRST MEDICAL CENTER | 472313900 - (IL) COMMUNITY FIRST HEALTHCARE OF IL | IL | General Acute Care Hospital (282N00000X) |
United | 74021 | $108.97 | 1972709970 - TENET HOSPITALS LIMITED, THE HOSPITALS OF PROVIDENCE EAST CAMPUS | 954537720 | TX | General Acute Care Hospital (282N00000X) |
United | 74021 | $190.53 | 1467109488 - MOUNTAIN VISTA MEDICAL CENTER, LP | 202066363 - (AZ) MOUNTAIN VISTA MEDICAL CENTER LP | AZ | General Acute Care Hospital (282N00000X) |
United | 74021 | $245.17 | 1932204427 - NMC OPERATING COMPANY LLC, THE SPINE HOSPITAL OF LOUISIANA | 270059959 - (LA) NMC OPERATING COMPANY LLC | LA | General Acute Care Hospital (282N00000X) |
United | 74021 | $250.17 | 1639177561 - SALEM MEMORIAL HOSPITAL | 436110058 - (MO) SALEM MEMORIAL HOSPITAL | MO | Critical Access Hospital (282NC0060X) |
United | 74021 | $143.22 | 1215027966 - NEWARK BETH ISRAEL MEDICAL CENTER INC, NEWARK BETH ISRAEL MEDICAL CENTER | 223452311 | NJ | General Acute Care Hospital (282N00000X) |
United | 74021 | $168.11 | 1144695081 - HH HEALTH SYSTEM, ATHENS LIMESTONE HOSPITAL | 475531420 | AL | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 74021 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74021 code is part of the Radiology Procedures services used for Diagnostic Radiology (Diagnostic Imaging) 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 74021 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74021 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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