CPT 74160 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 | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Moderate |
National average reimbursement for CPT 74160 by major payers:
$290.12
$315.72
$362.95
$391.69
| 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 74160 | ||||||
United | 74160 | $250.00 | 1740348929 - SUTTER BAY HOSPITALS, CALIFORNIA PACIFIC MEDICAL CENTER | 940562680 - (CA) SUTTER BAY HOSPITALS | CA | General Acute Care Hospital (282N00000X) |
United | 74160 | $239.85 | 1235387044 - HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES, INC., ASCENSION SAINT THOMAS THREE RIVERS | 261861676 - (TN) HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES INC | TN | Critical Access Hospital (282NC0060X) |
United | 74160 | $191.11 | 1619089398 - UNIVERSITY IMAGING CENTER, CHARLES E BUCKLEY, MD, PA | 521153709 - (MD) UNIVERSITY IMAGING CENTER CHARLES E BUCKLEY MD PA | MD | Radiology Clinic/Center (261QR0200X) |
United | 74160 | $322.77 | 1942288527 - MARY WASHINGTON HOSPITAL INC. | 540519577 - (VA) MARY WASHINGTON HOSPITAL INC | VA | General Acute Care Hospital (282N00000X) |
United | 74160 | $250.00 | 1720078082 - ST. HELENA HOSPITAL, ADVENTIST HEALTH ST. HELENA | 941279779 - (CA) ST HELENA HOSPITAL | CA | General Acute Care Hospital (282N00000X) |
United | 74160 | $250.00 | 1467459776 - TORRANCE MEMORIAL MEDICAL CENTER | 951644042 - (CA) TORRANCE MEMORIAL MEDICAL CENTER | CA | General Acute Care Hospital (282N00000X) |
United | 74160 | $178.55 | 1457382483 - AMISUB OF SOUTH CAROLINA, INC., PIEDMONT MEDICAL CENTER | 953561198 - (SC) AMISUB OF SOUTH CAROLINA INC | SC | General Acute Care Hospital (282N00000X) |
United | 74160 | $501.67 | 1619265766 - INOVA RESTON MRI CENTER LLC, FAIRFAX MRI AND IMAGING CENTER AT TYSONS | 264587374 | VA | Radiology Clinic/Center (261QR0200X) |
United | 74160 | $410.47 | 1073200309 - PECOS COUNTY MEMORIAL HOSPITAL DISTRICT | 921628671 | TX | Critical Access Hospital (282NC0060X) |
United | 74160 | $339.25 | 1063466035 - CHCA CLEAR LAKE LP, HCA HOUSTON HEALTHCARE CLEAR LAKE | 621801360 | TX | General Acute Care Hospital (282N00000X) |
United | 74160 | $133.97 | 1811036726 - NEW LIBERTY HOSPITAL DISTRICT, LIBERTY HOSPITAL | 431684627 - (MO) NEW LIBERTY HOSPITAL CORPORATION | MO | General Acute Care Hospital (282N00000X) |
United | 74160 | $382.23 | 1104271576 - LAURENCE ROBERT BOWER III, MRI NOW - KERRVILLE | 742776427 | TX | Radiology Clinic/Center (261QR0200X) |
United | 74160 | $178.55 | 1477805406 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL WESTOVER HILLS | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | General Acute Care Hospital (282N00000X) |
United | 74160 | $205.16 | 1295901973 - THE MRI CENTER, L.L.C. | 260391150 - (TX) THE MRI CENTER LLC | TX | Radiology Clinic/Center (261QR0200X) |
United | 74160 | $160.69 | 1003260480 - BBH BMC, LLC, BROOKWOOD MEDICAL CENTER | 474757851 | 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 74160 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74160 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 74160 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 74160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74160 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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