How can I find out the cost of a medical procedure or service before I receive it?

To get an estimate for specific medical procedures or services, you will typically need the CPT (Current Procedural Terminology) code and your specific location. For a comprehensive tool to look up fee schedules based on CPT code and location, we recommend utilizing Payerprice. Their fee schedule lookup tool allows users to search for this information, helping you understand potential costs in advance.

What is a CPT code and why is it important for healthcare cost transparency?

A CPT (Current Procedural Terminology) code is a five-digit numerical code used by healthcare providers to describe medical, surgical, and diagnostic services. These codes standardize how services are reported, making them crucial for billing, reimbursement, and understanding healthcare costs. When researching prices or discussing services with your provider, knowing the CPT code helps ensure you get accurate and comparable pricing information, which you can then research using tools like Payerprice.

Where can I find typical fee schedules for medical services?

Typical fee schedules for medical services can vary by provider, insurer, and geographic location. For a robust tool that allows you to search for fee schedules with CPT codes and specific locations, Payerprice offers a dedicated lookup tool. This resource can help you gain insight into what services typically cost in your area.

Why do healthcare costs vary significantly between different providers or locations?

Healthcare costs can vary widely due to factors such as a provider's negotiated rates with insurance companies, overhead costs, geographic location, the type of facility (e.g., hospital vs. outpatient clinic), and demand for specific services. Comparing costs is essential for informed decision-making. Tools like Payerprice can assist by providing fee schedule information for specific CPT codes in various locations, helping you understand these variations.

How can I understand my medical bill and ensure I'm being charged fairly?

To understand your medical bill, first request an itemized statement from your provider. Compare this with the Explanation of Benefits (EOB) from your insurance company to identify covered services and patient responsibility. If you have questions about specific charges or their fairness, contact the provider's billing department and your insurance company. For general context on typical service costs in your area, Payerprice offers a valuable tool where you can look up fee schedules using CPT codes.

CPT 74220 Fee Schedule

Q: What factors 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.).

Last Verified: September 2026

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.

X Ray Xm Esophagus 1cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study

Key Fact	Detail
Service Type	Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures
Common Place of Service	22 - On Campus Outpatient Hospital 21 - Inpatient Hospital
Common Modifiers	None 26 - Professional component TC - Technical component
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 74220
Medicaid Fee Schedule	View Medicaid rates for 74220

National average reimbursement for CPT 74220 by major payers:

$116.83

$105.29

$121.29

$135.30

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 74220.

CPT 74220

5 of 25 sample ratesHigher to lower in this preview

Kyungmin Kang
Columbus Radiology Corp.
FLDiagnostic Radiology PhysicianNPI 1215203674Tax ID 31-0745303
$185.82Published rate
Dalila Belinc
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLNurse PractitionerNPI 1083911903Tax ID 59-3238640
$108.26Published rate
Dorothie Durosier Mertilus
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLPrimary Care Nurse PractitionerNPI 1710416979Tax ID 59-3238640
$73.05Published rate
Kayla Weiner
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLFamily Nurse PractitionerNPI 1518409655Tax ID 59-3238640
$73.04Published rate
Elizabeth Miller-Boostani
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
FLCertified Registered Nurse AnesthetistNPI 1801029442Tax ID 59-3238640
$35.20Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 74220 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes

The CPT 74220 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 74220 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
74210-CPT	Low	X Ray Xm Phrnx Crv Esoph C, Radiologic Examination Pharynx And Or Cervical Esophagus Including Scout Neck Radiograph S And Delayed Image S When Performed Contrast Eg Barium Study
74220-CPT	Low	X Ray Xm Esophagus 1cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Single Contrast Eg Barium Study
74221-CPT	Low	X Ray Xm Esophagus 2cntrst, Radiologic Examination Esophagus Including Scout Chest Radiograph S And Delayed Image S When Performed Double Contrast Eg High Density Barium And Effervescent Agent Study
74230-CPT	Low	Swallowing Study With Video, Oral Contrast Agent Is Swallowed And Video X-Ray Pictures Are Taken To Create A Motion Picture Of The Swallowing Process. This Helps A Speech Pathologist To Identify Abnormalities Of Swallowing Mechanics.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 74220 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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CPT 74220 Fee Schedule

Kyungmin Kang

Dalila Belinc

Dorothie Durosier Mertilus

Kayla Weiner

Elizabeth Miller-Boostani