CPT 74230 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 | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74230 |
National average reimbursement for CPT 74230 by major payers:
$148.67
$131.95
$151.24
$173.26
| 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 74230 | ||||||
United | 74230 | $364.85 | 1295036770 - CRESCENT CITY SURGICAL CENTRE OPERATING COMPANY, L.L.C. | 270508997 - (LA) CRESCENT CITY SURGICAL CENTRE OPERATING COMPANY LLC | LA | General Acute Care Hospital (282N00000X) |
United | 74230 | $218.66 | 1639264575 - CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY, ERLANGER MEDICAL CENTER | 626000101 - ERLANGER MEDICAL CENTER | TN | General Acute Care Hospital (282N00000X) |
United | 74230 | $22.17 | 1891937884 - PETER SCHWARTZ | 650580501 - (FL) MEDICAL SPECIALISTS OF THE PALM BEACHES INC | FL | Internal Medicine Physician (207R00000X) |
United | 74230 | $178.55 | 1699357368 - VHS ACQUISITION SUBSIDIARY NUMBER 1 INC, ABRAZO CAVE CREEK HOSPITAL | 621861138 - (AZ) VHS ACQUISITION SUBSIDIARY NUMBER 1 INC | AZ | General Acute Care Hospital (282N00000X) |
United | 74230 | $324.60 | 1487607784 - NORTHWEST HOSPITAL LLC, NORTHWEST MEDICAL CENTER | 621762430 | AZ | General Acute Care Hospital (282N00000X) |
United | 74230 | $160.69 | 1396317137 - STEWARD HH. INC. | 752653770 | FL | General Acute Care Hospital (282N00000X) |
United | 74230 | $149.19 | 1972500452 - COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY, INC | 351069822 - (IN) COMMUNITY HOSPITAL OF ANDERSON- MADISON COUNTY INC | IN | General Acute Care Hospital (282N00000X) |
United | 74230 | $228.91 | 1972904738 - NORTHERN VIRGINIA COMMUNITY HOSPITAL LLC, STONESPRINGS HOSPITAL CENTER | 43665595 - (VA) NORTHERN VIRGINIA COMMUNITY HOSPITAL LLC | VA | General Acute Care Hospital (282N00000X) |
United | 74230 | $87.15 | 1598971855 - OVERLAKE HOSPITAL MEDICAL CENTER LAB | 910652651 - (WA) OVERLAKE HOSPITAL MEDICAL CENTER | WA | General Acute Care Hospital (282N00000X) |
United | 74230 | $291.89 | 1811994809 - AHS HOSPITAL CORP., CHILTON MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 74230 | $291.89 | 1053384776 - AHS HOSPITAL CORP., MORRISTOWN MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 74230 | $410.47 | 1780823021 - CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY, CORYELL MEMORIAL HOSPITAL | 741857100 | TX | Critical Access Hospital (282NC0060X) |
United | 74230 | $364.44 | 1023061496 - CRESTWOOD HEALTHCARE LP, CRESTWOOD MEDICAL CENTER | 621647983 | AL | General Acute Care Hospital (282N00000X) |
United | 74230 | $214.05 | 1194717116 - BHARAT MISRA | 591784470 - (FL) BORLAND-GROOVER CLINIC, P.A. | FL | Gastroenterology Physician (207RG0100X) |
United | 74230 | $194.58 | 1457500191 - FLORIDA HOSPITAL | 590724459 - (FL) ADVENTIST HEALTH SYSTEM-SUNBELT INC | FL | 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 74230 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74230 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 74230 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 | Radiologic Examination Pharynx And/Or Cervical Esophagus Including Scout Neck Radiograph(S) And Delayed Image(S) When Performed Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
| 74220-CPT | Low | Radiologic Examination Esophagus Including Scoutchest Radiograph(S) And Delayed Image(S) When Performed; Single-Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
| 74221-CPT | Low | 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 | Radiologic Examination Swallowing Function With Cineradiography/Videoradiography Including Scout Neck Radiograph(S) And Delayed Image(S) When Performed Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74230 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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