CPT 74301 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 • 21 - Inpatient Hospital |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74301 |
National average reimbursement for CPT 74301 by major payers:
$35.22
$58.97
$30.61
$57.35
| 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 74301 | ||||||
United | 74301 | $13.22 | 1518264902 - JENNIFER FULK | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
United | 74301 | $57.01 | 1114926292 - JEFFREY BERG | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 74301 | $142.02 | 1295477974 - HEALTH IMAGING PARTNERS, LLC | 271385885 | TX | Physiological Laboratory (293D00000X) |
United | 74301 | $122.55 | 1003877069 - R. WALKER | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74301 | $13.22 | 1891771176 - CHRISTOPHER DREW | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 74301 | $122.55 | 1699204081 - KEVIN HOANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 74301 | $54.64 | 1053764811 - DANIELLE EGANHOUSE | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physician Assistant (363A00000X) |
United | 74301 | $122.55 | 1316006513 - RADIOLOGY ASSOICATES OF TARRANT COUNTY PA | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74301 | $95.48 | 1962489104 - PETER MCGOWAN | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74301 | $27.06 | 1235592064 - PAVAN ATTALURI | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 74301 | $60.71 | 1487755955 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Multi-Specialty Group (193200000X) |
United | 74301 | $44.00 | 1508329525 - MEGAN BRENNAN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MO | Certified Registered Nurse Anesthetist (367500000X) |
United | 74301 | $10.82 | 1164416632 - GUIHONG XU | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Anesthesiology Physician (207L00000X) |
United | 74301 | $27.06 | 1871098749 - KAI WANG | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | GA | Diagnostic Radiology Physician (2085R0202X) |
United | 74301 | $4.53 | 1366400376 - SUNRISE HOME HEALTH CARE INC. | 650307774 - (FL) SUNRISE HOME HEALTH CARE INC | FL | Home Health Agency (251E00000X) |
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 74301 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74301 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 74301 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 |
|---|---|---|
| 74246-CPT | Low | Radiologic Examination Upper Gastrointestinal Tract Including Scout Abdominal Radiograph(S) And Delayed Image(S) When Performed; Double- Contrast (Eg High-Density Barium And Effervescent Agent) Study Including Glucagon When Administered (Desc Rvsd 1/1/20) |
| 74250-CPT | Low | Radiologic Examination Small Intestine Includingmultiple Serial Images And Scout Abdominal Radiograph(S) When Performed; Single-Contrast (Eg Barium) Study (Desc Rvsd 1/1/20) |
| 74290-CPT | Low | Cholecystography, Oral Contrast; |
| 74301-CPT | Low | Cholangiography And/Or Pancreatography; Additional Set Intraoperative, Radiological Supervision And Interpretation (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74301 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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