CPT 74430 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 • 52 - Reduced Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 74430 |
National average reimbursement for CPT 74430 by major payers:
$52.85
$55.50
$60.44
$67.81
| 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 74430 | ||||||
United | 74430 | $429.66 | 1740772268 - FLORIDA HOSPITAL OCALA INC, ADVENT HEALTH OCALA | 824372339 - (FL) FLORIDA HOSPITAL OCALA INC | FL | General Acute Care Hospital (282N00000X) |
United | 74430 | $458.22 | 1083669683 - LEHIGH HMA LLC, LEHIGH REGIONAL MEDICAL CENTER | 474849671 | FL | General Acute Care Hospital (282N00000X) |
United | 74430 | $1034.25 | 1831220714 - INOVA HEALTH CARE SERVICES, INOVA FAIRFAX HOSPITAL | 264587374 | VA | General Acute Care Hospital (282N00000X) |
United | 74430 | $846.20 | 1992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS | 262037695 - GRADY MEMORIAL HOSPITAL CORPORATION | GA | General Acute Care Hospital (282N00000X) |
United | 74430 | $21.79 | 1962422485 - LYNN MOSCINSKI | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 74430 | $21.79 | 1932631637 - BRETT TOIMIL | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Pain Medicine (Anesthesiology) Physician (207LP2900X) |
United | 74430 | $341.20 | 1831975572 - DECATUR HEALTH SERVICES, LLC | 932081386 | TX | General Acute Care Hospital (282N00000X) |
United | 74430 | $828.27 | 1801800594 - PORTERCARE ADVENTIST HEALTH SYSTEM, ADVENTHEALTH PORTER | 840438224 - PORTERCARE ADVENTIST HEALTH SYSTEM | CO | General Acute Care Hospital (282N00000X) |
United | 74430 | $368.11 | 1326022765 - VHS OF ARROWHEAD, INC, ABRAZO ARROWHEAD CAMPUS | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 74430 | $53.36 | 1730717117 - AHMED ABDELRAHMAN | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 74430 | $763.70 | 1407313760 - HH HEALTH SYSTEM, MARSHALL MEDICAL CENTER | 831651180 | AL | General Acute Care Hospital (282N00000X) |
United | 74430 | $828.27 | 1619985942 - CATHOLIC HEALTH INITIATIVES COLORADO, CENTURA ST ANTHONY NORTH HOSPITAL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | CO | General Acute Care Hospital (282N00000X) |
United | 74430 | $53.36 | 1871055442 - RICHARD STEENLAND | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | MI | Emergency Medicine Physician (207P00000X) |
United | 74430 | $257.39 | 1114928108 - KANSAS HEART HOSPITAL, LLC | 742837441 - (KS) KANSAS HEART HOSPITAL LLC | KS | General Acute Care Hospital (282N00000X) |
United | 74430 | $368.11 | 1639422504 - EMERUS BHS SA THOUSAND OAKS, LLC, BAPTIST NEIGHBORHOOD HOSPITAL SCHERTZ | 452497248 - (TX) EMERUS BHS SA THOUSAND OAKS LLC | TX | 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 74430 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 74430 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 74430 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 |
|---|---|---|
| 74400-CPT | Low | Urography (Pyelography), Intravenous, With Or Without Kub, With Or Without Tomography |
| 74415-CPT | Low | Urography, Infusion, Drip Technique And/Or Bolus Technique; With Nephrotomography |
| 74420-CPT | Low | Imaging Of Urinary Tract Following Injection Of A Contrast Agent |
| 74430-CPT | Low | Cystography Minimum 3 Views Rad S&I |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 74430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 74430 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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