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See a sample rate comparisonCPT 75557 Fee Schedule
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.
Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To Study The Heart Function. The Heart May Be Evaluated While It Is Working. The Muscle And Valves Are Evaluated. Blood Flow May Be Recorded.
| 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 | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75557 |
| Medicaid Fee Schedule | View Medicaid rates for 75557 |
National average reimbursement for CPT 75557 by major payers:
$377.68
$433.37
$499.24
$502.67
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CPT 75557
5 of 25 sample ratesHigher to lower in this preview
Methodist Medical Center Of Illinois
$843.05Published rateMeridian Mri, LLC
Meridian Mri LLC
$532.96Published rateCat Scan Centre
$436.98Published rateColumbia Medical Center Of Lewisville Subsidiary Lp, Medical City Lewisville
Columbia Medical Center Of Lewisville Subsidiary Lp
$313.61Published rateCommunity Hospital South, Inc., Community Hospital South
Community Hospitals Of Indiana Inc
$202.58Published rate
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See a sample payer proposalCPT 75557 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75557 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 75557 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 |
|---|---|---|
| 75557-CPT | Moderate | Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To Study The Heart Function. The Heart May Be Evaluated While It Is Working. The Muscle And Valves Are Evaluated. Blood Flow May Be Recorded. |
| 75559-CPT | Moderate | Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To Study The Heart Function. The Heart May Be Evaluated While It Is Working. The Muscle And Valves Are Evaluated. Blood Flow May Be Recorded. |
| 75561-CPT | Moderate | Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of Heart Function. A Contrast Agent Highlights Areas On Additional Images. The Heart Muscle Blood Flow Vessels And Valves Are Evaluated While At Work And At Rest. |
| 75563-CPT | Moderate | Mri Heart Function Study, An Mri (Magnetic Resonance Imaging) Uses A Strong Magnetic Field To View And Create Images Of Heart Function. A Contrast Agent Highlights Areas On Additional Images. The Heart Muscle Blood Flow Vessels And Valves Are Evaluated While At Work And At Rest. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75557. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75557 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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