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See a sample rate comparisonCPT 75561 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 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.
| 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 ME - The order for this service adheres to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 75561 |
| Medicaid Fee Schedule | View Medicaid rates for 75561 |
National average reimbursement for CPT 75561 by major payers:
$489.19
$575.02
$615.75
$661.32
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CPT 75561
5 of 25 sample ratesHigher to lower in this preview
Trent Peterson
Northern Arizona Healthcare Corporation
$1,158.01Published rateLaura Macphee
Northern Arizona Healthcare Corporation
$929.40Published rateSaman Selahi
Northern Arizona Healthcare Corporation
$929.40Published rateScott Gibson
Northern Arizona Healthcare Corporation
$228.61Published rateConnor Maldonado
Town Center Orthopaedic Associates, P.C.
$148.78Published rate
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See a sample payer proposalCPT 75561 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75561 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 75561 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 75561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75561 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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