CPT 75563 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 • 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 75563 |
National average reimbursement for CPT 75563 by major payers:
$579.18
$690.25
$671.85
$803.34
| 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 75563 | ||||||
United | 75563 | $971.31 | 1255478004 - CHRISTOPHER RAIO | 113438973 - ST JOSEPH HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 75563 | $100.11 | 1598375651 - E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC, E AND A HEALTHCARE ON THE GO | 832289173 - (FL) E AND A MEDICAL ON THE GO HEALTHCARE OF SOUTH FLORIDA LLC | FL | Home Health Agency (251E00000X) |
United | 75563 | $376.23 | 1063613735 - BRADLEY HAMMETT | 751286819 - (TX) RADIOLOGY ASSOCIATES OF NORTH TEXAS, PA | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 75563 | $301.54 | 1548645021 - JELISA VICK | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Acute Care Nurse Practitioner (363LA2100X) |
United | 75563 | $1147.19 | 1285703215 - JAMES HAYES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Emergency Medicine Physician (207P00000X) |
United | 75563 | $273.01 | 1669649075 - MICHAEL SARKEES | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | ND | Interventional Cardiology Physician (207RI0011X) |
United | 75563 | $1147.19 | 1124510201 - ALEXANDER PECKHAM | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | HI | Internal Medicine Physician (207R00000X) |
United | 75563 | $301.54 | 1962448480 - CHANCE GREEN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IN | Certified Registered Nurse Anesthetist (367500000X) |
United | 75563 | $379.32 | 1083641237 - JOHN MARTIN | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Clinical Psychologist (103TC0700X) |
United | 75563 | $1147.19 | 1396010856 - BERTRAND LIANG | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | KS | Neurology Physician (2084N0400X) |
United | 75563 | $273.01 | 1851824163 - MATTHEW STUART | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | MN | Internal Medicine Physician (207R00000X) |
United | 75563 | $1183.28 | 1255478004 - CHRISTOPHER RAIO | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Emergency Medicine Physician (207P00000X) |
United | 75563 | $1420.20 | 1831651751 - STEVEN BELCHER | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | TX | Certified Registered Nurse Anesthetist (367500000X) |
United | 75563 | $139.50 | 1235830068 - SUMMER JOHNSON | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | AZ | Nurse Practitioner (363L00000X) |
United | 75563 | $127.91 | 1790002350 - KRISTOPHER DAY | 742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION | IA | Surgery Physician (208600000X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 75563 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 75563 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 75563 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 | Cardiac Mri For Morph |
| 75559-CPT | Moderate | Cardiac Mri W/Stress Img |
| 75561-CPT | Moderate | Cardiac Magnetic Resonance Imaging For Morphology And Function Without Contrast Material(S) Followed By Contrast Material(S) And Further Sequences; |
| 75563-CPT | Moderate | Cardiac Magnetic Resonance Imaging For Morphology And Function Without Contrast Material(S) Followed By Contrast Material(S) And Further Sequences; With Stress Imaging |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 75563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 75563 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 75563) and we'll show you how you compare in 15 minutes or less.