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See a sample rate comparisonCPT 76016 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.
Magnetic Resonance Assessment, Mr Safety Determination By A Physician Or Other Qualified Health Care Professional Responsible For The Safety Of The Mr Procedure Including Review Of Implant Mr Conditions For Indicated Mr Examination Analysis Of Risk Vs Clinical Benefit Of Performing Mr Examination And Determination Of Mr Equipment Accessory Equipment And Expertise Required To Perform Examination With Written Report
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Diagnostic Radiology (Diagnostic Imaging) Procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 76016 |
| Medicaid Fee Schedule | View Medicaid rates for 76016 |
National average reimbursement for CPT 76016 by major payers:
$94.38
$90.91
$360.00
$112.16
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CPT 76016
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$136.88Published rateDonalsonville Hospital Inc
$75.44Published rateAndrew Kaddis
Pacific Emergency Providers
$67.48Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$36.36Published rateNeil Kappelman
Sunrise Medical Group I LLC
$23.09Published rate
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See a sample payer proposalCPT 76016 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76016 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 76016 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 |
|---|---|---|
| 76016-CPT | Low | Magnetic Resonance Assessment, Mr Safety Determination By A Physician Or Other Qualified Health Care Professional Responsible For The Safety Of The Mr Procedure Including Review Of Implant Mr Conditions For Indicated Mr Examination Analysis Of Risk Vs Clinical Benefit Of Performing Mr Examination And Determination Of Mr Equipment Accessory Equipment And Expertise Required To Perform Examination With Written Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76016 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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