CPT 76018 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 |
| Complexity Level | Moderate |
National average reimbursement for CPT 76018 by major payers:
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| 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 76018 | ||||||
United | 76018 | $108.68 | 1154324184 - TERRI WILLIAMS-WEEKES | 141338428 - ELLIS HOSPITAL | NY | Pediatric Radiology Physician (2085P0229X) |
United | 76018 | $260.86 | 1992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS | 581537752 - EMORY UNIVERSITY | GA | General Acute Care Hospital (282N00000X) |
United | 76018 | $148.63 | 1063620540 - AFFAAN BANGASH | 331075317 - NCHMD INC | MI | Diagnostic Radiology Physician (2085R0202X) |
United | 76018 | $51.72 | 1558311936 - TEMPLE VAMC | 742791419 | TX | General Acute Care Hospital (282N00000X) |
United | 76018 | $185.60 | 1093701161 - DIANA MARIN | 593425191 - (FL) PEDIATRIC PHYSICIANS SERVICES INC | NY | Pediatric Radiology Physician (2085P0229X) |
United | 76018 | $83.37 | 1780655795 - RALPH PICKARD | 842411303 | CO | Pediatric Radiology Physician (2085P0229X) |
United | 76018 | $266.38 | 1154324184 - TERRI WILLIAMS-WEEKES | 873928715 - (MA) TMC RADIOLOGY CRA LLC | NY | Pediatric Radiology Physician (2085P0229X) |
United | 76018 | $228.32 | 1538139738 - PETER KALOS | 900730395 | AZ | Anesthesiology Physician (207L00000X) |
United | 76018 | $54.54 | 1932124997 - DANIEL KNIGHT | 426005842 - (IA) JEFFERSON COUNTY HOSPITAL | IL | Emergency Medicine Physician (207P00000X) |
United | 76018 | $74.08 | 1205183415 - GRETHE MORTENSON | 390816845 - FROEDTERT SOUTH INC | OR | Nurse Practitioner (363L00000X) |
United | 76018 | $132.77 | 1851613335 - JUSTIN BURNEY | 431560263 - MERCY CLINIC SPRINGFIELD COMMUNITIES | FL | Certified Registered Nurse Anesthetist (367500000X) |
United | 76018 | $37.70 | 1396770004 - HOSPITAL AUTHORITY OF WASHINGTON COUNTY, WASHINGTON COUNTY REGIONAL MEDICAL CENTER | 586012329 - (GA) HOSPITAL AUTHORITY OF WASHINGTON COUNTY | GA | Rural Acute Care Hospital (282NR1301X) |
United | 76018 | $31.07 | 1760773717 - AARON FALCHOOK | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Radiation Oncology Physician (2085R0001X) |
United | 76018 | $107.86 | 1487684122 - UNION COUNTY HOSPITAL AUTHORITY, UNION GENERAL HOSPITAL | 586025393 - (GA) UNION COUNTY HOSPITAL AUTHORITY | GA | General Acute Care Hospital (282N00000X) |
United | 76018 | $69.48 | 1538139738 - PETER KALOS | 900730395 | AZ | Anesthesiology Physician (207L00000X) |
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 76018 vs. Other Diagnostic Radiology (Diagnostic Imaging) Procedures Codes
The CPT 76018 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 76018 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 |
|---|---|---|
| 76018-CPT | Moderate | Mr Safety Implant Electronics Preparation Under Supervision Protection Of Device Internal Circuitry From Mr Electromagnetic Fields & Protection Of Patient From Risks Of Uniten |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 76018. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 76018 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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