CPT 77300 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 • Radiation Oncology Treatment |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 26 - Professional component • TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 77300 |
National average reimbursement for CPT 77300 by major payers:
$84.42
$84.03
$87.59
$102.52
| 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 77300 | ||||||
United | 77300 | $66.79 | 1376516021 - MUNEER DESAI | 911012441 - (WA) SKAGIT RADIOLOGY, INC., P.S. | MO | Diagnostic Radiology Physician (2085R0202X) |
United | 77300 | $22.47 | 1033162565 - HAGERSTOWN IMAGING LLC | 203132833 - (MD) HAGERSTOWN IMAGING LLC | MD | Radiology Clinic/Center (261QR0200X) |
United | 77300 | $517.84 | 1649209230 - PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY, VALLEY MEDICAL CENTER | 916000986 - (WA) PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY | WA | General Acute Care Hospital (282N00000X) |
United | 77300 | $80.87 | 1326171364 - MRI COOPERATIVE, FORUM HEALTH DIAGNOSTICS | 341773672 | OH | Radiology Clinic/Center (261QR0200X) |
United | 77300 | $96.09 | 1497792568 - MERCY HEALTH-ST CHARLES HOSPITAL LLC, ST CHARLES HOSPITAL OF OREGON, OHIO | 344428250 - MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | OH | General Acute Care Hospital (282N00000X) |
United | 77300 | $60.45 | 1518905413 - DAVID MADDEN | 911012441 - (WA) SKAGIT RADIOLOGY, INC., P.S. | ID | Diagnostic Radiology Physician (2085R0202X) |
United | 77300 | $66.79 | 1932218757 - SKAGIT RADIOLOGY INC P S | 911012441 - (WA) SKAGIT RADIOLOGY, INC., P.S. | WA | Diagnostic Radiology Physician (2085R0202X) |
United | 77300 | $61.59 | 1912914821 - SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER | 953522679 - SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER INC | CA | General Acute Care Hospital (282N00000X) |
United | 77300 | $19.27 | 1952380214 - IMAGING TECHNOLOGY ASSOCIATES LLC | 522022491 - (MD) IMAGING TECHNOLOGY ASSOCIATES LLC | MD | Radiology Clinic/Center (261QR0200X) |
United | 77300 | $31.80 | 1942630306 - VITAL IMAGING DIAGNOSTIC CENTERS LLC | 464012875 - (FL) VITAL IMAGING DIAGNOSTIC CENTERS | FL | Radiology Clinic/Center (261QR0200X) |
United | 77300 | $61.59 | 1275720377 - AHMC SAN GABRIEL VALLEY MEDICAL, AHMC SAN GABREIL VALLEY MEDICAL CENTER, LP | 870808946 | CA | General Acute Care Hospital (282N00000X) |
United | 77300 | $392.00 | 1639523004 - SUTTER BAY HOSPITALS, ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMPUS | 940562680 - (CA) SUTTER BAY HOSPITALS | CA | General Acute Care Hospital (282N00000X) |
United | 77300 | $88.94 | 1295992774 - KUN JIANG | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | FL | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 77300 | $92.54 | 1356366314 - LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC, LEXINGTON MEDICAL CENTER | 852276567 - LEXINGTON HEALTH INC | SC | General Acute Care Hospital (282N00000X) |
United | 77300 | $392.00 | 1922198712 - NORTHERN INYO HEALTHCARE DISTRICT, NORTHERN INYO HOSPITAL | 956005449 | CA | Critical Access Hospital (282NC0060X) |
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 77300 vs. Other Radiation Oncology Treatment Codes
The CPT 77300 code is part of the Radiology Procedures services used for Radiation Oncology Treatment. 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 77300 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 |
|---|---|---|
| 77261-CPT | Low | Therapeutic Radiology Tx Planning;Simple |
| 77263-CPT | Moderate | Therapeutic Radiology Tx Planning;Comple |
| 77285-CPT | Moderate | Therapeut Radio.Simulat-Aided Field Set; |
| 77300-CPT | Low | Basic Radiation Dosimetry Calculation Central Axis Depth Dose Calculation Tdf Nsd Gap Calculation Off Axis Factor Tissue Inhomogeneity Factors Calculation Of Non-Ionizing Radiation Surface And Depth Dose As Required During Course Of Treatment Only When Prescribed By The Treating Physician |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 77300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 77300 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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