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See a sample rate comparisonCPT 82374 Fee Schedule
Last Verified: October 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.
Blood Acid-Alkaline (Ph) Test, This Is A Basic Test To Find Out If The Blood Is Too Acid Or Too Alkaline (Ph). Normal Blood Should Be Slightly Alkaline.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component QW - CLIA Waived Tests |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.88 national lab fee schedule rate (2026) · View Medicare rates for 82374 |
| Medicaid Fee Schedule | $4.82 median of the 8 states in the free preview · View Medicaid rates for 82374 |
National average reimbursement for CPT 82374 by major payers:
$3.84
$3.45
$5.42
$7.30
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CPT 82374
5 of 25 sample ratesHigher to lower in this preview
Vhs Harlingen Hospital Company LLC, Valley Baptist Medical Center
$10.50Published rateVhs Harlingen Hospital Company, LLC, Valley Baptist Micro-Hospital Weslaco
$4.88Published rateVhs San Antonio Partners, LLC
$4.88Published rateWilbarger County Hospital District, Wilbarger General Hospital
Wilbarger General Hospital Employee Benefit Plan
$2.91Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$1.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82374 vs. Other Chemistry Procedures Codes
The CPT 82374 code is part of the Pathology and Laboratory Procedures services used for Chemistry 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 82374 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 |
|---|---|---|
| 82306-CPT | Low | Test For Vitamin D Deficiency, This Blood Test Measures The Amount Of Vitamin D Present In The Body And The Bodys Ability To Store It. |
| 82374-CPT | Low | Blood Acid-Alkaline (Ph) Test, This Is A Basic Test To Find Out If The Blood Is Too Acid Or Too Alkaline (Ph). Normal Blood Should Be Slightly Alkaline. |
| 82375-CPT | Low | Carbon Monoxide Blood Test, This Test Measures The Amount Of Carbon Monoxide (Co) Present In A Blood Sample. The Test Is Given To Individuals Suspected To Have Co Poisoning. |
| 82378-CPT | Low | Cea (Tumor Marker) Test, This Test Measures The Level Of Cea (Carcinoembryonic Antigen) In The Body. This Is A Protein That May Be Found In Blood Or Other Body Fluids When A Tumor Is Present. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82374. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82374 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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