CPT 92974 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 | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • RC - Right coronary artery • LD - Left anterior descending coronary artery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 92974 |
National average reimbursement for CPT 92974 by major payers:
$203.12
$219.27
$214.01
$259.48
| 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 92974 | ||||||
United | 92974 | $757.00 | 1760453633 - MERCY HOSPITAL PARIS | 710655753 - MERCY HOSPITAL PARIS | AR | Critical Access Hospital (282NC0060X) |
United | 92974 | $1100.00 | 1730710898 - FROEDTERT HEALTH NEIGHBORHOOD HOSPITAL, LLC, FROEDTERT COMMUNITY HOSPITAL | 843381796 | WI | General Acute Care Hospital (282N00000X) |
United | 92974 | $7080.00 | 1497939201 - METHODIST HOSPITAL | 721561131 | CA | General Acute Care Hospital (282N00000X) |
United | 92974 | $3146.00 | 1902865355 - GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | General Acute Care Hospital (282N00000X) |
United | 92974 | $490.00 | 1225031495 - MONROE SURGICAL HOSPITAL, LLC | 721479756 - (LA) MONROE SURGICAL HOSPITAL | LA | General Acute Care Hospital (282N00000X) |
United | 92974 | $382.00 | 1134164924 - GULF HEALTH HOSPITALS, INC., NORTH BALDWIN INFIRMARY | 630891904 - (AL) GULF HEALTH HOSPITALS INC | AL | General Acute Care Hospital (282N00000X) |
United | 92974 | $594.00 | 1194790055 - MARTIN MEMORIAL MEDICAL CENTER INC, MARTIN MEDICAL CENTER | 590637874 - MARTIN MEMORIAL MEDICAL CENTER INC | FL | General Acute Care Hospital (282N00000X) |
United | 92974 | $1405.00 | 1912007931 - MERCY HEALTH, MERCY HEALTH - WEST HOSPITAL | 311091597 | OH | General Acute Care Hospital (282N00000X) |
United | 92974 | $1851.00 | 1760427157 - VENICE HMA LLC, SHOREPOINT HEALTH VENICE | 201852812 - (FL) VENICE HMA LLC | FL | General Acute Care Hospital (282N00000X) |
United | 92974 | $1941.00 | 1992131734 - DIGNITY HEALTH, ST. JOSEPH'S WESTGATE MEDICAL CENTER | 463533638 - (AZ) DIGNITY HEALTH | AZ | General Acute Care Hospital (282N00000X) |
United | 92974 | $217.00 | 1679875645 - KEMPER CAH, INC., OCHSNER STENNIS HOSPITAL | 271757642 - KEMPER CAH | MS | Critical Access Hospital (282NC0060X) |
United | 92974 | $3038.00 | 1861994808 - HCN EP HORIZON CITY, LLC, THE HOSPITALS OF PROVIDENCE NORTHEAST CAMPUS | 813935393 - (TX) HCN EP HORIZON CITY LLC | TX | General Acute Care Hospital (282N00000X) |
United | 92974 | $395.00 | 1376686600 - TRUMAN MEDICAL CENTER, INCORPORATED, UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER | 440661018 - (MO) TRUMAN MEDICAL CENTER INCORPORATED | MO | General Acute Care Hospital (282N00000X) |
United | 92974 | $558.00 | 1265402390 - FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION | 420868216 | IA | Critical Access Hospital (282NC0060X) |
United | 92974 | $1233.00 | 1376564302 - INOVA HEALTH CARE SERVICES, INOVA LOUDOUN HOSPITAL | 540620889 - INOVA HEALTH CARE SERVICES | VA | General Acute Care Hospital (282N00000X) |
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 92974 vs. Other Cardiovascular Procedures Codes
The CPT 92974 code is part of the Medicine Services and Procedures services used for Cardiovascular 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 92974 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 |
|---|---|---|
| 92970-CPT | Moderate | Cardioassist-Method--Circ.;Internal |
| 92973-CPT | Moderate | Percutaneous Transluminal Coronary Thrombectomy Mechanical (List Separately In Addition To Code For Primary Procedure) (Revised 1/1/13) |
| 92974-CPT | Moderate | Transcatheter Placement Of Radiation Delivery Device For Subsequent Coronary Intravascular Brachytherapy (List Separately In Addition To Code For Primary Procedure) |
| 92975-CPT | Moderate | Thrombolys,Coronary;Intracor.Infusn |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92974. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92974 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 92974) and we'll show you how you compare in 15 minutes or less.