How much does Medicare pay for CPT 71275?

Medicare allowed an average of $88.49 per service and paid $67.32 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $523.01, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 71275?

Ct scan of blood vessels of chest with contrast. It was billed 1,500,671 times to 1,478,988 Medicare beneficiaries by 19,476 providers in 2024.

Does 71275 pay differently in an office than a hospital?

Yes. The allowed amount averaged $179.61 in an office setting and $83.40 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 71275 most?

Diagnostic Radiology, with 1,398,322 services from 17,774 clinicians. Next are Interventional Radiology, Cardiology, Independent Diagnostic Testing Facility (IDTF).

CPT 71275

Ct scan of blood vessels of chest with contrast

$88.49Medicare-allowed amount per service, averaged across 1,500,671 services

Providers submitted

$523.01

Asking price, not received

Medicare allowed

$88.49

The fee schedule figure

Medicare paid

$67.32

Balance is patient coinsurance

Providers submitted an average of $523.01 for this code and Medicare allowed $88.49 — 5.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $67.32 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $179.61
Hospital / facility: $83.40

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 79,349 services were billed in an office setting and 1,421,322 in a facility.

Services: 1,500,671
Beneficiaries: 1,478,988
Providers billing it: 19,476
Total allowed: $132,794,377

What Medicare pays for CPT 71275

Across 1,500,671 services billed by 19,476 providers to 1,478,988 beneficiaries, Medicare allowed an average of $88.49 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 71275

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,398,322	1,378,922	$87.35	17,774
Interventional Radiology	67,857	66,630	$88.87	939
Cardiology	15,458	14,819	$122.15	287
Independent Diagnostic Testing Facility (IDTF)	6,322	6,078	$207.94	188
Nuclear Medicine	2,589	2,566	$93.89	47
Interventional Cardiology	2,441	2,393	$140.99	70
Internal Medicine	2,250	2,227	$109.57	44
Radiation Oncology	955	950	$91.07	20
Vascular Surgery	758	750	$81.49	6
Emergency Medicine	498	493	$133.59	16
Family Practice	427	419	$136.01	16
Pediatric Medicine	281	276	$109.75	8
Physician Assistant	274	271	$131.36	6
General Surgery	258	255	$83.82	3
Clinical Cardiac Electrophysiology	193	193	$171.02	6

71275 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	125,323	$96.07	$66.19	1,703
Florida	103,534	$93.97	$69.06	1,189
Texas	102,258	$87.14	$65.24	1,386
Illinois	71,360	$89.26	$64.62	930
New York	69,998	$102.35	$69.98	1,003
Minnesota	66,148	$87.00	$64.20	784
Pennsylvania	61,124	$85.36	$62.43	850
North Carolina	56,504	$85.67	$65.15	702
Virginia	52,917	$87.08	$64.63	553
Ohio	49,648	$83.89	$61.85	683
Michigan	45,989	$84.19	$61.81	590
Massachusetts	43,484	$88.63	$62.25	521
Georgia	41,235	$84.94	$62.84	551
Maryland	40,657	$97.36	$69.38	374
Missouri	39,773	$82.28	$62.28	478
New Jersey	34,927	$95.83	$66.24	526
Tennessee	34,752	$84.38	$64.24	501
Colorado	34,691	$88.96	$63.40	410
Indiana	32,286	$81.09	$61.42	379
Washington	32,003	$87.24	$61.41	380
Arizona	31,051	$93.70	$69.86	341
Wisconsin	27,090	$82.71	$61.84	489
South Carolina	25,901	$83.19	$63.86	319
Alabama	21,236	$82.89	$63.83	301
Connecticut	17,737	$88.49	$63.04	269
Kentucky	17,239	$82.13	$62.20	218
Oklahoma	15,907	$80.87	$61.27	203
Nevada	14,419	$87.53	$66.14	172
Oregon	13,986	$84.66	$61.98	227
Mississippi	13,786	$83.47	$65.16	174
Iowa	13,732	$83.16	$63.00	174
Louisiana	13,730	$84.09	$63.88	275
Kansas	13,705	$82.34	$63.77	156
Arkansas	13,003	$80.65	$62.27	186
Nebraska	12,250	$81.45	$62.66	134
Utah	10,333	$86.46	$65.64	177
West Virginia	9,719	$81.62	$59.39	118
Idaho	9,629	$81.25	$60.18	124
New Hampshire	9,414	$83.71	$60.19	128
New Mexico	7,256	$85.64	$61.39	102
Rhode Island	6,858	$86.58	$60.86	85
District of Columbia	5,554	$94.28	$65.56	55
Delaware	5,348	$87.45	$64.37	51
Montana	5,180	$82.64	$60.73	64
Maine	4,647	$82.98	$59.04	96
South Dakota	4,614	$81.02	$59.24	58
Hawaii	4,206	$85.15	$61.51	59
Alaska	3,661	$119.14	$68.70	64
North Dakota	3,563	$81.37	$60.57	63
Wyoming	3,074	$84.51	$61.83	35
Vermont	2,702	$82.10	$61.28	40
Puerto Rico	711	$88.65	$65.22	9
AA	292	$80.88	$62.63	2
AP	229	$87.47	$61.89	4
Guam	163	$123.81	$78.13	6
XX	65	$110.43	$82.95	2

Related codes

71250Ct scan of chest without contrast$66.48
71260Ct scan of chest$62.03
71271Low dose ct scan of chest for lung cancer screening$72.80
71270Ct scan of chest before and after contrast$107.04

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.