How much does Medicare pay for CPT 73200?

Medicare allowed an average of $77.63 per service and paid $58.50 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $458.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 73200?

Ct scan of arm without contrast. It was billed 111,306 times to 105,241 Medicare beneficiaries by 3,638 providers in 2024.

Does 73200 pay differently in an office than a hospital?

Yes. The allowed amount averaged $117.20 in an office setting and $45.83 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 73200 most?

Diagnostic Radiology, with 99,161 services from 3,261 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Orthopedic Surgery, Interventional Radiology.

CPT 73200

Ct scan of arm without contrast

$77.63Medicare-allowed amount per service, averaged across 111,306 services

Providers submitted

$458.41

Asking price, not received

Medicare allowed

$77.63

The fee schedule figure

Medicare paid

$58.50

Balance is patient coinsurance

Providers submitted an average of $458.41 for this code and Medicare allowed $77.63 — 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 $58.50 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $117.20
Hospital / facility: $45.83

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. 49,598 services were billed in an office setting and 61,708 in a facility.

Services: 111,306
Beneficiaries: 105,241
Providers billing it: 3,638
Total allowed: $8,640,685

What Medicare pays for CPT 73200

Across 111,306 services billed by 3,638 providers to 105,241 beneficiaries, Medicare allowed an average of $77.63 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 73200

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	99,161	94,139	$72.57	3,261
Independent Diagnostic Testing Facility (IDTF)	7,050	6,581	$134.45	209
Orthopedic Surgery	2,299	2,106	$110.41	76
Interventional Radiology	758	745	$56.08	38
Plastic and Reconstructive Surgery	497	340	$118.38	2
Sports Medicine	329	313	$114.66	11
Nuclear Medicine	293	148	$41.43	4
Internal Medicine	226	218	$115.46	8
Hand Surgery	204	186	$123.73	8
Radiation Oncology	204	191	$64.69	6
Physician Assistant	80	78	$99.57	6
Nurse Practitioner	66	61	$100.62	3
Family Practice	59	59	$86.80	3
Physical Medicine and Rehabilitation	36	35	$87.56	1
Pediatric Medicine	27	27	$95.02	1

73200 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	9,694	$95.26	$64.36	343
Florida	8,744	$98.94	$74.94	232
Texas	8,180	$78.81	$59.66	269
New York	6,855	$89.50	$60.88	200
Illinois	5,225	$68.64	$50.51	197
Virginia	4,377	$75.91	$55.58	109
Ohio	4,127	$55.76	$42.17	133
North Carolina	3,830	$68.64	$53.56	129
Missouri	3,617	$59.73	$45.99	104
Massachusetts	3,380	$59.26	$40.25	99
Pennsylvania	3,304	$58.21	$43.01	128
New Jersey	3,293	$111.75	$75.42	95
Minnesota	3,195	$86.29	$62.27	116
Colorado	2,927	$82.34	$58.05	94
Arizona	2,792	$95.59	$72.89	72
Michigan	2,790	$53.81	$39.36	94
Georgia	2,735	$71.08	$54.48	103
Tennessee	2,608	$60.22	$47.86	78
Maryland	2,457	$98.94	$68.41	85
Indiana	2,098	$61.98	$47.33	70
Washington	1,998	$69.45	$49.49	67
Louisiana	1,963	$77.49	$65.02	62
South Carolina	1,892	$67.13	$52.53	66
Arkansas	1,561	$50.53	$44.46	50
Iowa	1,543	$69.21	$53.98	39
Wisconsin	1,302	$64.00	$49.27	58
Kansas	1,230	$57.13	$43.77	44
Connecticut	1,194	$101.93	$71.89	43
Oklahoma	1,129	$67.06	$53.31	40
Oregon	1,128	$73.22	$53.25	31
Nebraska	1,061	$57.08	$44.50	35
Alabama	1,030	$64.19	$51.23	47
Kentucky	922	$79.30	$64.31	36
Mississippi	889	$71.93	$58.80	33
Nevada	756	$91.49	$69.85	26
New Hampshire	673	$51.10	$37.12	21
Idaho	577	$51.78	$39.12	17
Delaware	552	$69.24	$52.68	13
Utah	474	$78.27	$59.41	25
South Dakota	398	$58.71	$38.78	14
Montana	382	$88.03	$66.46	12
District of Columbia	362	$100.74	$70.86	13
Rhode Island	324	$112.93	$79.77	13
Maine	290	$63.57	$44.34	15
Alaska	277	$136.67	$87.13	11
New Mexico	263	$80.80	$63.99	8
West Virginia	230	$50.53	$38.10	15
Vermont	175	$44.76	$31.43	8
Wyoming	163	$65.47	$49.53	9
North Dakota	159	$67.99	$52.71	7
Hawaii	82	$122.01	$81.58	5
Puerto Rico	43	$48.64	$34.62	2
AA	37	$45.10	$32.55	2
AP	19	$176.65	$118.79	1

Related codes

73221Mri scan of arm joint without contrast$127.60
73218Mri scan of arm without contrast$212.48
73222Mri scan of arm joint$197.59
73220Mri scan of arm before and after contrast$239.19
73223Mri scan of arm joint before and after contrast$233.62
73201Ct scan of arm$80.93

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.