How much does Medicare pay for CPT 73525?

Medicare allowed an average of $103.89 per service and paid $81.99 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $480.27, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 73525?

Review by radiologist of hip joint image. It was billed 5,007 times to 3,930 Medicare beneficiaries by 145 providers in 2024.

Does 73525 pay differently in an office than a hospital?

Yes. The allowed amount averaged $120.68 in an office setting and $27.45 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 73525 most?

Orthopedic Surgery, with 1,855 services from 54 clinicians. Next are Physical Medicine and Rehabilitation, Pain Management, Diagnostic Radiology.

CPT 73525

Review by radiologist of hip joint image

$103.89Medicare-allowed amount per service, averaged across 5,007 services

Providers submitted

$480.27

Asking price, not received

Medicare allowed

$103.89

The fee schedule figure

Medicare paid

$81.99

Balance is patient coinsurance

Providers submitted an average of $480.27 for this code and Medicare allowed $103.89 — 4.6× 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 $81.99 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $120.68
Hospital / facility: $27.45

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. 4,105 services were billed in an office setting and 902 in a facility.

Services: 5,007
Beneficiaries: 3,930
Providers billing it: 145
Total allowed: $520,177

What Medicare pays for CPT 73525

Across 5,007 services billed by 145 providers to 3,930 beneficiaries, Medicare allowed an average of $103.89 per service. That is 1.3 services per beneficiary, so this is a code patients typically receive more than once. 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 73525

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	1,855	1,477	$117.22	54
Physical Medicine and Rehabilitation	694	600	$106.60	25
Pain Management	621	456	$89.22	13
Diagnostic Radiology	597	532	$65.02	23
Anesthesiology	477	283	$90.49	7
Interventional Pain Management	431	289	$126.52	12
Physician Assistant	121	104	$102.96	6
Family Practice	93	82	$134.00	1
Sports Medicine	63	57	$119.46	1
Interventional Radiology	39	34	$77.40	2
Independent Diagnostic Testing Facility (IDTF)	16	16	$84.54	1

73525 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
Florida	887	$110.67	$87.99	29
California	834	$106.71	$73.97	19
New York	551	$80.67	$55.74	15
Maryland	436	$118.16	$83.76	7
New Jersey	411	$138.25	$105.34	13
Texas	392	$71.33	$62.43	8
Connecticut	370	$139.29	$99.40	9
Illinois	153	$135.77	$102.48	4
North Carolina	132	$116.28	$99.55	5
Oklahoma	115	$23.60	$24.91	5
Arizona	77	$121.94	$98.31	3
Louisiana	70	$109.27	$99.92	4
Wyoming	66	$75.18	$59.72	1
Georgia	64	$72.95	$62.18	2
Indiana	58	$94.89	$82.33	2
Virginia	56	$139.71	$99.29	2
West Virginia	54	$28.24	$20.88	2
Iowa	49	$85.55	$71.73	2
Massachusetts	43	$29.66	$15.98	3
New Mexico	38	$118.36	$109.78	2
Wisconsin	29	$24.29	$19.41	1
Nevada	29	$107.18	$84.71	1
South Carolina	24	$114.30	$100.15	1
Pennsylvania	17	$28.60	$20.83	1
Mississippi	16	$84.54	$79.08	1
Michigan	13	$33.42	$24.07	1
Tennessee	12	$102.56	$102.03	1
Washington	11	$29.25	$18.67	1

Related codes

73502X-ray of hip, 2-3 views$26.38
73562X-ray of knee$27.47
73564X-ray of knee$34.42
73560X-ray of knee$18.48
73552X-ray of thigh bone$12.92
73590X-ray of lower leg$10.75
73501X-ray of hip, 1 view$20.45
73522X-ray of both hips$35.14
73521X-ray of both hips$25.89
73565X-ray of both knees while standing$34.99
73523X-ray of both hips$33.99
73503X-ray of hip, minimum of 4 views$47.13

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.