How much does Medicare pay for CPT 74300?

Medicare allowed an average of $11.91 per service and paid $9.41 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $87.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 74300?

Review by radiologist of bile and/or pancreatic duct image during surgery. It was billed 2,892 times to 2,819 Medicare beneficiaries by 166 providers in 2024.

Does 74300 pay differently in an office than a hospital?

Yes. The allowed amount averaged $12.93 in an office setting and $11.90 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 74300 most?

Diagnostic Radiology, with 1,357 services from 80 clinicians. Next are General Surgery, Gastroenterology, Interventional Radiology.

CPT 74300

Review by radiologist of bile and/or pancreatic duct image during surgery

$11.91Medicare-allowed amount per service, averaged across 2,892 services

Providers submitted

$87.56

Asking price, not received

Medicare allowed

$11.91

The fee schedule figure

Medicare paid

$9.41

Balance is patient coinsurance

Providers submitted an average of $87.56 for this code and Medicare allowed $11.91 — 7.4× 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 $9.41 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $12.93
Hospital / facility: $11.90

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. 19 services were billed in an office setting and 2,873 in a facility.

Services: 2,892
Beneficiaries: 2,819
Providers billing it: 166
Total allowed: $34,444

What Medicare pays for CPT 74300

Across 2,892 services billed by 166 providers to 2,819 beneficiaries, Medicare allowed an average of $11.91 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 74300

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,357	1,356	$11.14	80
General Surgery	1,191	1,162	$12.62	69
Gastroenterology	236	194	$12.96	11
Interventional Radiology	65	64	$10.55	4
Radiation Oncology	31	31	$12.14	1
Surgical Oncology	12	12	$13.52	1

74300 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
Texas	308	$12.11	$10.12	17
Arkansas	210	$11.87	$10.08	11
Massachusetts	200	$12.84	$10.00	9
California	182	$13.39	$10.10	11
South Carolina	174	$11.63	$10.14	6
Kentucky	173	$8.74	$10.17	8
Florida	167	$9.04	$10.07	10
Virginia	145	$12.20	$10.15	9
Alabama	110	$12.26	$10.16	8
Pennsylvania	89	$12.44	$9.81	6
Ohio	83	$9.58	$10.16	4
Missouri	78	$12.55	$10.14	5
North Carolina	72	$12.34	$10.14	5
New York	67	$13.72	$9.43	4
Indiana	62	$11.71	$10.20	4
Wisconsin	61	$12.16	$10.15	3
New Jersey	55	$13.50	$9.63	4
Nevada	51	$12.66	$10.15	3
Georgia	50	$11.61	$10.20	4
Arizona	50	$11.64	$9.74	3
Mississippi	50	$11.34	$10.13	3
Idaho	47	$12.27	$10.15	3
Washington	47	$13.20	$10.15	3
Oregon	46	$12.07	$10.25	3
Oklahoma	37	$11.56	$10.14	3
Hawaii	37	$12.97	$9.61	1
Kansas	35	$12.29	$9.73	2
Illinois	34	$12.74	$10.18	2
South Dakota	27	$12.39	$10.16	2
Tennessee	22	$11.73	$10.23	2
Iowa	20	$12.21	$10.17	1
Alaska	18	$17.18	$9.02	1
District of Columbia	16	$14.41	$10.30	1
Montana	15	$12.75	$9.48	1
Michigan	15	$12.53	$10.13	1
New Hampshire	13	$12.89	$10.15	1
Minnesota	13	$12.91	$9.33	1
Louisiana	13	$12.00	$10.13	1

Related codes

74328Review by radiologist of image from tube placement into bile duct$22.25
74330Review by radiologist of image from tube placement into bile and pancr$24.41
74360Review by radiologist of image to guide opening of digestive tract$26.19

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.