How much does Medicare pay for CPT 74450?

Medicare allowed an average of $36.16 per service and paid $28.45 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $161.70, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 74450?

Review by radiologist of urinary bladder and urethra images with contrast. It was billed 1,122 times to 1,001 Medicare beneficiaries by 56 providers in 2024.

Does 74450 pay differently in an office than a hospital?

Yes. The allowed amount averaged $116.64 in an office setting and $17.20 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 74450 most?

Urology, with 750 services from 34 clinicians. Next are Diagnostic Radiology, Physician Assistant.

CPT 74450

Review by radiologist of urinary bladder and urethra images with contrast

$36.16Medicare-allowed amount per service, averaged across 1,122 services

Providers submitted

$161.70

Asking price, not received

Medicare allowed

$36.16

The fee schedule figure

Medicare paid

$28.45

Balance is patient coinsurance

Providers submitted an average of $161.70 for this code and Medicare allowed $36.16 — 4.5× 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 $28.45 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $116.64
Hospital / facility: $17.20

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. 214 services were billed in an office setting and 908 in a facility.

Services: 1,122
Beneficiaries: 1,001
Providers billing it: 56
Total allowed: $40,572

What Medicare pays for CPT 74450

Across 1,122 services billed by 56 providers to 1,001 beneficiaries, Medicare allowed an average of $36.16 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 74450

Specialty	Services	Beneficiaries	Avg allowed	Providers
Urology	750	655	$44.86	34
Diagnostic Radiology	353	328	$18.92	21
Physician Assistant	19	18	$13.28	1

74450 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
Massachusetts	170	$15.90	$11.70	5
Kentucky	134	$14.37	$11.69	7
California	88	$16.17	$11.58	4
New York	71	$29.65	$22.82	3
Virginia	67	$96.99	$74.71	4
Pennsylvania	63	$14.91	$11.17	4
Georgia	47	$15.50	$11.78	1
Colorado	46	$15.37	$11.20	1
Maryland	45	$15.03	$11.58	2
Tennessee	42	$97.27	$75.87	3
Michigan	36	$15.30	$11.72	2
Texas	33	$14.86	$11.74	3
Arizona	32	$17.84	$14.32	2
Oregon	30	$15.40	$11.40	2
Connecticut	25	$15.73	$11.24	1
Minnesota	25	$78.56	$56.23	2
Wisconsin	23	$14.64	$10.70	1
Alaska	21	$20.02	$11.44	1
North Carolina	21	$147.37	$104.75	1
Illinois	21	$233.82	$199.26	1
South Carolina	17	$192.82	$154.34	1
Wyoming	15	$14.92	$11.69	1
West Virginia	15	$14.44	$11.31	1
Ohio	13	$119.35	$95.10	1
Kansas	11	$14.95	$9.62	1
Alabama	11	$14.35	$11.69	1

Related codes

74420Imaging of urinary tract following injection of a contrast agent$39.49
74455Review by radiologist of urinary bladder and urethra images$71.79
74430Review by radiologist of urinary bladder image$27.60

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.