How much does Medicare pay for CPT 75571?

Medicare allowed an average of $71.56 per service and paid $50.50 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $323.69, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75571?

Ct scan of heart with evaluation of blood vessel calcium. It was billed 102,922 times to 101,456 Medicare beneficiaries by 1,833 providers in 2024.

Does 75571 pay differently in an office than a hospital?

Yes. The allowed amount averaged $90.70 in an office setting and $27.13 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 75571 most?

Diagnostic Radiology, with 79,558 services from 1,465 clinicians. Next are Cardiology, Interventional Radiology, Independent Diagnostic Testing Facility (IDTF).

CPT 75571

Ct scan of heart with evaluation of blood vessel calcium

$71.56Medicare-allowed amount per service, averaged across 102,922 services

Providers submitted

$323.69

Asking price, not received

Medicare allowed

$71.56

The fee schedule figure

Medicare paid

$50.50

Balance is patient coinsurance

Providers submitted an average of $323.69 for this code and Medicare allowed $71.56 — 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 $50.50 (71%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $90.70
Hospital / facility: $27.13

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. 71,930 services were billed in an office setting and 30,992 in a facility.

Services: 102,922
Beneficiaries: 101,456
Providers billing it: 1,833
Total allowed: $7,365,098

What Medicare pays for CPT 75571

Across 102,922 services billed by 1,833 providers to 101,456 beneficiaries, Medicare allowed an average of $71.56 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 75571

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	79,558	78,369	$70.43	1,465
Cardiology	13,087	13,068	$76.42	217
Interventional Radiology	3,791	3,604	$75.96	63
Independent Diagnostic Testing Facility (IDTF)	2,299	2,292	$90.87	23
Nuclear Medicine	1,398	1,383	$84.69	5
Interventional Cardiology	1,054	1,051	$53.57	17
Internal Medicine	840	833	$46.66	18
Family Practice	290	251	$63.94	6
Advanced Heart Failure and Transplant Cardiology	134	134	$67.15	5
Adult Congenital Heart Disease	119	119	$27.75	1
Orthopedic Surgery	72	72	$64.41	3
General Surgery	68	68	$25.54	1
Psychiatry	38	38	$25.95	1
Thoracic Surgery	36	36	$26.27	1
Physical Medicine and Rehabilitation	34	34	$64.27	1

75571 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	23,023	$75.53	$48.38	355
Florida	16,413	$72.91	$52.69	213
New Jersey	10,353	$89.84	$56.91	132
Maryland	8,899	$95.28	$59.56	138
Texas	8,115	$58.60	$41.33	174
Pennsylvania	6,546	$47.39	$31.41	122
Arizona	4,190	$83.40	$56.74	67
Washington	2,397	$60.86	$40.56	64
Virginia	2,034	$79.09	$51.40	34
Oregon	1,670	$55.55	$38.14	33
Colorado	1,589	$67.65	$43.60	34
New Mexico	1,282	$61.35	$43.90	19
District of Columbia	1,196	$99.45	$61.93	18
Nevada	1,187	$73.75	$50.53	26
Georgia	1,079	$45.01	$32.53	32
Ohio	1,031	$39.52	$27.33	37
New York	945	$72.34	$45.33	20
Delaware	944	$50.10	$35.33	16
Tennessee	838	$81.89	$66.11	18
Minnesota	762	$66.11	$43.17	15
North Carolina	762	$57.30	$40.37	33
Louisiana	738	$47.93	$36.04	27
Arkansas	718	$25.65	$19.52	18
Alaska	707	$99.86	$56.45	16
Illinois	665	$60.26	$38.30	9
Idaho	575	$35.08	$24.87	14
Oklahoma	444	$27.25	$20.34	17
Hawaii	442	$53.51	$35.26	9
South Carolina	388	$27.49	$19.92	18
Alabama	315	$35.05	$25.69	10
Kentucky	273	$39.76	$29.74	10
Mississippi	246	$25.42	$19.00	12
Michigan	239	$44.64	$29.56	5
Massachusetts	232	$44.46	$31.62	8
West Virginia	211	$34.11	$22.52	4
Montana	165	$39.36	$27.02	7
Kansas	161	$85.24	$53.44	2
Utah	160	$26.14	$16.53	7
Missouri	149	$49.90	$33.25	7
South Dakota	116	$25.71	$20.51	3
Nebraska	111	$73.25	$53.98	3
Connecticut	111	$26.76	$20.27	3
Wisconsin	109	$57.61	$38.91	4
North Dakota	76	$44.10	$35.88	3
Wyoming	66	$26.22	$16.67	4
Iowa	61	$26.53	$17.79	3
Puerto Rico	56	$25.94	$18.87	4
AP	40	$117.04	$77.72	1
Rhode Island	37	$50.51	$35.01	2
Indiana	33	$26.71	$19.54	2
New Hampshire	23	$41.67	$34.13	1

Related codes

75574Ct scan of blood vessels and grafts of heart$157.89
75572Ct scan of heart structure$94.71
75561Mri scan of heart before and after contrast$154.34
75565Mri scan of blood flow of heart$15.27
75580Analysis of data from ct study of heart blood vessels to assess severi$343.33
75563Mri scan of heart before and after contrast$202.99

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.