How much does Medicare pay for CPT 75572?

Medicare allowed an average of $94.71 per service and paid $72.90 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $467.98, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75572?

Ct scan of heart structure with contrast. It was billed 57,691 times to 56,167 Medicare beneficiaries by 1,305 providers in 2024.

Does 75572 pay differently in an office than a hospital?

Yes. The allowed amount averaged $164.27 in an office setting and $79.55 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 75572 most?

Diagnostic Radiology, with 29,811 services from 747 clinicians. Next are Cardiology, Interventional Cardiology, Interventional Radiology.

CPT 75572

Ct scan of heart structure with contrast

$94.71Medicare-allowed amount per service, averaged across 57,691 services

Providers submitted

$467.98

Asking price, not received

Medicare allowed

$94.71

The fee schedule figure

Medicare paid

$72.90

Balance is patient coinsurance

Providers submitted an average of $467.98 for this code and Medicare allowed $94.71 — 4.9× 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 $72.90 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $164.27
Hospital / facility: $79.55

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. 10,322 services were billed in an office setting and 47,369 in a facility.

Services: 57,691
Beneficiaries: 56,167
Providers billing it: 1,305
Total allowed: $5,463,915

What Medicare pays for CPT 75572

Across 57,691 services billed by 1,305 providers to 56,167 beneficiaries, Medicare allowed an average of $94.71 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 75572

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	29,811	29,158	$95.32	747
Cardiology	22,135	21,416	$91.87	423
Interventional Cardiology	1,800	1,739	$113.94	39
Interventional Radiology	1,584	1,572	$101.97	35
Internal Medicine	1,001	971	$80.81	27
Clinical Cardiac Electrophysiology	580	537	$121.38	11
Nuclear Medicine	205	202	$80.09	6
Independent Diagnostic Testing Facility (IDTF)	153	152	$136.24	3
Advanced Heart Failure and Transplant Cardiology	127	127	$78.86	5
Hospitalist	93	93	$78.73	2
Psychiatry	53	53	$78.46	1
Radiation Oncology	40	40	$81.10	1
Adult Congenital Heart Disease	38	38	$82.41	1
Critical Care (Intensivists)	25	25	$83.12	1
Sleep Medicine	18	18	$81.85	1

75572 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
Pennsylvania	4,729	$81.51	$60.54	82
North Carolina	3,999	$101.77	$79.27	95
California	3,877	$113.95	$79.24	107
Massachusetts	3,441	$88.77	$61.86	33
New York	2,751	$119.02	$78.46	53
Virginia	2,588	$119.04	$86.26	51
Texas	2,315	$86.94	$66.83	57
Florida	2,216	$108.44	$83.95	61
Minnesota	1,926	$140.19	$103.15	53
Ohio	1,755	$81.11	$61.35	43
Illinois	1,705	$96.62	$70.63	55
Georgia	1,705	$78.88	$59.67	40
Missouri	1,700	$76.80	$58.98	43
Arizona	1,495	$102.49	$77.45	32
Wisconsin	1,382	$88.72	$68.54	36
Oklahoma	1,364	$76.36	$59.96	14
Indiana	1,299	$76.39	$60.43	33
Oregon	1,274	$84.20	$62.30	16
Washington	1,238	$88.70	$64.17	25
Michigan	1,237	$83.56	$62.30	38
Maryland	1,126	$86.86	$62.63	25
Tennessee	1,123	$115.50	$89.12	28
South Carolina	1,033	$77.76	$60.22	23
Colorado	989	$96.94	$69.70	32
Iowa	981	$89.25	$71.40	22
Kansas	980	$77.05	$60.19	30
New Hampshire	847	$79.60	$58.99	15
Idaho	753	$76.77	$58.84	18
New Jersey	643	$87.95	$61.73	21
Alabama	626	$119.29	$94.95	16
Kentucky	528	$80.20	$59.02	14
Arkansas	496	$75.37	$60.21	12
District of Columbia	484	$116.86	$80.89	6
Montana	404	$76.21	$59.30	5
Rhode Island	373	$83.29	$60.11	5
Hawaii	294	$79.95	$56.21	4
Louisiana	281	$90.82	$70.03	8
Mississippi	251	$74.46	$59.58	5
West Virginia	239	$78.21	$58.65	6
Vermont	208	$77.02	$58.35	5
Utah	187	$77.85	$58.19	5
South Dakota	177	$80.12	$60.50	6
Nebraska	161	$75.56	$58.69	6
Maine	144	$76.18	$57.95	7
Connecticut	125	$82.66	$59.46	5
Nevada	101	$79.06	$58.44	2
New Mexico	59	$80.79	$59.21	3
Delaware	52	$77.68	$59.56	2
North Dakota	30	$77.87	$57.84	2

Related codes

75574Ct scan of blood vessels and grafts of heart$157.89
75571Ct scan of heart$71.56
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.