How much does Medicare pay for CPT 75574?

Medicare allowed an average of $157.89 per service and paid $120.97 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $838.35, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75574?

Ct scan of blood vessels and grafts of heart with contrast. It was billed 196,141 times to 191,390 Medicare beneficiaries by 3,224 providers in 2024.

Does 75574 pay differently in an office than a hospital?

Yes. The allowed amount averaged $241.45 in an office setting and $111.38 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 75574 most?

Diagnostic Radiology, with 109,095 services from 1,646 clinicians. Next are Cardiology, Interventional Cardiology, Internal Medicine.

CPT 75574

Ct scan of blood vessels and grafts of heart with contrast

$157.89Medicare-allowed amount per service, averaged across 196,141 services

Providers submitted

$838.35

Asking price, not received

Medicare allowed

$157.89

The fee schedule figure

Medicare paid

$120.97

Balance is patient coinsurance

Providers submitted an average of $838.35 for this code and Medicare allowed $157.89 — 5.3× 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 $120.97 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $241.45
Hospital / facility: $111.38

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. 70,130 services were billed in an office setting and 126,011 in a facility.

Services: 196,141
Beneficiaries: 191,390
Providers billing it: 3,224
Total allowed: $30,968,702

What Medicare pays for CPT 75574

Across 196,141 services billed by 3,224 providers to 191,390 beneficiaries, Medicare allowed an average of $157.89 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 75574

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	109,095	106,069	$160.04	1,646
Cardiology	66,737	65,596	$151.22	1,192
Interventional Cardiology	6,093	6,068	$170.78	143
Internal Medicine	5,260	4,730	$153.32	82
Interventional Radiology	4,458	4,436	$161.66	86
Independent Diagnostic Testing Facility (IDTF)	1,246	1,245	$237.99	15
Nuclear Medicine	748	747	$141.00	15
Clinical Cardiac Electrophysiology	516	516	$246.40	7
Physician Assistant	409	408	$166.97	4
Advanced Heart Failure and Transplant Cardiology	380	380	$183.09	11
Nurse Practitioner	268	268	$192.83	3
Hospitalist	247	247	$125.54	5
Adult Congenital Heart Disease	233	230	$111.82	2
Orthopedic Surgery	113	113	$152.97	1
Radiation Oncology	93	93	$169.56	3

75574 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	23,351	$195.83	$132.02	276
New York	19,784	$214.68	$141.36	174
Florida	18,817	$175.72	$133.38	251
Texas	16,239	$137.42	$103.12	214
Illinois	9,466	$161.70	$118.86	156
Virginia	7,700	$159.42	$115.95	89
New Jersey	6,701	$163.37	$111.97	120
Pennsylvania	6,331	$125.53	$91.33	121
Tennessee	6,271	$127.73	$99.73	90
Ohio	6,048	$119.66	$90.06	147
Georgia	5,790	$125.83	$93.70	112
North Carolina	5,576	$142.75	$110.54	134
Arizona	5,414	$162.10	$122.89	94
Massachusetts	5,150	$126.75	$86.71	62
Maryland	4,606	$187.70	$132.38	62
Minnesota	4,270	$166.16	$123.23	77
South Carolina	4,084	$114.95	$89.62	77
Michigan	3,633	$128.20	$96.84	92
Indiana	2,877	$108.37	$83.64	79
Colorado	2,622	$142.37	$101.47	67
Alabama	2,477	$147.47	$120.14	65
Washington	2,312	$150.07	$108.85	53
Nevada	2,305	$181.97	$139.47	25
Missouri	2,287	$107.68	$81.96	54
Kentucky	2,286	$114.24	$84.96	60
Wisconsin	1,862	$130.87	$100.61	57
Arkansas	1,758	$102.77	$81.60	28
Louisiana	1,672	$143.55	$116.61	37
Mississippi	1,509	$198.01	$174.80	37
Oklahoma	1,418	$106.63	$81.23	30
Connecticut	1,153	$122.22	$86.88	27
West Virginia	1,121	$112.06	$82.42	30
Oregon	1,027	$120.18	$85.98	24
Iowa	969	$116.99	$94.75	27
Idaho	848	$106.82	$83.44	13
Nebraska	727	$104.10	$83.25	16
Kansas	691	$119.64	$94.74	19
Delaware	623	$128.23	$97.45	15
New Hampshire	612	$124.88	$86.31	13
North Dakota	535	$113.05	$88.66	12
Utah	493	$126.11	$94.10	13
New Mexico	423	$108.54	$81.98	14
South Dakota	404	$108.51	$81.71	15
Alaska	403	$312.49	$196.82	7
District of Columbia	368	$150.62	$110.28	7
Montana	316	$108.31	$81.44	9
Rhode Island	313	$138.40	$99.47	8
Hawaii	277	$108.69	$81.53	4
Vermont	124	$107.07	$76.18	5
Maine	65	$111.45	$82.96	4
Puerto Rico	21	$100.18	$80.47	1
Wyoming	12	$169.55	$124.29	1

Related codes

75571Ct scan of heart$71.56
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.