How much does Medicare pay for CPT 75827?

Medicare allowed an average of $86.09 per service and paid $68.48 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $330.31, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 75827?

Review by radiologist of major upper body vein image. It was billed 1,392 times to 1,266 Medicare beneficiaries by 61 providers in 2024.

Does 75827 pay differently in an office than a hospital?

Yes. The allowed amount averaged $113.43 in an office setting and $53.68 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 75827 most?

Nephrology, with 346 services from 18 clinicians. Next are Vascular Surgery, Cardiology, Diagnostic Radiology.

CPT 75827

Review by radiologist of major upper body vein image

$86.09Medicare-allowed amount per service, averaged across 1,392 services

Providers submitted

$330.31

Asking price, not received

Medicare allowed

$86.09

The fee schedule figure

Medicare paid

$68.48

Balance is patient coinsurance

Providers submitted an average of $330.31 for this code and Medicare allowed $86.09 — 3.8× 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 $68.48 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $113.43
Hospital / facility: $53.68

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. 755 services were billed in an office setting and 637 in a facility.

Services: 1,392
Beneficiaries: 1,266
Providers billing it: 61
Total allowed: $119,837

What Medicare pays for CPT 75827

Across 1,392 services billed by 61 providers to 1,266 beneficiaries, Medicare allowed an average of $86.09 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 75827

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nephrology	346	327	$91.25	18
Vascular Surgery	265	248	$77.29	16
Cardiology	222	197	$58.50	4
Diagnostic Radiology	152	126	$116.41	4
Internal Medicine	141	115	$98.18	5
Interventional Radiology	110	101	$103.39	7
General Surgery	64	63	$93.07	3
Clinical Cardiac Electrophysiology	62	62	$58.69	3
Thoracic Surgery	30	27	$76.16	1

75827 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	347	$97.19	$76.77	15
California	344	$66.33	$46.90	11
Florida	131	$94.97	$69.88	5
New York	109	$124.13	$81.06	4
Ohio	70	$81.07	$63.86	3
Michigan	62	$63.02	$47.52	4
North Carolina	43	$109.09	$89.40	1
Maryland	42	$94.41	$66.58	2
Georgia	38	$54.13	$35.98	2
New Jersey	38	$135.28	$89.55	2
District of Columbia	20	$55.91	$37.67	1
Wisconsin	18	$48.44	$38.00	1
Minnesota	15	$48.68	$37.98	1
Kansas	14	$48.78	$38.06	1
Virginia	14	$59.99	$37.92	1
Pennsylvania	14	$128.95	$89.67	1
Oklahoma	14	$100.13	$83.22	1
Alabama	12	$48.48	$38.00	1
Louisiana	12	$50.40	$38.05	1
New Mexico	12	$110.52	$89.78	1
Tennessee	12	$46.48	$38.83	1
Connecticut	11	$124.24	$89.11	1

Related codes

75898Imaging of blood vessel$96.01
75894Review by radiologist of image for insertion of material to block bloo$76.92
75820Review by radiologist of 1 arm or leg vein of 1 arm or leg image$62.07
75822Review by radiologist of both arms and legs veins of both arms or legs$111.17
75825Review by radiologist of major lower body vein image$90.69

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.