How much does Medicare pay for CPT 82274?

Medicare allowed an average of $15.55 per service and paid $15.55 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $77.91, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 82274?

Stool analysis for blood, by fecal hemoglobin determination by immunoassay. It was billed 208,455 times to 195,042 Medicare beneficiaries by 1,345 providers in 2024.

Does 82274 pay differently in an office than a hospital?

Yes. The allowed amount averaged $15.55 in an office setting and $15.60 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 82274 most?

Clinical Laboratory, with 163,111 services from 339 clinicians. Next are Internal Medicine, Family Practice, Obstetrics & Gynecology.

CPT 82274

Stool analysis for blood, by fecal hemoglobin determination by immunoassay

$15.55Medicare-allowed amount per service, averaged across 208,455 services

Providers submitted

$77.91

Asking price, not received

Medicare allowed

$15.55

The fee schedule figure

Medicare paid

$15.55

Balance is patient coinsurance

Providers submitted an average of $77.91 for this code and Medicare allowed $15.55 — 5.0× 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 $15.55 (100%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $15.55
Hospital / facility: $15.60

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 208,357 services were billed in an office setting and 98 in a facility.

Services: 208,455
Beneficiaries: 195,042
Providers billing it: 1,345
Total allowed: $3,241,475

What Medicare pays for CPT 82274

Across 208,455 services billed by 1,345 providers to 195,042 beneficiaries, Medicare allowed an average of $15.55 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 82274

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Laboratory	163,111	152,037	$15.57	339
Internal Medicine	14,390	13,319	$15.53	311
Family Practice	12,130	11,500	$15.47	335
Obstetrics & Gynecology	10,498	10,477	$15.50	135
Gastroenterology	3,138	2,878	$15.55	65
Pathology	1,574	1,479	$15.39	13
Nurse Practitioner	1,497	1,452	$15.51	74
Hematology-Oncology	808	653	$15.44	25
General Practice	589	556	$15.58	13
Physician Assistant	327	314	$15.60	14
Medical Oncology	87	84	$15.60	6
Cardiology	60	58	$13.78	3
Hematology	43	34	$15.60	1
Colorectal Surgery (Proctology)	39	39	$15.60	2
Pulmonary Disease	33	33	$15.60	1

82274 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	43,139	$15.59	$15.60	94
New Jersey	25,153	$15.58	$15.60	43
Florida	18,994	$15.59	$15.60	63
North Carolina	14,263	$15.58	$15.60	35
Texas	11,816	$15.57	$15.60	108
Georgia	9,429	$15.50	$15.56	78
New York	8,951	$15.57	$15.60	84
Arizona	8,294	$15.59	$15.60	10
Wisconsin	6,668	$15.29	$15.60	10
Maryland	5,490	$15.55	$15.60	44
Illinois	4,357	$15.59	$15.60	57
Ohio	3,793	$15.55	$15.60	41
Mississippi	3,495	$15.50	$15.60	23
Puerto Rico	3,307	$15.50	$15.60	92
Alabama	3,234	$15.51	$15.60	35
Massachusetts	2,945	$15.58	$15.60	52
Tennessee	2,856	$15.54	$15.60	47
Washington	2,558	$15.60	$15.60	6
Virginia	2,021	$15.57	$15.60	27
Louisiana	1,978	$15.44	$15.60	22
Kansas	1,802	$15.60	$15.60	18
Pennsylvania	1,782	$15.59	$15.60	17
Nevada	1,764	$15.60	$15.60	2
Oklahoma	1,748	$15.50	$15.60	15
South Carolina	1,686	$15.51	$15.60	47
Oregon	1,654	$15.56	$15.60	8
Michigan	1,536	$15.53	$15.60	38
Missouri	1,423	$15.58	$15.60	28
Hawaii	1,406	$15.43	$15.60	2
New Mexico	1,314	$15.49	$15.60	8
Kentucky	1,037	$15.58	$15.60	24
Iowa	952	$15.58	$15.60	16
Arkansas	939	$15.58	$15.60	22
Indiana	889	$15.43	$15.60	24
Colorado	862	$14.98	$15.60	22
Maine	828	$15.60	$15.60	3
New Hampshire	677	$15.53	$15.60	10
Connecticut	611	$15.56	$15.60	17
U.S. Virgin Islands	605	$15.49	$15.60	2
Minnesota	569	$14.85	$15.60	6
Rhode Island	410	$15.60	$15.60	1
West Virginia	319	$15.60	$15.60	12
Nebraska	212	$15.53	$15.60	10
District of Columbia	173	$15.51	$15.60	5
Utah	153	$15.52	$15.60	6
North Dakota	103	$15.60	$15.60	1
Idaho	87	$15.60	$15.60	3
Delaware	80	$15.60	$15.60	2
South Dakota	67	$15.60	$15.60	3
Wyoming	15	$15.60	$15.60	1
Vermont	11	$15.60	$15.60	1

Related codes

82248Bilirubin level$4.88
82247Bilirubin level$4.85
82232Beta-2 microglobulin (protein) level$15.83
82270Stool analysis for blood to screen for colon tumors$4.27
82272Stool analysis for blood$4.14
82239Bile acids level$16.70

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.