$253.05
75557 describes cardiac morphology and function imaging without contrast. Use 75561 when the performed study includes contrast-enhanced imaging.
On this page
CMS RVU26D · Effective 2026-10-01
75561 Cardiac MRI Medicare reimbursement rates in Alabama
Cardiac MRI with contrast evaluates heart structure and function when detailed assessment is needed without pharmacologic or exercise stress imaging. Compare 75561 office and facility rates across CMS payment localities in Alabama.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 75561 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$328.49
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac imaging
About 75561: Contrast-enhanced cardiac MRI for morphology
Cardiac MRI with contrast evaluates heart structure and function when detailed assessment is needed without pharmacologic or exercise stress imaging.
This cardiac MRI evaluates heart structure and function using images acquired before and after intravenous contrast, without stress imaging. It can assess ventricular size and performance, chamber anatomy, myocardium, and cardiac masses; contrast-enhanced tissue assessment may help evaluate conditions such as cardiomyopathy, myocarditis, scar, or selected congenital abnormalities. A technologist performs the scan in a hospital or outpatient imaging facility, and a radiologist or cardiologist interprets the study.
Report 75561 when the performed protocol includes contrast-enhanced morphology and function imaging without a stress component. Documentation should identify the clinical indication, contrast administration, imaging performed, and findings supporting the structural and functional assessment. Medicare recognizes professional and technical components: use modifier 26 for the interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. When multiple diagnostic imaging procedures are performed, the diagnostic imaging multiple-procedure reduction applies to both the professional and technical components.
CMS billing rules for 75561
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU2.54 · 23%
- Practice expense (office) RVU8.24 · 75%
- Malpractice RVU0.15 · 1%
54.4K
Medicare services in 2024 · #752 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
75561 compared with similar codes
Office rates for Alabama, from the same CMS release.
$343.48
75559 includes stress imaging but not contrast. 75561 is the contrast-enhanced morphology and function study without stress imaging.
$386.82
75563 includes both stress imaging and contrast. Choose 75561 when contrast is used but the cardiac MRI does not include stress imaging.
$40.65
75565 covers additional cardiac MRI velocity flow mapping and is an add-on, not a substitute for the primary morphology and function study.
Compare 75561 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$328.49
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 75561 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
8,474
- Code
- 75561
- Physician work
- 2.54
- Practice expense
- 8.24
- Malpractice
- 0.15
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.54 | × 1.000 | 2.5400 |
| Practice expense | 8.24 | × 0.875 | 7.2100 |
| Malpractice | 0.15 | × 0.566 | 0.0849 |
| Total RVUs | 9.8349 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$328.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.54 | 1 |
| Practice expense | 8.24 | 0.875 |
| Malpractice | 0.15 | 0.566 |
(2.54 × 1 + 8.24 × 0.875 + 0.15 × 0.566) × $33.4009 = $328.49
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
75561 billing questions
How does 75561 differ from 75557?
75561 is for cardiac MRI with contrast; 75557 is the corresponding morphology and function study without contrast. Choose based on the protocol performed and documented.
When is a stress cardiac MRI code more appropriate?
Use a stress cardiac MRI code when the study includes stress imaging. 75561 describes the contrast-enhanced morphology and function study without a stress component.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the professional interpretation or TC for the technical service; billing without either modifier represents the global service.
Can 75565 be reported with 75561?
75565 is an add-on for cardiac MRI velocity flow mapping and may be reported with 75561 when that additional mapping service is performed and documented.
How does the multiple-procedure reduction affect 75561?
When multiple diagnostic imaging procedures are performed, the CMS multiple-procedure reduction applies to both the professional and technical components of 75561.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,47175559,,Cardiac mri w/stress img,A,,2.88,8.39,,8.39,NA,0.11,11.38,11.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,17.75,17.75,0.14
8,47275559,26,Cardiac mri w/stress img,A,,2.88,1.08,,1.08,,0.09,4.05,4.05,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,47375559,TC,Cardiac mri w/stress img,A,,0.00,7.31,,7.31,NA,0.02,7.33,7.33,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,16.67,16.67,0.05
8,47475561,,Cardiac mri for morph w/dye,A,,2.54,8.24,,8.24,NA,0.15,10.93,10.93,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.56,11.56,0.16
8,47575561,26,Cardiac mri for morph w/dye,A,,2.54,0.93,,0.93,,0.12,3.59,3.59,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,47675561,TC,Cardiac mri for morph w/dye,A,,0.00,7.31,,7.31,NA,0.03,7.34,7.34,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,10.63,10.63,0.04
8,47775563,,Card mri w/stress img & dye,A,,2.93,9.79,,9.79,NA,0.15,12.87,12.87,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,24.98,24.98,0.20
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515