$350.05
Choose 75561 when contrast is used for the cardiac MRI; 75557 is for a study performed without contrast.
On this page
CMS RVU26D · Effective 2026-10-01
75557 Cardiac MRI Medicare reimbursement rates in Wisconsin
Reports cardiac MRI assessment of heart structure and function when the examination is performed without contrast and without stress imaging. Compare 75557 office and facility rates across CMS payment localities in Wisconsin.
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 75557 in Wisconsin?
Wisconsin 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
$268.65
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 75557: Noncontrast cardiac MRI for structure and function
Reports cardiac MRI assessment of heart structure and function when the examination is performed without contrast and without stress imaging.
This service uses magnetic resonance imaging to assess cardiac anatomy and function without contrast material. A cardiac radiologist or other qualified interpreting physician reviews images of the chambers, myocardium, and related structures; the study may be performed in a hospital or outpatient imaging center. Clinical indications can include evaluation of cardiomyopathy, ventricular function, or congenital cardiac anatomy when a noncontrast protocol is appropriate.
Select 75557 for a noncontrast, nonstress cardiac MRI; a study that uses contrast or stress imaging belongs to a different code in the cardiac MRI family. The report should support the protocol performed and the structural or functional findings assessed. Billing without a modifier represents the global service; modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. When multiple diagnostic imaging services are subject to the multiple procedure reduction, it applies to both the technical and professional components.
CMS billing rules for 75557
- 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 RVU2.29 · 27%
- Practice expense (office) RVU5.97 · 71%
- Malpractice RVU0.11 · 1%
2.8K
Medicare services in 2024 · #2234 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.
75557 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$365.79
75559 includes stress imaging and does not use contrast. Use 75557 for a nonstress, noncontrast cardiac MRI.
$412.67
75563 represents cardiac MRI with both stress imaging and contrast, unlike the nonstress, noncontrast study reported with 75557.
Compare 75557 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
Wisconsin →
Office / nonfacility
$268.65
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 75557 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
8,468
- Code
- 75557
- Physician work
- 2.29
- Practice expense
- 5.97
- Malpractice
- 0.11
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.29 | × 1.000 | 2.2900 |
| Practice expense | 5.97 | × 0.958 | 5.7193 |
| Malpractice | 0.11 | × 0.308 | 0.0339 |
| Total RVUs | 8.0431 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wisconsin$268.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.29 | 1 |
| Practice expense | 5.97 | 0.958 |
| Malpractice | 0.11 | 0.308 |
(2.29 × 1 + 5.97 × 0.958 + 0.11 × 0.308) × $33.4009 = $268.65
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.
75557 billing questions
When should 75557 be chosen instead of 75561?
Use 75557 when the cardiac MRI is performed without contrast. A study that uses contrast is reported with 75561, subject to the protocol actually performed.
How does 75557 differ from 75559?
75557 describes a nonstress cardiac MRI. 75559 is for cardiac MRI with stress imaging, without contrast.
Can 75565 be reported with 75557?
Yes, 75565 is the add-on for cardiac MR velocity-flow mapping when that additional mapping is performed and documented.
Which modifiers identify the MRI components?
Report modifier 26 for the physician's interpretation and modifier TC for the technical portion. Reporting 75557 without either modifier represents the global service.
Do multiple-procedure reductions affect 75557?
The diagnostic imaging multiple procedure reduction applies to the technical and professional components when applicable.
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.
8,46574775,,X-ray exam of perineum,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,7.51,7.51,0.05
8,46674775,26,X-ray exam of perineum,A,,0.60,0.22,,0.22,,0.04,0.86,0.86,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8,46774775,TC,X-ray exam of perineum,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,7.29,7.29,0.01
8,46875557,,Cardiac mri for morph,A,,2.29,5.97,,5.97,NA,0.11,8.37,8.37,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,8.11,8.11,0.12
8,46975557,26,Cardiac mri for morph,A,,2.29,0.84,,0.84,,0.09,3.22,3.22,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,47075557,TC,Cardiac mri for morph,A,,0.00,5.13,,5.13,NA,0.02,5.15,5.15,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,01,0,88,7.27,7.27,0.03
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,