CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 74240 RVU and Medicare Payment (2026)
X-ray xm upr gi trc 1cntrst — 0.78 work RVU, about $121.91 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.78
- PE RVU (non-facility)
- 2.82
- PE RVU (facility)
- 2.82
- MP RVU
- 0.05
- Office payment
- $121.91
- Facility payment
- $121.91
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 74240 in a non-facility setting with national GPCI: (0.78 + 2.82 + 0.05) × $33.4009 ≈ $121.91. The same code in a facility setting pays about $121.91 because facility PE RVU (2.82) replaces office PE RVU.
What changes by locality
GPCI moves 74240 non-facility payment from $107.82 to $165.64 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 74240?
0.78. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 74240 in 2026?
About $121.91 non-facility ($121.91 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (0.78) and malpractice RVU stay fixed; only practice expense changes (2.82 office vs 2.82 facility). That is the entire office-vs-facility payment gap.