Cost analysis for CPT 72197 — Mri scan of pelvis before and after contrast
Average Medicare Payment
$131.27
2023 data
Total Payments (2023)
$44.0M
Services (2023)
287.7K
Price Change (2014–2023)
-29.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $185.81 | $11.2M | 57.2K | — |
| 2015 | $183.09 | $15.0M | 76.9K | -1.5% |
| 2016 | $176.12 | $19.6M | 99.7K | -3.8% |
| 2017 | $174.87 | $24.5M | 124.0K | -0.7% |
| 2018 | $155.35 | $26.4M | 149.9K | -11.2% |
| 2019 | $152.11 | $31.1M | 180.3K | -2.1% |
| 2020 | $149.26 | $30.2M | 176.7K | -1.9% |
| 2021 | $147.35 | $37.1M | 220.3K | -1.3% |
| 2022 | $138.44 | $40.5M | 256.5K | -6.0% |
| 2023 | $131.27 | $44.0M | 287.7K | -5.2% |
The most expensive state pays 3.1x more than the cheapest for this procedure. AK averages $229.96 vs OK at $73.47.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $229.96 | $130.8K | 569 | 9 |
| NJ | $219.86 | $1.6M | 7.4K | 121 |
| MD | $209.61 | $1.6M | 7.5K | 116 |
| NV | $197.44 | $365.5K | 1.9K | 29 |
| WY | $192.78 | $69.0K | 358 | 11 |
| FL | $192.38 | $4.5M | 23.2K | 332 |
| NY | $186.04 | $6.1M | 32.5K | 359 |
| CA | $183.35 | $6.3M | 34.4K | 501 |
| RI | $181.12 | $174.2K | 962 | 21 |
| AZ | $175.36 | $1.5M | 8.3K | 95 |
| DC | $169.61 | $176.9K | 1.0K | 18 |
| MN | $168.27 | $1.1M | 6.4K | 144 |
| NM | $164.00 | $233.5K | 1.4K | 18 |
| HI | $154.68 | $117.6K | 760 | 15 |
| MA | $153.99 | $1.9M | 12.1K | 187 |
| VT | $151.76 | $82.1K | 541 | 9 |
| CT | $151.76 | $513.7K | 3.4K | 71 |
| VA | $149.02 | $1.4M | 9.3K | 112 |
| WA | $148.58 | $672.2K | 4.5K | 87 |
| CO | $145.27 | $708.8K | 4.9K | 83 |
| DE | $145.04 | $223.5K | 1.5K | 15 |
| TX | $143.73 | $2.9M | 20.1K | 321 |
| TN | $143.00 | $601.0K | 4.2K | 75 |
| ID | $136.78 | $162.8K | 1.2K | 30 |
| PR | $134.43 | $21.5K | 160 | 4 |
| OR | $132.91 | $352.9K | 2.7K | 44 |
| PA | $129.33 | $1.7M | 12.8K | 199 |
| IL | $124.84 | $1.4M | 11.4K | 248 |
| KS | $123.80 | $264.7K | 2.1K | 44 |
| SC | $120.76 | $592.5K | 4.9K | 70 |
| NC | $120.10 | $970.4K | 8.1K | 155 |
| LA | $117.42 | $333.3K | 2.8K | 44 |
| AR | $115.64 | $299.6K | 2.6K | 53 |
| IA | $112.83 | $234.7K | 2.1K | 50 |
| NE | $112.12 | $219.2K | 2.0K | 37 |
| MT | $107.51 | $83.8K | 779 | 16 |
| MO | $107.38 | $630.6K | 5.9K | 113 |
| AL | $106.38 | $285.7K | 2.7K | 54 |
| KY | $105.17 | $204.9K | 1.9K | 47 |
| OH | $104.94 | $780.2K | 7.4K | 133 |
| UT | $103.80 | $111.3K | 1.1K | 33 |
| GA | $103.72 | $781.7K | 7.5K | 118 |
| MI | $97.43 | $596.1K | 6.1K | 142 |
| IN | $96.47 | $259.2K | 2.7K | 61 |
| ME | $93.97 | $86.0K | 915 | 20 |
| NH | $91.10 | $140.7K | 1.5K | 33 |
| MS | $89.40 | $123.5K | 1.4K | 34 |
| WI | $85.48 | $326.2K | 3.8K | 110 |
| SD | $82.68 | $44.1K | 533 | 14 |
| ND | $78.68 | $49.6K | 630 | 13 |
| WV | $75.56 | $47.7K | 631 | 19 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Grygori Gerasymchuk | Diagnostic Radiology | FL | $402.6K | 1.6K | $251.01 |
| Jason Chalifoux | Diagnostic Radiology | NY | $351.7K | 1.5K | $236.65 |
| Matthew Comito | Diagnostic Radiology | NY | $334.7K | 1.1K | $316.94 |
| Anthony Gilet | Diagnostic Radiology | NY | $320.3K | 1.0K | $319.66 |
| Aleksandr Morim | Diagnostic Radiology | NY | $272.6K | 863 | $315.88 |
| Gateway Diagnostic Imaging Llc | Independent Diagnostic Testing Facility (IDTF) | TX | $266.9K | 1.0K | $256.87 |
| Joshua Friedlander | Diagnostic Radiology | CA | $222.8K | 813 | $274.10 |
| Robert Princenthal | Diagnostic Radiology | CA | $199.7K | 719 | $277.78 |
| Martin Cohen | Diagnostic Radiology | CA | $182.5K | 653 | $279.48 |
| Baystate Mri & Imaging Center, Llc | Independent Diagnostic Testing Facility (IDTF) | MA | $180.4K | 652 | $276.75 |
| Alex Lewis | Diagnostic Radiology | FL | $180.4K | 731 | $246.81 |
| Adel Salehi | Diagnostic Radiology | TX | $167.4K | 599 | $279.44 |
| Jonathan Wiener | Diagnostic Radiology | FL | $158.5K | 678 | $233.73 |
| Robert Waxman | Diagnostic Radiology | NJ | $151.0K | 482 | $313.21 |
| Ross Schwartzberg | Diagnostic Radiology | CA | $131.5K | 421 | $312.44 |
| Hong Meng | Diagnostic Radiology | NY | $129.8K | 405 | $320.45 |
| Inova Health Care Services | Independent Diagnostic Testing Facility (IDTF) | VA | $129.5K | 590 | $219.43 |
| Michelle Garnett | Diagnostic Radiology | VA | $129.4K | 507 | $255.20 |
| The Medical Imaging Partnership-Jax1 Llc | Independent Diagnostic Testing Facility (IDTF) | FL | $129.2K | 508 | $254.32 |
| Swdic Imaging Center Partnership, Llp | Independent Diagnostic Testing Facility (IDTF) | TX | $127.5K | 695 | $183.48 |
The data suggests significant pricing inconsistencies for CPT 72197. With a 3.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 29.4% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.