Cost analysis for CPT 73221 — Mri scan of arm joint without contrast
Average Medicare Payment
$91.55
2023 data
Total Payments (2023)
$47.0M
Services (2023)
472.7K
Price Change (2014–2023)
-14.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $106.94 | $49.9M | 441.5K | — |
| 2015 | $99.32 | $48.1M | 455.7K | -7.1% |
| 2016 | $97.56 | $49.2M | 471.3K | -1.8% |
| 2017 | $98.45 | $50.6M | 477.8K | +0.9% |
| 2018 | $98.98 | $52.7M | 493.6K | +0.5% |
| 2019 | $99.22 | $53.5M | 503.1K | +0.2% |
| 2020 | $99.59 | $44.2M | 412.8K | +0.4% |
| 2021 | $98.72 | $48.3M | 451.6K | -0.9% |
| 2022 | $93.64 | $46.0M | 453.3K | -5.1% |
| 2023 | $91.55 | $47.0M | 472.7K | -2.2% |
The most expensive state pays 3.0x more than the cheapest for this procedure. NJ averages $145.61 vs WV at $48.25.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $145.61 | $1.9M | 13.4K | 188 |
| AK | $140.34 | $109.7K | 782 | 18 |
| MD | $132.30 | $1.4M | 10.8K | 114 |
| RI | $131.83 | $144.5K | 1.1K | 24 |
| HI | $127.84 | $117.1K | 916 | 16 |
| DC | $126.48 | $110.3K | 872 | 11 |
| CA | $126.08 | $6.9M | 55.0K | 794 |
| NY | $123.62 | $3.9M | 31.8K | 399 |
| DE | $121.74 | $221.7K | 1.8K | 26 |
| FL | $120.89 | $4.8M | 39.5K | 527 |
| CT | $120.82 | $534.4K | 4.4K | 88 |
| NV | $117.35 | $574.9K | 4.9K | 86 |
| AZ | $114.64 | $1.2M | 10.3K | 123 |
| MA | $105.60 | $1.4M | 13.0K | 182 |
| TX | $99.10 | $3.0M | 30.7K | 488 |
| VA | $97.16 | $1.5M | 15.4K | 196 |
| WY | $95.34 | $165.4K | 1.7K | 43 |
| CO | $94.78 | $1.2M | 12.6K | 185 |
| AL | $93.60 | $545.0K | 5.8K | 173 |
| WA | $91.91 | $839.6K | 9.1K | 177 |
| NM | $89.22 | $181.8K | 2.0K | 44 |
| SC | $87.91 | $842.8K | 9.6K | 158 |
| IL | $87.46 | $1.6M | 18.0K | 390 |
| MN | $86.99 | $735.8K | 8.5K | 188 |
| GA | $86.94 | $1.1M | 12.2K | 266 |
| MS | $86.74 | $422.2K | 4.9K | 87 |
| LA | $86.31 | $456.9K | 5.3K | 133 |
| UT | $85.68 | $224.1K | 2.6K | 62 |
| KY | $83.35 | $369.3K | 4.4K | 106 |
| PA | $81.57 | $1.3M | 15.9K | 298 |
| MT | $80.90 | $143.7K | 1.8K | 53 |
| NC | $79.97 | $1.1M | 14.3K | 274 |
| TN | $79.60 | $1.0M | 13.2K | 252 |
| OR | $78.75 | $360.1K | 4.6K | 93 |
| KS | $78.52 | $316.6K | 4.0K | 81 |
| MO | $78.10 | $858.7K | 11.0K | 158 |
| NH | $77.23 | $157.2K | 2.0K | 62 |
| PR | $77.20 | $38.7K | 501 | 9 |
| IN | $77.08 | $561.8K | 7.3K | 149 |
| OK | $75.28 | $494.5K | 6.6K | 107 |
| SD | $71.16 | $98.8K | 1.4K | 35 |
| IA | $71.14 | $274.5K | 3.9K | 83 |
| OH | $71.11 | $1.5M | 21.4K | 283 |
| ME | $68.48 | $160.0K | 2.3K | 38 |
| MI | $68.17 | $617.0K | 9.1K | 159 |
| NE | $67.68 | $232.3K | 3.4K | 70 |
| VT | $66.68 | $51.4K | 771 | 18 |
| WI | $65.77 | $337.6K | 5.1K | 139 |
| ID | $64.78 | $151.3K | 2.3K | 32 |
| AR | $56.45 | $434.6K | 7.7K | 120 |
| ND | $54.07 | $56.1K | 1.0K | 28 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Adam Olmsted | Diagnostic Radiology | OH | $270.3K | 3.7K | $73.28 |
| Mark Decker | Diagnostic Radiology | NY | $202.8K | 1.1K | $182.23 |
| Gilbert Maulsby | Diagnostic Radiology | OH | $163.1K | 1.6K | $104.16 |
| Gateway Diagnostic Imaging Llc | Independent Diagnostic Testing Facility (IDTF) | TX | $153.8K | 1.0K | $147.93 |
| Steve Sharon | Diagnostic Radiology | NY | $145.4K | 752 | $193.36 |
| Matthew Herczyk | Diagnostic Radiology | VA | $136.0K | 1.0K | $130.61 |
| Gregory Applegate | Diagnostic Radiology | CA | $127.5K | 892 | $142.97 |
| Ross Borzykowski | Diagnostic Radiology | FL | $115.8K | 829 | $139.64 |
| Alvin Wyatt | Diagnostic Radiology | CA | $108.3K | 727 | $148.99 |
| Alex Rosioreanu | Diagnostic Radiology | NY | $104.2K | 542 | $192.17 |
| Roman Rozin | Diagnostic Radiology | FL | $103.1K | 1.0K | $98.48 |
| Cono Gallo | Diagnostic Radiology | NY | $102.9K | 548 | $187.71 |
| Alison Nguyen | Diagnostic Radiology | NV | $94.8K | 638 | $148.62 |
| Samir Chheda | Diagnostic Radiology | NJ | $93.2K | 514 | $181.26 |
| Stephen Shinault | Diagnostic Radiology | AZ | $91.4K | 844 | $108.28 |
| Timothy Greenan | Diagnostic Radiology | MD | $87.0K | 951 | $91.49 |
| Steven Needell | Diagnostic Radiology | FL | $85.8K | 820 | $104.67 |
| Saman Panahipour | Diagnostic Radiology | CA | $82.6K | 502 | $164.51 |
| Douglas Adolphson | Diagnostic Radiology | FL | $77.4K | 525 | $147.44 |
| Henry Janssen | Diagnostic Radiology | NY | $75.4K | 753 | $100.17 |
The data suggests significant pricing inconsistencies for CPT 73221. With a 3.0x 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 14.4% 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.