Cost analysis for CPT 73562 — X-ray of knee, 3 views
Average Medicare Payment
$17.07
2023 data
Total Payments (2023)
$43.6M
Services (2023)
2.1M
Price Change (2014–2023)
+2.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $16.74 | $38.3M | 2.0M | — |
| 2015 | $15.22 | $36.1M | 2.1M | -9.1% |
| 2016 | $15.13 | $39.1M | 2.2M | -0.6% |
| 2017 | $15.03 | $40.2M | 2.3M | -0.7% |
| 2018 | $15.04 | $41.0M | 2.3M | +0.1% |
| 2019 | $15.77 | $44.0M | 2.4M | +4.9% |
| 2020 | $16.43 | $35.6M | 1.8M | +4.2% |
| 2021 | $17.41 | $42.5M | 2.0M | +6.0% |
| 2022 | $17.28 | $43.1M | 2.1M | -0.7% |
| 2023 | $17.07 | $43.6M | 2.1M | -1.2% |
The most expensive state pays 4.8x more than the cheapest for this procedure. NJ averages $28.56 vs AA at $5.96.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $28.56 | $1.8M | 63.3K | 793 |
| DE | $26.47 | $326.6K | 12.3K | 79 |
| NV | $24.48 | $321.6K | 13.1K | 188 |
| RI | $24.44 | $237.9K | 9.7K | 130 |
| CT | $24.02 | $509.9K | 21.2K | 312 |
| FL | $24.00 | $3.5M | 144.3K | 1.7K |
| MD | $23.42 | $1.5M | 63.6K | 587 |
| DC | $22.85 | $115.3K | 5.0K | 59 |
| NY | $22.43 | $3.2M | 142.7K | 1.4K |
| NC | $21.94 | $1.6M | 73.7K | 1.1K |
| AL | $21.87 | $515.2K | 23.6K | 341 |
| CA | $21.86 | $4.1M | 188.7K | 2.2K |
| VA | $21.83 | $1.4M | 64.2K | 706 |
| VI | $21.81 | $8.3K | 382 | 7 |
| AZ | $21.75 | $1.0M | 47.0K | 533 |
| GA | $21.64 | $1.2M | 54.1K | 827 |
| TN | $21.22 | $1.3M | 60.8K | 785 |
| KY | $21.10 | $657.7K | 31.2K | 372 |
| SC | $21.08 | $909.6K | 43.2K | 473 |
| UT | $20.68 | $388.2K | 18.8K | 271 |
| CO | $20.53 | $893.3K | 43.5K | 599 |
| AK | $20.52 | $82.3K | 4.0K | 84 |
| PA | $20.47 | $1.9M | 91.4K | 919 |
| NH | $20.04 | $243.5K | 12.2K | 161 |
| TX | $19.55 | $2.7M | 140.3K | 1.9K |
| LA | $19.35 | $544.8K | 28.2K | 370 |
| WY | $19.19 | $80.9K | 4.2K | 69 |
| PR | $19.09 | $6.9K | 364 | 12 |
| IL | $19.07 | $1.8M | 94.5K | 1.1K |
| MA | $18.83 | $1.2M | 61.1K | 668 |
| MS | $18.67 | $369.2K | 19.8K | 227 |
| KS | $18.26 | $569.3K | 31.2K | 355 |
| WA | $18.25 | $665.0K | 36.4K | 560 |
| MI | $17.93 | $955.6K | 53.3K | 870 |
| IN | $17.67 | $784.0K | 44.4K | 584 |
| AR | $17.60 | $398.5K | 22.6K | 271 |
| HI | $17.58 | $98.9K | 5.6K | 91 |
| OH | $17.44 | $1.1M | 65.4K | 885 |
| IA | $16.70 | $538.8K | 32.3K | 370 |
| OR | $16.23 | $350.3K | 21.6K | 346 |
| MN | $16.21 | $757.0K | 46.7K | 765 |
| GU | $16.16 | $3.6K | 224 | 6 |
| MT | $16.04 | $134.3K | 8.4K | 110 |
| NE | $15.96 | $287.8K | 18.0K | 243 |
| OK | $15.73 | $542.7K | 34.5K | 390 |
| MO | $15.60 | $712.6K | 45.7K | 636 |
| WI | $15.20 | $508.3K | 33.4K | 510 |
| SD | $15.07 | $134.2K | 8.9K | 127 |
| NM | $14.80 | $198.3K | 13.4K | 156 |
| AP | $14.23 | $2.0K | 139 | 3 |
| WV | $13.77 | $136.1K | 9.9K | 143 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Integrated Health Administrative Services Inc. | Portable X-Ray Supplier | NY | $75.3K | 4.9K | $15.45 |
| Symphony Diagnostic Services No 1 Llc | Portable X-Ray Supplier | MD | $70.0K | 4.9K | $14.18 |
| Edward Humbert | Orthopedic Surgery | FL | $67.4K | 1.8K | $36.76 |
| Thomas John | Orthopedic Surgery | NJ | $55.3K | 1.5K | $36.83 |
| Berger And Burrow Enterprises Inc. | Portable X-Ray Supplier | VA | $45.9K | 2.5K | $18.60 |
| John Dearborn | Orthopedic Surgery | CA | $45.1K | 1.7K | $26.89 |
| Michael Nett | Orthopedic Surgery | NY | $44.5K | 962 | $46.28 |
| Steven Barnett | Orthopedic Surgery | CA | $44.0K | 1.2K | $35.73 |
| Kirk Kindsfater | Orthopedic Surgery | CO | $41.2K | 1.3K | $30.75 |
| Giles Scuderi | Orthopedic Surgery | NY | $40.4K | 897 | $45.00 |
| Leonidas Raisis | Orthopedic Surgery | DE | $38.8K | 1.3K | $30.52 |
| Preventive Diagnostics Inc | Portable X-Ray Supplier | OH | $38.7K | 2.4K | $15.98 |
| Michael Bohan | Orthopedic Surgery | SC | $37.6K | 1.4K | $27.59 |
| Ramin Ganjianpour | Orthopedic Surgery | CA | $37.4K | 1.1K | $33.47 |
| Michael Pitta | Orthopedic Surgery | CA | $37.2K | 1.2K | $31.29 |
| Sergio Martinez | Orthopedic Surgery | FL | $36.9K | 1.3K | $28.86 |
| Howard Kapp | Orthopedic Surgery | FL | $36.2K | 1.3K | $28.41 |
| Nam Dinh | Orthopedic Surgery | FL | $35.5K | 1.2K | $29.71 |
| Ayal Segal | Orthopedic Surgery | NY | $35.0K | 813 | $43.08 |
| Eric Lebby | Orthopedic Surgery | PA | $34.2K | 1.2K | $27.91 |
The data suggests significant pricing inconsistencies for CPT 73562. With a 4.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.