Cost analysis for CPT 73564 — X-ray of knee, 4 or more views
Average Medicare Payment
$20.96
2023 data
Total Payments (2023)
$40.6M
Services (2023)
1.6M
Price Change (2014–2023)
+14.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $18.39 | $24.4M | 1.1M | — |
| 2015 | $17.15 | $24.5M | 1.2M | -6.7% |
| 2016 | $16.43 | $25.6M | 1.3M | -4.2% |
| 2017 | $16.53 | $27.0M | 1.4M | +0.6% |
| 2018 | $16.70 | $28.4M | 1.4M | +1.0% |
| 2019 | $17.72 | $32.0M | 1.5M | +6.1% |
| 2020 | $18.95 | $27.4M | 1.2M | +6.9% |
| 2021 | $20.56 | $36.7M | 1.5M | +8.5% |
| 2022 | $20.68 | $38.3M | 1.5M | +0.6% |
| 2023 | $20.96 | $40.6M | 1.6M | +1.4% |
The most expensive state pays 3.8x more than the cheapest for this procedure. NJ averages $31.51 vs VT at $8.23.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $31.51 | $1.7M | 53.0K | 643 |
| AK | $31.04 | $101.0K | 3.3K | 71 |
| RI | $29.80 | $174.3K | 5.8K | 78 |
| MD | $28.63 | $1.3M | 45.7K | 513 |
| TX | $28.38 | $2.7M | 96.5K | 1.1K |
| FL | $28.29 | $3.5M | 124.2K | 1.3K |
| CA | $28.21 | $3.7M | 130.8K | 1.6K |
| TN | $27.85 | $867.0K | 31.1K | 371 |
| AZ | $27.78 | $1.1M | 40.0K | 429 |
| GA | $27.67 | $1.2M | 42.3K | 517 |
| CO | $27.24 | $664.2K | 24.4K | 415 |
| CT | $27.18 | $532.0K | 19.6K | 271 |
| NV | $27.18 | $440.1K | 16.2K | 231 |
| KS | $26.67 | $408.2K | 15.3K | 230 |
| NE | $26.32 | $342.5K | 13.0K | 189 |
| MS | $26.28 | $428.2K | 16.3K | 141 |
| NY | $26.26 | $2.4M | 92.7K | 916 |
| SC | $26.07 | $916.8K | 35.2K | 435 |
| WY | $25.82 | $108.8K | 4.2K | 70 |
| HI | $25.62 | $92.6K | 3.6K | 59 |
| IL | $25.59 | $2.4M | 92.7K | 1.0K |
| UT | $25.38 | $164.8K | 6.5K | 134 |
| IN | $25.16 | $933.4K | 37.1K | 517 |
| VA | $25.13 | $1.6M | 63.0K | 723 |
| WA | $24.88 | $900.9K | 36.2K | 521 |
| NC | $24.74 | $1.3M | 51.8K | 749 |
| GU | $24.57 | $5.2K | 211 | 3 |
| LA | $24.46 | $514.9K | 21.0K | 260 |
| NH | $24.08 | $286.1K | 11.9K | 168 |
| KY | $24.01 | $324.9K | 13.5K | 203 |
| OR | $23.67 | $360.8K | 15.2K | 281 |
| DC | $23.53 | $44.6K | 1.9K | 29 |
| DE | $23.45 | $166.9K | 7.1K | 59 |
| AR | $23.32 | $326.5K | 14.0K | 153 |
| AL | $22.33 | $472.6K | 21.2K | 319 |
| MT | $22.01 | $206.4K | 9.4K | 115 |
| OK | $21.42 | $442.9K | 20.7K | 254 |
| MI | $21.41 | $982.3K | 45.9K | 734 |
| MA | $21.19 | $1.1M | 50.1K | 532 |
| PA | $21.04 | $1.7M | 81.7K | 1.1K |
| IA | $20.74 | $297.6K | 14.3K | 217 |
| MO | $20.46 | $622.3K | 30.4K | 418 |
| OH | $20.08 | $1.1M | 56.2K | 725 |
| NM | $19.71 | $180.1K | 9.1K | 97 |
| SD | $18.73 | $121.7K | 6.5K | 110 |
| MN | $18.51 | $486.9K | 26.3K | 539 |
| WI | $18.28 | $495.9K | 27.1K | 475 |
| ID | $15.37 | $140.1K | 9.1K | 154 |
| ND | $13.60 | $57.4K | 4.2K | 55 |
| ME | $12.15 | $63.6K | 5.2K | 117 |
| WV | $10.43 | $83.8K | 8.0K | 126 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Agdx Inc | Independent Diagnostic Testing Facility (IDTF) | CA | $85.6K | 2.0K | $43.01 |
| Giles Scuderi | Orthopedic Surgery | NY | $66.1K | 1.2K | $57.05 |
| Jonathan Danoff | Orthopedic Surgery | NY | $42.5K | 726 | $58.57 |
| Yogesh Mittal | Orthopedic Surgery | OK | $40.4K | 1.4K | $28.81 |
| William Tucker | Orthopedic Surgery | TX | $40.1K | 1.2K | $33.20 |
| Scott Alpert | Orthopedic Surgery | NY | $38.4K | 748 | $51.30 |
| Mark Golub | Diagnostic Radiology | VA | $37.3K | 2.3K | $16.45 |
| Daniel Kuesis | Orthopedic Surgery | IL | $36.7K | 1.0K | $35.75 |
| Donna Magid | Diagnostic Radiology | MD | $36.3K | 1.1K | $31.85 |
| Andrew Noble | Orthopedic Surgery | FL | $36.1K | 1.0K | $36.04 |
| Edward Stolarski | Orthopedic Surgery | FL | $35.1K | 1.1K | $32.85 |
| Christopher Cannova | Orthopedic Surgery | MD | $34.1K | 812 | $42.04 |
| Joseph Bestic | Diagnostic Radiology | FL | $34.1K | 1.1K | $29.74 |
| Brad Penenberg | Orthopedic Surgery | CA | $34.0K | 846 | $40.23 |
| Paul King | Orthopedic Surgery | MD | $33.0K | 1.1K | $30.63 |
| James Kort | Orthopedic Surgery | AZ | $33.0K | 1.0K | $32.31 |
| John Barrington | Orthopedic Surgery | TX | $32.7K | 974 | $33.57 |
| Barry Simonson | Orthopedic Surgery | NY | $32.5K | 542 | $60.04 |
| Peter Sultan | Orthopedic Surgery | NY | $32.4K | 575 | $56.37 |
| Kevin Lancaster | Physician Assistant | TX | $32.3K | 1.1K | $30.52 |
The data suggests significant pricing inconsistencies for CPT 73564. With a 3.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 14.0% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
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.