Cost analysis for CPT 74183 — Mri scan of abdomen before and after contrast
Average Medicare Payment
$130.71
2023 data
Total Payments (2023)
$62.8M
Services (2023)
443.7K
Price Change (2014–2023)
-27.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $179.66 | $33.3M | 184.2K | — |
| 2015 | $175.95 | $37.0M | 208.3K | -2.1% |
| 2016 | $170.20 | $42.1M | 237.0K | -3.3% |
| 2017 | $168.47 | $46.1M | 258.9K | -1.0% |
| 2018 | $150.16 | $45.1M | 285.5K | -10.9% |
| 2019 | $145.99 | $50.0M | 323.0K | -2.8% |
| 2020 | $145.50 | $47.3M | 305.0K | -0.3% |
| 2021 | $143.17 | $55.2M | 357.9K | -1.6% |
| 2022 | $135.18 | $57.5M | 394.7K | -5.6% |
| 2023 | $130.71 | $62.8M | 443.7K | -3.3% |
The most expensive state pays 3.8x more than the cheapest for this procedure. GU averages $290.16 vs WV at $75.46.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $290.16 | $31.0K | 107 | 3 |
| PR | $217.52 | $25.7K | 118 | 5 |
| NJ | $206.76 | $2.7M | 13.0K | 209 |
| MD | $199.55 | $2.4M | 12.2K | 174 |
| FL | $188.17 | $6.0M | 31.7K | 503 |
| NY | $183.53 | $8.6M | 46.9K | 500 |
| NV | $180.96 | $341.7K | 1.9K | 41 |
| NM | $170.27 | $430.4K | 2.5K | 28 |
| AZ | $168.29 | $1.9M | 11.5K | 120 |
| DC | $167.83 | $298.1K | 1.8K | 22 |
| CA | $164.56 | $6.6M | 40.0K | 693 |
| AK | $160.64 | $106.3K | 662 | 16 |
| VT | $155.93 | $129.6K | 831 | 18 |
| WY | $153.32 | $66.5K | 434 | 18 |
| RI | $150.97 | $322.3K | 2.1K | 43 |
| MN | $144.80 | $1.5M | 10.6K | 255 |
| CT | $143.03 | $981.9K | 6.9K | 101 |
| DE | $142.72 | $325.7K | 2.3K | 21 |
| MA | $139.75 | $3.4M | 24.4K | 278 |
| TX | $139.73 | $4.1M | 29.6K | 497 |
| WA | $136.33 | $1.0M | 7.7K | 158 |
| CO | $132.64 | $888.6K | 6.7K | 125 |
| KS | $131.40 | $345.5K | 2.6K | 52 |
| VA | $130.63 | $2.0M | 15.2K | 199 |
| HI | $129.88 | $124.6K | 959 | 27 |
| XX | $126.71 | $13.7K | 108 | 2 |
| TN | $125.82 | $713.3K | 5.7K | 131 |
| PA | $124.40 | $3.0M | 24.0K | 339 |
| ID | $115.56 | $231.3K | 2.0K | 40 |
| NC | $115.31 | $1.6M | 14.2K | 233 |
| OR | $112.85 | $432.9K | 3.8K | 70 |
| AL | $112.80 | $330.8K | 2.9K | 64 |
| SC | $111.14 | $707.5K | 6.4K | 114 |
| IL | $109.30 | $2.4M | 21.5K | 387 |
| UT | $107.10 | $163.6K | 1.5K | 45 |
| AR | $105.27 | $304.8K | 2.9K | 85 |
| LA | $104.07 | $206.3K | 2.0K | 67 |
| GA | $103.80 | $1.5M | 14.5K | 186 |
| ME | $102.65 | $175.5K | 1.7K | 37 |
| NH | $102.11 | $295.9K | 2.9K | 68 |
| IA | $100.88 | $327.7K | 3.2K | 60 |
| MT | $99.45 | $103.9K | 1.0K | 28 |
| MS | $96.73 | $221.7K | 2.3K | 55 |
| KY | $96.15 | $265.2K | 2.8K | 74 |
| NE | $94.21 | $227.5K | 2.4K | 55 |
| MO | $93.81 | $1.1M | 11.3K | 156 |
| WI | $93.57 | $616.5K | 6.6K | 151 |
| OH | $93.48 | $1.1M | 11.7K | 189 |
| IN | $93.00 | $514.0K | 5.5K | 117 |
| SD | $91.91 | $64.4K | 701 | 14 |
| MI | $90.62 | $1.1M | 12.7K | 229 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Aleksandr Morim | Diagnostic Radiology | NY | $371.4K | 1.1K | $334.94 |
| Christopher Chin | Diagnostic Radiology | NY | $251.4K | 765 | $328.58 |
| Inova Health Care Services | Independent Diagnostic Testing Facility (IDTF) | VA | $181.0K | 772 | $234.43 |
| Philip Beuchert | Diagnostic Radiology | NY | $167.9K | 500 | $335.90 |
| Matthew Comito | Diagnostic Radiology | NY | $154.8K | 465 | $332.96 |
| Jason Chalifoux | Diagnostic Radiology | NY | $147.5K | 891 | $165.49 |
| Ronak Talati | Diagnostic Radiology | NY | $139.4K | 428 | $325.73 |
| Mark Carter | Diagnostic Radiology | FL | $136.8K | 522 | $262.10 |
| Yaniv Raphael | Diagnostic Radiology | CA | $125.8K | 613 | $205.22 |
| Chiedozie Mkpolulu | Diagnostic Radiology | FL | $125.0K | 496 | $251.95 |
| Balasubramanya Rangaswamy | Diagnostic Radiology | PA | $123.9K | 502 | $246.82 |
| Lawrence Leigh | Diagnostic Radiology | FL | $120.8K | 456 | $264.81 |
| Danielle Matta | Diagnostic Radiology | FL | $118.8K | 444 | $267.47 |
| Gateway Diagnostic Imaging Llc | Independent Diagnostic Testing Facility (IDTF) | TX | $112.1K | 435 | $257.73 |
| Matthew Heller | Diagnostic Radiology | AZ | $111.3K | 434 | $256.37 |
| Shalini Chabra | Diagnostic Radiology | AZ | $109.5K | 428 | $255.84 |
| Rupan Sanyal | Diagnostic Radiology | FL | $104.5K | 409 | $255.39 |
| Amy Salinas | Diagnostic Radiology | TX | $102.6K | 597 | $171.88 |
| Scott Stickles | Diagnostic Radiology | NY | $102.0K | 630 | $161.97 |
| Hong Meng | Diagnostic Radiology | NY | $101.4K | 301 | $336.79 |
The data suggests significant pricing inconsistencies for CPT 74183. 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.
While costs have decreased 27.2% 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.