Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

73218 Mri scan of arm without contrast CPT · Magnetic Resonance imaging

Classification Imaging › Magnetic Resonance › MRI/MRA - Other (CMS RBCS)

First observed 2013 — start of our 12-year window; the code predates it

National scale 14,419 services ▲ 9.8% YoY · 12,911 beneficiaries (CY2024, Medicare FFS)

Medicare paid $2.4M · $163.70 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

118

Named groups billing this code

Named-group FFS services

4,305

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services · year over year

Services YoY

+9.8%

FFS enrollment -2.2%

Volume, not care. A shrinking fee-for-service denominator is not a shrinking market.

Estimated all-Medicare volume estimate

FFS + estimated MA

~8,635 services

4,305 observed fee-for-service (50%) · ~4,330 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — 73218 (CY2024)

CA 2,501 FL 2,252 NY 2,096 TX 1,091 NJ 613

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$4.7M

Named-group allowed amount

$975K

Named-group Medicare payments

$752K

Avg charge / svc

$1,100

Avg allowed / svc

$227

Avg payment / svc

$175

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$170–412

$412–653

$653–895

$895–1,136

$1,136–1,378

$1,378–1,620

$1,620–1,861

$1,861+

$170 118 groups · avg submitted charge / service $2,756

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

View the live example →

Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by 73218 services, highest first, CY2024
#	Physician group locked column	City locked column	St locked column	Specialty locked column	Providers locked column	73218 svcs	Submitted charges locked column	Avg charge locked column	Medicare $ locked column	Share* locked column	Phone
1	ZWANGER AND PESIRI RADIOLOGY GROUP LLP	LINDENHURST	NY	DIAGNOSTIC RADIOLOGY	91	467	$430,776	$922	premium	22.3%	(631) 225-7200
2	ADVANCED RADIOLOGY P A	BALTIMORE	MD	DIAGNOSTIC RADIOLOGY	161	173	$211,931	$1,225	premium	29.0%	(888) 972-9700
3	SDMI, LLC	LAS VEGAS	NV	DIAGNOSTIC RADIOLOGY	36	156	$187,980	$1,205	premium	81.2%	(702) 732-6000
4	NEW YORK UNIVERSITY	NEW YORK	NY	DIAGNOSTIC RADIOLOGY	5704	120	$237,894	$1,982	premium	5.7%	(212) 263-9700
5	THE ORTHOPAEDIC INSTITUTE, PA	GAINESVILLE	FL	PHYSICIAN ASSISTANT	115	98	$120,246	$1,227	premium	4.4%	(352) 336-6000

That's the top 5 of 118 groups. The platform ranks the whole market — code baskets, benchmarks, and the full ranked list. the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →