CPT 73564 Radiology
X-ray exam knee 4 or more Cost
Body System: Musculoskeletal
Medicare Facility Rate
$49
CMS PFS CY2026
Medicare Non-Facility Rate
$49
Office/clinic setting
Hospital Outpatient
$107
OPPS rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.21
Work RVU
1.25
Facility PE RVU
0.02
Malpractice RVU
1.48
Total RVU
Cost by Location
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $56 | $72 — $111 |
| AL — ALABAMA | $44 | $57 — $88 |
| AR — ARKANSAS | $43 | $56 — $87 |
| AZ — ARIZONA | $48 | $63 — $97 |
| CA — BAKERSFIELD | $54 | $70 — $107 |
| CA — CHICO | $54 | $70 — $107 |
| CA — EL CENTRO | $54 | $70 — $107 |
| CA — FRESNO | $54 | $70 — $107 |
| CA — HANFORD-CORCORAN | $54 | $70 — $107 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $57 | $75 — $115 |
| CA — MADERA | $54 | $70 — $107 |
| CA — MERCED | $54 | $70 — $107 |
| CA — MODESTO | $54 | $70 — $107 |
| CA — NAPA | $63 | $82 — $126 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $57 | $74 — $115 |
| CA — REDDING | $54 | $70 — $107 |
| CA — REST OF CALIFORNIA | $54 | $70 — $107 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $54 | $70 — $107 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $56 | $73 — $113 |
| CA — SALINAS | $56 | $73 — $113 |
Frequently Asked Questions
How much does X-ray exam knee 4 or more cost?
The Medicare facility rate is $49. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $107.
How much does X-ray exam knee 4 or more cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $49.