72195

Mri scan of pelvis without contrast

Medicare pricing data for 18,302 providers across 52 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $872.07 but Medicare allows only $137.07. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. Prices vary significantly by location — from $67 in West Virginia to $192 in New Jersey. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Mri scan of pelvis without contrast (HCPCS code 72195) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $137.07, but hospitals typically charge $872.07 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$27.41

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $137.07, your out-of-pocket cost would be approximately $27.41. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$137.07
Average Hospital Charge
$872.07
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$872.07
Medicare Allowed$137.07
Medicare Payment$105.59

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $105.59 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$192$1,2824722,446+40.0%
Alaska$183$2,05647181+33.7%
Maryland$179$8663562,251+30.3%
Nevada$173$1,134159736+26.2%
California$173$1,0051,87010,654+26.2%
Delaware$168$93750460+22.4%
Hawaii$167$75233156+21.6%
Florida$163$1,0501,4069,379+19.2%
District of Columbia$157$85853302+14.2%
Arizona$151$9893452,437+10.2%
New York$148$8791,1459,419+8.2%
Rhode Island$146$74850206+6.8%
Puerto Rico$146$25144124+6.6%
Connecticut$145$873226840+6.0%
Minnesota$145$1,1425272,206+5.5%
Colorado$144$7573411,966+4.7%
Texas$138$1,0241,2476,725+0.6%
Alabama$132$8193381,229-3.6%
Washington$131$7604492,100-4.2%
Virginia$129$1,0064362,768-5.8%
Massachusetts$128$8214822,343-6.7%
Wyoming$126$86756177-8.2%
South Carolina$125$8962911,296-9.0%
New Mexico$123$86899400-10.4%
Utah$122$708132505-10.7%
Tennessee$117$7884941,908-14.8%
Louisiana$116$8842711,152-15.6%
Georgia$115$9235982,223-15.8%
Kansas$115$826192911-16.1%
Ohio$113$7265632,988-17.2%
Illinois$112$7998063,418-18.2%
Missouri$112$5743471,956-18.6%
Oregon$109$585230743-20.2%
Mississippi$109$770156611-20.4%
Pennsylvania$109$6167772,945-20.6%
Idaho$108$65983347-20.9%
Kentucky$108$631195709-21.4%
Nebraska$107$597122564-21.6%
North Carolina$105$6496382,896-23.7%
Montana$102$47580287-25.4%
Indiana$101$6473131,164-26.0%
Maine$100$49873210-27.3%
South Dakota$100$58253169-27.3%
Iowa$97$564153507-29.6%
Vermont$96$50035134-29.9%
Michigan$94$6114361,539-31.8%
Oklahoma$92$541180854-32.8%
Wisconsin$92$9083631,071-32.9%
North Dakota$87$39849205-36.2%
New Hampshire$86$929120477-36.9%
Arkansas$78$3402181,767-42.8%
West Virginia$67$28987324-51.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber