Mri scan of pelvis without contrast
Medicare pricing data for 18,302 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $192 | $1,282 | 472 | 2,446 | +40.0% |
| Alaska | $183 | $2,056 | 47 | 181 | +33.7% |
| Maryland | $179 | $866 | 356 | 2,251 | +30.3% |
| Nevada | $173 | $1,134 | 159 | 736 | +26.2% |
| California | $173 | $1,005 | 1,870 | 10,654 | +26.2% |
| Delaware | $168 | $937 | 50 | 460 | +22.4% |
| Hawaii | $167 | $752 | 33 | 156 | +21.6% |
| Florida | $163 | $1,050 | 1,406 | 9,379 | +19.2% |
| District of Columbia | $157 | $858 | 53 | 302 | +14.2% |
| Arizona | $151 | $989 | 345 | 2,437 | +10.2% |
| New York | $148 | $879 | 1,145 | 9,419 | +8.2% |
| Rhode Island | $146 | $748 | 50 | 206 | +6.8% |
| Puerto Rico | $146 | $251 | 44 | 124 | +6.6% |
| Connecticut | $145 | $873 | 226 | 840 | +6.0% |
| Minnesota | $145 | $1,142 | 527 | 2,206 | +5.5% |
| Colorado | $144 | $757 | 341 | 1,966 | +4.7% |
| Texas | $138 | $1,024 | 1,247 | 6,725 | +0.6% |
| Alabama | $132 | $819 | 338 | 1,229 | -3.6% |
| Washington | $131 | $760 | 449 | 2,100 | -4.2% |
| Virginia | $129 | $1,006 | 436 | 2,768 | -5.8% |
| Massachusetts | $128 | $821 | 482 | 2,343 | -6.7% |
| Wyoming | $126 | $867 | 56 | 177 | -8.2% |
| South Carolina | $125 | $896 | 291 | 1,296 | -9.0% |
| New Mexico | $123 | $868 | 99 | 400 | -10.4% |
| Utah | $122 | $708 | 132 | 505 | -10.7% |
| Tennessee | $117 | $788 | 494 | 1,908 | -14.8% |
| Louisiana | $116 | $884 | 271 | 1,152 | -15.6% |
| Georgia | $115 | $923 | 598 | 2,223 | -15.8% |
| Kansas | $115 | $826 | 192 | 911 | -16.1% |
| Ohio | $113 | $726 | 563 | 2,988 | -17.2% |
| Illinois | $112 | $799 | 806 | 3,418 | -18.2% |
| Missouri | $112 | $574 | 347 | 1,956 | -18.6% |
| Oregon | $109 | $585 | 230 | 743 | -20.2% |
| Mississippi | $109 | $770 | 156 | 611 | -20.4% |
| Pennsylvania | $109 | $616 | 777 | 2,945 | -20.6% |
| Idaho | $108 | $659 | 83 | 347 | -20.9% |
| Kentucky | $108 | $631 | 195 | 709 | -21.4% |
| Nebraska | $107 | $597 | 122 | 564 | -21.6% |
| North Carolina | $105 | $649 | 638 | 2,896 | -23.7% |
| Montana | $102 | $475 | 80 | 287 | -25.4% |
| Indiana | $101 | $647 | 313 | 1,164 | -26.0% |
| Maine | $100 | $498 | 73 | 210 | -27.3% |
| South Dakota | $100 | $582 | 53 | 169 | -27.3% |
| Iowa | $97 | $564 | 153 | 507 | -29.6% |
| Vermont | $96 | $500 | 35 | 134 | -29.9% |
| Michigan | $94 | $611 | 436 | 1,539 | -31.8% |
| Oklahoma | $92 | $541 | 180 | 854 | -32.8% |
| Wisconsin | $92 | $908 | 363 | 1,071 | -32.9% |
| North Dakota | $87 | $398 | 49 | 205 | -36.2% |
| New Hampshire | $86 | $929 | 120 | 477 | -36.9% |
| Arkansas | $78 | $340 | 218 | 1,767 | -42.8% |
| West Virginia | $67 | $289 | 87 | 324 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber