Mri scan of pelvis before and after contrast
Medicare pricing data for 19,584 providers across 52 states
This procedure has a 6.8x markup — hospitals charge $1,325 but Medicare allows only $195.55. Uninsured patients may face bills 6.8 times higher than what insurance negotiates. Prices vary significantly by location — from $101 in West Virginia to $284 in Alaska. 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 before and after contrast (HCPCS code 72197) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $195.55, but hospitals typically charge $1,325 — a 6.8x 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 $195.55, your out-of-pocket cost would be approximately $39.11. 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 6.8x more than what Medicare allows for this procedure. Medicare actually pays $149.23 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $284 | $2,910 | 56 | 720 | +45.5% |
| New Jersey | $272 | $1,785 | 515 | 8,820 | +39.3% |
| Maryland | $267 | $1,394 | 414 | 8,369 | +36.7% |
| Nevada | $249 | $1,503 | 151 | 2,188 | +27.2% |
| Florida | $243 | $1,927 | 1,371 | 26,444 | +24.2% |
| New York | $238 | $1,524 | 1,307 | 35,610 | +21.8% |
| California | $234 | $1,584 | 1,992 | 38,863 | +19.9% |
| Rhode Island | $226 | $1,459 | 83 | 1,191 | +15.5% |
| Arizona | $225 | $1,791 | 361 | 9,165 | +15.0% |
| District of Columbia | $224 | $1,296 | 59 | 1,148 | +14.3% |
| Wyoming | $223 | $1,612 | 44 | 502 | +14.3% |
| Puerto Rico | $212 | $290 | 48 | 291 | +8.6% |
| New Mexico | $207 | $1,798 | 101 | 1,644 | +5.7% |
| Minnesota | $206 | $1,864 | 665 | 8,229 | +5.2% |
| Massachusetts | $199 | $1,299 | 580 | 13,348 | +1.7% |
| Hawaii | $198 | $980 | 52 | 856 | +1.3% |
| Connecticut | $193 | $1,165 | 263 | 4,004 | -1.2% |
| Vermont | $193 | $1,262 | 40 | 650 | -1.4% |
| Virginia | $192 | $1,567 | 503 | 10,645 | -1.6% |
| Washington | $192 | $1,063 | 529 | 5,804 | -2.0% |
| Colorado | $190 | $985 | 345 | 5,764 | -2.8% |
| Delaware | $189 | $843 | 51 | 1,647 | -3.6% |
| Texas | $185 | $1,336 | 1,369 | 23,418 | -5.4% |
| Tennessee | $182 | $1,160 | 376 | 5,110 | -7.1% |
| Idaho | $176 | $1,359 | 103 | 1,402 | -10.0% |
| Oregon | $175 | $1,025 | 261 | 3,332 | -10.4% |
| Pennsylvania | $164 | $970 | 877 | 14,740 | -16.0% |
| Kansas | $164 | $744 | 198 | 2,601 | -16.2% |
| Illinois | $162 | $1,157 | 881 | 13,271 | -17.4% |
| North Carolina | $157 | $1,180 | 630 | 9,460 | -19.9% |
| South Carolina | $157 | $1,334 | 269 | 5,509 | -19.9% |
| Arkansas | $153 | $710 | 209 | 3,009 | -21.8% |
| Louisiana | $152 | $853 | 263 | 3,445 | -22.1% |
| Iowa | $151 | $847 | 187 | 2,524 | -22.7% |
| Utah | $151 | $907 | 136 | 1,360 | -22.9% |
| Montana | $148 | $918 | 70 | 957 | -24.5% |
| Alabama | $146 | $825 | 314 | 3,411 | -25.6% |
| Nebraska | $144 | $827 | 137 | 2,197 | -26.1% |
| Missouri | $140 | $765 | 409 | 6,874 | -28.4% |
| Kentucky | $138 | $676 | 186 | 2,333 | -29.2% |
| Ohio | $136 | $918 | 574 | 8,641 | -30.3% |
| Georgia | $136 | $978 | 523 | 8,610 | -30.3% |
| Indiana | $130 | $684 | 321 | 3,446 | -33.5% |
| Maine | $128 | $658 | 82 | 1,058 | -34.6% |
| Michigan | $127 | $608 | 550 | 7,413 | -35.0% |
| New Hampshire | $127 | $1,182 | 124 | 1,829 | -35.2% |
| Mississippi | $122 | $807 | 141 | 1,731 | -37.6% |
| South Dakota | $120 | $550 | 59 | 649 | -38.9% |
| Wisconsin | $119 | $1,287 | 472 | 4,924 | -38.9% |
| North Dakota | $112 | $464 | 63 | 786 | -42.7% |
| Oklahoma | $108 | $508 | 163 | 2,138 | -44.8% |
| West Virginia | $101 | $435 | 88 | 821 | -48.5% |
⚠️ 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