73221

Mri scan of arm joint without contrast

Medicare pricing data for 20,996 providers across 52 states

🤖AI Overview

This procedure has a 6.9x markup — hospitals charge $896.08 but Medicare allows only $130.71. Uninsured patients may face bills 6.9 times higher than what insurance negotiates. Prices vary significantly by location — from $65 in West Virginia to $187 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 arm joint without contrast (HCPCS code 73221) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $130.71, but hospitals typically charge $896.08 — a 6.9x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.14

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $130.71, your out-of-pocket cost would be approximately $26.14. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$130.71
Average Hospital Charge
$896.08
Markup Ratio
6.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$896.08
Medicare Allowed$130.71
Medicare Payment$98.43

Hospitals charge 6.9x more than what Medicare allows for this procedure. Medicare actually pays $98.43 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$187$2,039911,037+42.9%
New Jersey$186$1,29647114,420+42.1%
Maryland$170$86827911,436+30.3%
Rhode Island$168$899741,316+28.8%
District of Columbia$168$1,01031936+28.5%
California$165$9901,88858,888+26.2%
Hawaii$162$761441,012+23.6%
New York$160$1,1141,03334,082+22.8%
Delaware$160$990541,905+22.1%
Florida$158$1,0871,37542,459+21.2%
Connecticut$158$1,0072765,062+20.8%
Nevada$155$1,1792395,535+18.4%
Arizona$152$86929410,881+16.3%
Massachusetts$136$1,03840413,745+4.1%
Texas$130$1,1051,25833,257-0.4%
Wyoming$130$1,057861,906-0.9%
Puerto Rico$128$25684848-1.7%
Colorado$128$77539413,221-1.9%
Virginia$127$96839816,076-3.0%
Washington$125$71262310,401-4.7%
Alabama$122$8094907,166-6.5%
Minnesota$119$7866479,948-8.7%
New Mexico$118$9591022,287-10.0%
Utah$117$6521812,981-10.5%
South Carolina$116$83241910,431-11.4%
Georgia$116$1,10179714,060-11.6%
Illinois$115$9761,06520,626-12.1%
Mississippi$113$1,0251965,220-13.4%
Montana$112$6251222,000-13.9%
Louisiana$112$8933726,226-14.3%
Kentucky$111$8462755,055-15.4%
Oregon$110$6303095,208-16.0%
Kansas$109$6672724,636-16.9%
South Dakota$108$6881391,712-17.1%
Tennessee$107$71174214,998-17.9%
North Carolina$107$72281716,039-18.1%
Pennsylvania$106$62375717,551-18.7%
Missouri$105$62630711,433-19.9%
New Hampshire$105$1,2461642,384-19.9%
Indiana$104$8414358,285-20.2%
Oklahoma$100$6862336,910-23.6%
Iowa$97$6542814,507-25.6%
Ohio$95$58973622,747-27.2%
Wisconsin$93$1,0364816,401-29.0%
Nebraska$92$4971463,666-30.0%
Maine$91$4601112,618-30.4%
Michigan$90$5543989,907-31.1%
Vermont$88$40229809-32.8%
Idaho$87$547902,438-33.1%
North Dakota$81$393771,241-38.4%
Arkansas$77$4172988,276-40.9%
West Virginia$65$299951,517-50.6%

⚠️ 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