73222

Mri scan of arm joint with contrast

Medicare pricing data for 4,467 providers across 49 states

🤖AI Overview

This procedure has a 6.1x markup — hospitals charge $1,105 but Medicare allows only $181.36. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $71 in West Virginia to $321 in Delaware. 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 with contrast (HCPCS code 73222) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $181.36, but hospitals typically charge $1,105 — a 6.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$36.27

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $181.36, your out-of-pocket cost would be approximately $36.27. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$181.36
Average Hospital Charge
$1,105
Markup Ratio
6.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,105.14
Medicare Allowed$181.36
Medicare Payment$140.17

Hospitals charge 6.1x more than what Medicare allows for this procedure. Medicare actually pays $140.17 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$321$1,460413+77.2%
Alaska$314$2,46326153+73.4%
District of Columbia$291$1,359620+60.6%
New Jersey$282$1,29489221+55.4%
Puerto Rico$269$393813+48.5%
Connecticut$269$1,29249113+48.4%
Nevada$253$1,2482982+39.5%
California$242$1,2483471,404+33.6%
Florida$233$1,522247779+28.6%
Maryland$233$1,01856140+28.4%
Arizona$226$1,42868217+24.4%
Washington$220$1,090190977+21.2%
Texas$211$1,1342821,444+16.3%
Alabama$205$1,262153670+13.1%
Massachusetts$200$1,145104259+10.2%
New York$198$847143320+9.4%
Iowa$178$937112347-1.8%
Minnesota$174$1,080114244-3.9%
Colorado$174$85993244-4.0%
Illinois$170$1,117259934-6.2%
Georgia$166$1,422194841-8.3%
North Carolina$165$877169588-9.1%
Kansas$164$71849175-9.3%
Utah$164$85265231-9.6%
Virginia$161$2,242134797-11.2%
South Carolina$161$1,00668230-11.3%
Tennessee$160$854110295-12.1%
Missouri$157$664109393-13.5%
Mississippi$155$1,00546123-14.3%
Kentucky$152$93149152-16.0%
Nebraska$145$63535134-19.9%
Idaho$142$77448393-21.7%
Louisiana$140$1,00254131-22.8%
Oregon$139$58364196-23.4%
Indiana$130$85689253-28.4%
Wisconsin$122$1,219126352-32.6%
Wyoming$115$9632084-36.6%
Oklahoma$113$99939219-37.8%
Pennsylvania$110$527169358-39.4%
Michigan$109$615112353-40.1%
Ohio$107$496111336-41.2%
Maine$103$4141944-43.0%
New Hampshire$103$65738104-43.4%
Montana$93$30630167-49.0%
Arkansas$81$35258232-55.3%
North Dakota$76$2961420-58.0%
Vermont$76$3441017-58.3%
South Dakota$74$260926-59.1%
West Virginia$71$5071324-60.7%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber