73223

Mri scan of arm joint before and after contrast

Medicare pricing data for 7,036 providers across 52 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $1,146 but Medicare allows only $200.43. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $98 in West Virginia to $302 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 arm joint before and after contrast (HCPCS code 73223) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $200.43, but hospitals typically charge $1,146 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$40.09

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $200.43, your out-of-pocket cost would be approximately $40.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$200.43
Average Hospital Charge
$1,146
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,145.84
Medicare Allowed$200.43
Medicare Payment$155.89

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $155.89 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$302$1,510185449+50.7%
Rhode Island$299$1,6482168+49.1%
District of Columbia$291$1,5931147+45.1%
Puerto Rico$281$449922+40.4%
Maryland$281$1,285122364+40.0%
California$274$1,5436881,956+36.7%
Hawaii$273$1,1581531+36.3%
Nevada$265$1,32660172+32.1%
New York$252$1,3903651,128+25.9%
Florida$251$1,5424661,491+25.0%
Connecticut$227$1,20481207+13.5%
Arizona$226$1,242142399+12.5%
Alaska$220$1,6962652+9.8%
Virginia$214$1,454187560+6.8%
Texas$208$1,3724621,346+4.0%
Washington$196$885182432-2.0%
Massachusetts$194$1,085210591-3.2%
Montana$189$1,0493666-5.8%
Wyoming$184$9422561-8.0%
Delaware$184$8782164-8.0%
Minnesota$179$1,147211508-10.7%
Tennessee$175$979151336-12.8%
North Carolina$172$1,044237609-14.3%
Colorado$172$777147455-14.3%
Alabama$169$783114207-15.8%
Kentucky$169$94663128-15.9%
Mississippi$167$1,06470152-16.9%
Utah$164$8765090-18.0%
Oregon$164$77777208-18.1%
South Carolina$163$1,123120290-18.6%
Illinois$162$1,021356813-19.0%
Louisiana$161$874116268-19.8%
Iowa$158$846105272-21.3%
Georgia$156$1,094182396-22.4%
Pennsylvania$154$787323684-23.0%
Idaho$153$8493692-23.5%
Nebraska$152$76160161-24.1%
Arkansas$147$690100279-26.4%
Maine$147$67137101-26.4%
Indiana$147$918114245-26.6%
Kansas$146$63367142-27.4%
Ohio$142$778222639-28.9%
New Mexico$141$9832966-29.6%
Missouri$139$727163513-30.4%
Oklahoma$138$82175165-31.0%
New Hampshire$137$1,17956130-31.5%
Wisconsin$137$1,206165340-31.7%
Michigan$128$628172448-35.9%
North Dakota$101$3442358-49.8%
Vermont$100$4701835-50.0%
South Dakota$100$3211560-50.3%
West Virginia$98$4012445-51.0%

⚠️ 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