73721

Mri scan of leg joint without contrast

Medicare pricing data for 23,837 providers across 52 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $924.83 but Medicare allows only $131.24. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. Prices vary significantly by location — from $63 in West Virginia to $180 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 leg joint without contrast (HCPCS code 73721) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $131.24, but hospitals typically charge $924.83 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$26.25

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $131.24, your out-of-pocket cost would be approximately $26.25. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$131.24
Average Hospital Charge
$924.83
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$924.83
Medicare Allowed$131.24
Medicare Payment$99.27

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $99.27 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$180$1,35256624,271+37.4%
Alaska$179$1,940971,325+36.2%
Maryland$169$91234616,838+28.9%
District of Columbia$164$1,009371,511+24.7%
California$162$1,0002,16987,729+23.2%
Delaware$161$1,021672,601+22.7%
Rhode Island$159$8861001,951+21.3%
New York$158$1,1121,12555,448+20.6%
Florida$157$1,1101,57561,553+19.9%
Connecticut$156$1,0113207,464+18.8%
Nevada$152$1,1502806,923+16.2%
Hawaii$149$741471,058+13.8%
Arizona$147$1,02234915,701+12.3%
Puerto Rico$134$2601081,398+1.9%
Texas$131$1,1381,40245,846+0.0%
Massachusetts$130$98846418,571-0.8%
Colorado$128$78544616,441-2.6%
Virginia$126$1,04445121,160-4.3%
Wyoming$125$1,007921,909-4.5%
Washington$123$72570913,844-6.4%
Minnesota$120$77976613,018-8.5%
Alabama$119$8115369,499-9.1%
Illinois$116$9941,27030,976-12.0%
Utah$116$6801973,552-12.0%
Georgia$115$1,08191519,002-12.6%
New Mexico$114$9351332,690-13.4%
South Carolina$112$84047813,784-14.6%
Louisiana$111$8774037,418-15.7%
Kentucky$111$8843056,673-15.7%
Montana$110$6221332,067-16.3%
Oregon$109$6383656,682-16.7%
Kansas$109$6772945,865-16.8%
Pennsylvania$109$64584724,844-17.2%
Mississippi$107$1,0222286,642-18.5%
Tennessee$105$70882418,748-19.8%
North Carolina$105$70889119,792-19.8%
Indiana$104$83649811,011-20.8%
New Hampshire$103$1,2561843,121-21.2%
South Dakota$103$6461531,821-21.4%
Missouri$103$61235315,415-21.4%
Ohio$99$63881030,652-24.9%
Oklahoma$98$7072668,541-25.2%
Iowa$98$6683145,334-25.4%
Wisconsin$93$1,0455328,867-29.4%
Michigan$90$60144713,384-31.6%
Maine$90$4411103,408-31.8%
Nebraska$88$4681574,392-32.6%
Idaho$87$5741123,017-33.4%
Vermont$84$341321,015-35.7%
Arkansas$82$4703208,646-37.6%
North Dakota$78$383801,539-40.4%
West Virginia$63$2861162,052-51.8%

⚠️ 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