73218

Mri scan of arm without contrast

Medicare pricing data for 9,907 providers across 52 states

🤖AI Overview

This procedure has a 5.3x markup — hospitals charge $935.16 but Medicare allows only $176.90. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. Prices vary significantly by location — from $61 in Vermont to $268 in Hawaii. 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 without contrast (HCPCS code 73218) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $176.90, but hospitals typically charge $935.16 — a 5.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$35.38

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $176.90, your out-of-pocket cost would be approximately $35.38. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$176.90
Average Hospital Charge
$935.16
Markup Ratio
5.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$935.16
Medicare Allowed$176.90
Medicare Payment$136.08

Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $136.08 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Hawaii$268$1,2041246+51.5%
New Jersey$254$1,3312681,317+43.8%
New York$232$1,0905783,406+31.0%
Maryland$228$928177987+28.9%
Alaska$227$1,9003679+28.6%
Nevada$222$1,17093348+25.5%
California$220$1,0631,0555,074+24.3%
Wyoming$211$76242186+19.4%
District of Columbia$203$8711991+14.5%
Arizona$201$1,156162718+13.6%
Florida$199$1,0537414,292+12.7%
Connecticut$199$953113358+12.5%
Delaware$192$86932170+8.8%
Rhode Island$180$7533365+1.5%
Texas$175$1,1816582,573-1.3%
Virginia$169$9762391,014-4.3%
Louisiana$167$721146671-5.8%
New Mexico$165$94946139-6.8%
Washington$162$765255721-8.4%
Massachusetts$160$895230858-9.6%
Colorado$157$756203953-11.2%
Illinois$154$9235101,508-12.7%
Kentucky$151$964104307-14.8%
Alabama$150$718210485-15.0%
Georgia$149$1,0783281,020-15.6%
South Carolina$147$900172515-16.9%
Mississippi$145$886102276-17.9%
Tennessee$143$743277956-19.0%
Kansas$142$1,263100312-19.8%
Oregon$141$68698231-20.5%
Pennsylvania$141$7324141,148-20.6%
Minnesota$140$824250690-21.0%
Puerto Rico$137$2312372-22.8%
Montana$132$6524999-25.6%
South Dakota$132$56034100-25.6%
Utah$131$70858125-26.1%
North Carolina$127$689318877-28.4%
Indiana$120$708181468-31.9%
Missouri$118$593191687-33.5%
Ohio$117$5763251,300-33.8%
Oklahoma$113$637105413-36.2%
Iowa$111$596103229-37.4%
Michigan$107$525182601-39.5%
Maine$104$41841135-41.0%
Wisconsin$102$929167341-42.2%
Arkansas$102$448140518-42.3%
New Hampshire$101$89065156-42.7%
Idaho$99$56344141-43.8%
Nebraska$98$48161166-44.8%
North Dakota$97$4623971-45.3%
West Virginia$65$27549117-63.2%
Vermont$61$3101137-65.5%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber