MRI upper extremity without and with contrast

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI Ext Upper W+W/O Contrast

Payers reporting CPT 73220

Payer pricing summary

Low

$270

Average

$2.2k

Median

$1.5k

High

$18.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Bcbs Al facility · other · outpatient · +4 other terms	6	$643	$651	$44	7%	27–108	$589 – $769
2	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	506	$845	$1.1k	$1.3k	125%	25–43	$1 – $18.6k
3	Anthem fee schedule · outpatient · +36 other terms	190	$773	$616	$578	94%	25–115	$8 – $9.1k
4	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$820	$820	—	—	23	$820 – $820
5	Medicare other · both · +22 other terms	42	$369	$417	$227	55%	7–70	$326 – $2.1k
6	UnitedHealthcare fee schedule · outpatient · +40 other terms	747	$611	$713	$638	89%	6–60	$1 – $10.5k
7	Cigna fee schedule · outpatient · +35 other terms	331	$801	$1.0k	$863	84%	6–60	$0 – $17.0k
8	Humana fee schedule · outpatient · +36 other terms	412	$390	$775	$1.1k	145%	3–30	$1 – $7.4k
9	Molina fee schedule · outpatient · +35 other terms	243	$424	$474	$225	47%	3–30	$1 – $2.4k
10	Medica fee schedule · outpatient · +27 other terms	54	$618	$1.2k	$1.3k	110%	2–20	$82 – $6.6k
11	WellCare fee schedule · outpatient · +28 other terms	189	$378	$399	$160	40%	1–10	$81 – $1.4k
12	Aetna fee schedule · outpatient · +39 other terms	593	$571	$1.1k	$1.0k	97%	—	$1 – $10.5k
13	Ambetter fee schedule · outpatient · +25 other terms	117	$540	$516	$282	55%	—	$60 – $2.7k
14	Tricare facility · fee schedule · outpatient · +21 other terms	91	$351	$727	$984	135%	—	$49 – $5.1k
15	Caresource fee schedule · outpatient · +22 other terms	90	$524	$745	$388	52%	—	$1 – $1.7k
16	Aetna Better Health fee schedule · outpatient · +19 other terms	87	$398	$420	$148	35%	—	$186 – $1.3k
17	MultiPlan fee schedule · outpatient · +23 other terms	86	$2.7k	$1.9k	$1.9k	100%	—	$132 – $7.9k
18	Devoted facility · fee schedule · outpatient · +20 other terms	85	$336	$404	$313	78%	—	$302 – $4.9k
19	Kaiser fee schedule · outpatient · +28 other terms	81	$560	$639	$489	77%	—	$101 – $3.5k
20	Highmark facility · fee schedule · outpatient · +22 other terms	65	$571	$956	$841	88%	—	$77 – $3.8k
21	Optum fee schedule · outpatient · +22 other terms	65	$328	$940	$1.4k	146%	—	$109 – $6.2k
22	Medicaid facility · fee schedule · outpatient · +19 other terms	56	$332	$367	$126	34%	—	$207 – $753
23	Oscar facility · fee schedule · outpatient · +23 other terms	54	$510	$488	$95	19%	—	$326 – $671
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	41	$385	$410	$119	29%	—	$327 – $744
25	First Health fee schedule · outpatient · +22 other terms	41	$369	$875	$1.3k	151%	—	$122 – $5.5k

Page 1 of 3 · 72 payers