MRI upper extremity joint scan without contrast dye

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 Any Jt Upper Extremity W/O Contrast Matrl

Payers reporting CPT 73221

Payer pricing summary

Low

$169

Average

$1.8k

Median

$1.1k

High

$16.1k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +36 other terms	198	$558	$432	$439	102%	697–823	$6 – $9.1k
2	UnitedHealthcare fee schedule · outpatient · +40 other terms	767	$391	$487	$569	117%	155–290	$1 – $9.5k
3	Bcbs Al facility · other · outpatient · +5 other terms	6	$430	$410	$65	16%	113–122	$336 – $559
4	Aetna fee schedule · outpatient · +40 other terms	619	$347	$779	$754	97%	65–155	$1 – $8.0k
5	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	511	$554	$681	$797	117%	62–422	$1 – $11.0k
6	Cigna fee schedule · outpatient · +35 other terms	354	$538	$835	$698	84%	45–99	$1 – $10.5k
7	Molina fee schedule · outpatient · +36 other terms	249	$272	$301	$173	57%	27–153	$1 – $2.0k
8	Humana fee schedule · outpatient · +36 other terms	434	$261	$455	$595	131%	7–70	$1 – $6.7k
9	Medica fee schedule · outpatient · +28 other terms	78	$408	$762	$891	117%	7–70	$52 – $3.9k
10	Caresource fee schedule · outpatient · +24 other terms	90	$344	$398	$213	54%	5–50	$1 – $2.5k
11	WellCare fee schedule · outpatient · +28 other terms	215	$258	$281	$147	52%	1–10	$51 – $1.3k
12	Kaiser fee schedule · outpatient · +28 other terms	82	$390	$429	$394	92%	1–10	$2 – $3.4k
13	Medicare other · both · +22 other terms	41	$251	$286	$159	56%	1–10	$221 – $1.5k
14	Ambetter fee schedule · outpatient · +27 other terms	121	$369	$349	$207	59%	—	$27 – $2.0k
15	MultiPlan fee schedule · outpatient · +23 other terms	93	$1.9k	$1.5k	$1.7k	119%	—	$84 – $9.1k
16	Tricare facility · fee schedule · outpatient · +21 other terms	90	$282	$508	$832	164%	—	$49 – $4.6k
17	Aetna Better Health fee schedule · outpatient · +20 other terms	88	$228	$259	$137	53%	—	$122 – $1.1k
18	Devoted facility · fee schedule · outpatient · +21 other terms	86	$242	$289	$298	103%	—	$206 – $4.9k
19	Highmark facility · fee schedule · outpatient · +22 other terms	73	$421	$707	$735	104%	—	$48 – $3.6k
20	Optum fee schedule · outpatient · +24 other terms	70	$232	$537	$842	157%	—	$69 – $4.2k
21	Medicaid facility · fee schedule · outpatient · +20 other terms	56	$227	$249	$119	48%	—	$121 – $560
22	Oscar facility · fee schedule · outpatient · +25 other terms	55	$336	$313	$79	25%	—	$221 – $672
23	Cigna Healthspring fee schedule · outpatient · +11 other terms	46	$238	$256	$64	25%	—	$177 – $425
24	First Health fee schedule · outpatient · +22 other terms	42	$249	$708	$1.3k	181%	—	$77 – $7.7k
25	Amerihealth Caritas facility · fee schedule · outpatient · +20 other terms	39	$269	$413	$197	48%	—	$166 – $1.2k

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