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.
Original text from hospital filings
MRI Any Jt Upper Extremity W/O Contrast Matrl
Low
$1
Average
$656
Median
$344
High
$7.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
821 hospitals; the 90th percentile is 9.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,169 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 59 | $1.7k – $1.7k |
| 2 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $234 | $253 | $153 | 61% | 36–45 | $106 – $625 |
| 3 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $1.2k | $1.2k | $15 | 1% | 30–84 | $1.2k – $1.2k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $516 | $516 | $172 | 33% | 20 | $344 – $688 |
| 5 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $98 | $98 | — | — | 19 | $98 – $98 |
| 6 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $293 | $293 | — | — | 15 | $293 – $293 |
| 7 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.7k | $1.7k | $17 | 1% | 15 | $1.7k – $1.7k |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $297 | $297 | $108 | 36% | 14–23 | $190 – $405 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $581 | $581 | $194 | 33% | 11 | $387 – $774 |
| 10 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $1.2k | $1.2k | $379 | 30% | 9–90 | $995 – $2.5k |
| 11 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $931 | $931 | — | — | 6–60 | $931 – $931 |
| 12 | Kirby Medical Center Monticello, IL facility · other · outpatient | 1 | $693 | $693 | — | — | 6–60 | $693 – $693 |
| 13 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $509 | $509 | — | — | 6–60 | $509 – $509 |
| 14 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $962 | $962 | — | — | 4–40 | $962 – $962 |
| 15 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $226 | $226 | $41 | 18% | 3–30 | $184 – $267 |
| 16 | Seattle Children's Hospital Seattle, WA professional · percent of total billed charges · bothfrom % of charges | 2 | $164 | $164 | $37 | 23% | 3–30 | $127 – $201 |
| 17 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 18 | Adena Fayette Medical Center Washington Court House, OH facility · other · outpatient | 2 | $486 | $486 | — | — | 2–20 | $486 – $486 |
| 19 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 20 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $926 | $926 | — | — | 2–20 | $926 – $926 |
| 21 | Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $873 | — | — | 2–20 | $873 – $873 |
| 22 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 2–20 | $1.2k – $1.2k |
| 23 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $957 | $957 | — | — | 2–20 | $957 – $957 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $516 | $516 | $172 | 33% | 2–20 | $344 – $688 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $581 | $581 | $194 | 33% | 2–20 | $387 – $774 |
← Payers reporting CPT 73221 · Snapshot 20261111T120946Z-9134e7f7