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 Lower Extrem W/O Contrast Matrl
The hospitals that file a Healthpartners 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.
Filter by billing methodology
Filter by billing class
209 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2,554 | $2,043 – $3,065 |
| 2 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $3,850 | $2,887 – $4,331 |
| 3 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $3,087 | $2,470 – $3,705 |
| 4 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $816.44 | $816.44 – $816.44 |
| 5 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $816.44 | $816.44 – $816.44 |
| 6 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $816.44 | $816.44 – $816.44 |
| 7 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $816.44 | $816.44 – $816.44 |
| 8 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $678.40 | $678.40 – $678.40 |
| 9 | Amery Hospital Amery, WI facility · case rate · both | 1 | $644.59 | $644.59 – $644.59 |
| 10 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $782.13 | $782.13 – $782.13 |
| 11 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $815.01 | $815.01 – $815.01 |
| 12 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $229.39 | $229.39 – $229.39 |
| 13 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $251.97 | $251.97 – $251.97 |
| 14 | Aurora BayCare Medical Center Green Bay, WI case rate · outpatient | 2 | $1,070 | $954.00 – $1,185 |
| 15 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 16 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 17 | Aurora Lakeland Medical Center Elkhorn, WI case rate · outpatient | 2 | $1,070 | $954.00 – $1,185 |
| 18 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 19 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 20 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 2 | $1,087 | $954.00 – $1,220 |
| 21 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 22 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 23 | Aurora Medical Center Burlington Burlington, WI case rate · outpatient | 2 | $1,070 | $954.00 – $1,185 |
| 24 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
| 25 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3,165 | $3,165 – $3,165 |
← Payers reporting CPT 73721 · Snapshot 20261108T203506Z-bb90dbab