MRI upper extremity joint scan without contrast dye at Hilo Benioff Medical Center

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

CHG MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL

Hilo, HI

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Pricing by billing methodology

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How this price compares nationally

Hilo Benioff Medical Center’s median price of $233 is 64% below the median hospital's median price ($640), higher than 7% of the 2,615 hospitals reporting CPT 73221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73221 at Hilo Benioff Medical Center

Negotiated rates from the hospital’s own file: 4 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare medicaid professional · fee schedule · both	$139	$139	—	—	—	$139 – $139
2	UnitedHealthcare medicare professional · fee schedule · both	$161	$150	$66	44%	—	$64 – $225
3	Devoted medicare professional · fee schedule · both	$177	$165	$73	44%	—	$71 – $248
4	Kaiser commercial professional · fee schedule · both	$193	$180	$79	44%	—	$77 – $271
5	Kaiser medicaid professional · fee schedule · both	$193	$180	$79	44%	—	$77 – $271
6	Kaiser medicare professional · fee schedule · both	$193	$180	$79	44%	—	$77 – $271
7	Humana medicare facility · fee schedule · outpatient	$282	$282	—	—	—	$282 – $282
8	Kaiser medicare facility · fee schedule · outpatient	$282	$282	—	—	—	$282 – $282
9	UnitedHealthcare medicare facility · fee schedule · outpatient	$282	$282	—	—	—	$282 – $282
10	Devoted medicare facility · fee schedule · outpatient	$310	$310	—	—	—	$310 – $310
11	UnitedHealthcare medicaid facility · fee schedule · outpatient	$416	$416	—	—	—	$416 – $416
12	Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges	$614	$614	—	—	—	$614 – $614
13	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$758	$758	—	—	—	$758 – $758

Last updated: Jun 15, 2026

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