MRI upper extremity joint scan without contrast dye at Samaritan Hospital

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

PR MRI Upper Extremity Joint W/O Contrast|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $282 is 56% below the median hospital's median price ($640), higher than 18% 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 Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 144 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	Humana tricare professional · fee schedule · both	$87	$87	—	—	—	$87 – $87
2	Tricare tricare professional · fee schedule · both	$87	$87	—	—	—	$87 – $87
3	Humana tricare professional · fee schedule · inpatient	$121	$121	$63	52%	—	$58 – $184
4	Humana tricare professional · fee schedule · outpatient	$121	$121	$63	52%	—	$58 – $184
5	Tricare tricare professional · fee schedule · inpatient	$121	$121	$63	52%	—	$58 – $184
6	Tricare tricare professional · fee schedule · outpatient	$121	$121	$63	52%	—	$58 – $184
7	Aetna aetna medicare advantage professional · fee schedule · both	$135	$135	—	—	—	$135 – $135
8	Aetna aetna professional · fee schedule · both	$189	$189	—	—	—	$189 – $189
9	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
10	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
11	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
12	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
13	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
14	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
15	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
16	Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
17	Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
18	Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
19	Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
20	First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
21	Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
22	Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
23	Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
24	Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282
25	Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$282	$282	—	—	—	$282 – $282

Page 1 of 6 · 144 rates

Last updated: Mar 31, 2026

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