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
HC MRI Joint Upr Extre W/O Dye
San Angelo, TX
See all hospitals reporting CPT 73221 →Price type
Shannon River Crest Hospital’s median price of $1.7k is 172% above the median hospital's median price ($640), higher than 78% of the 2,615 hospitals reporting CPT 73221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | Molina managed medicaid facility · fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 2 | Humana medicare advantage facility · case rate · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 3 | Ambetter ppo facility · case rate · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 4 | Bcbs Tx hmo facility · fee schedule · outpatient | $916 | $916 | — | — | — | $916 – $916 |
| 5 | Bcbs Tx bav facility · fee schedule · outpatient | $967 | $967 | — | — | — | $967 – $967 |
| 6 | Bcbs Tx ppo facility · fee schedule · outpatient | $967 | $967 | — | — | — | $967 – $967 |
| 7 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | $1 | 0% | — | $3.7k – $3.7k |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $1 | 0% | 36 | $3.7k – $3.7k |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | $1 | 0% | 2–20 | $4.0k – $4.0k |
| 10 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $1 | 0% | — | $4.2k – $4.2k |
| 11 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $1 | 0% | — | $4.2k – $4.2k |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $1 | 0% | — | $4.2k – $4.2k |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $1 | 0% | — | $4.2k – $4.2k |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | $1 | 0% | — | $4.2k – $4.2k |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.3k | $4.3k | $1 | 0% | — | $4.3k – $4.3k |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | $1 | 0% | 53 | $4.3k – $4.3k |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.5k | $4.5k | $1 | 0% | — | $4.5k – $4.5k |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | $1 | 0% | — | $4.5k – $4.5k |
Last updated: Dec 8, 2025
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