How Much Does MRI Joint Upper Extr Without&with Contrast Cost?
Also known as: Mri joint upr extr w/o&w/dye (CPT 73223)
An MRI of your shoulder done both without and with contrast for comprehensive evaluation.
MRI Joint Upper Extr Without&with Contrast (CPT 73223) costs $383 at Medicare rates.
The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.
Patient Guide: MRI Joint Upper Extr Without&with Contrast
What you need to know before your appointment
What to Expect
Extended MRI session with images taken first without contrast, then after gadolinium injection through an IV for the most detailed shoulder evaluation.
How Long Does It Take?
60-75 minutes
Common Reasons Doctors Order This
Comprehensive rotator cuff evaluation, complex shoulder pathology, tumor assessment, post-surgical evaluation
How to Prepare
Remove all metal. Plan for a longer scan. Report implants, allergies, and kidney problems.
Procedures Commonly Done Together
These procedures are frequently performed alongside Mri joint upr extr w/o&w/dye
What Insurance Companies Actually Pay
Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)
| Insurance Company | Avg Rate | Range | Hospitals |
|---|---|---|---|
| Aetna | $2,099 | $319 - $6,644 | 9 |
| United | $1,237 | $315 - $5,659 | 10 |
| Cigna | $3,288 | $335 - $8,048 | 8 |
| Humana | $2,769 | $336 - $6,379 | 8 |
| KAISER FOUNDATION HEALTH PLAN, INC. | $1,067 | $618 - $1,935 | 5 |
| BCBS | $999 | $358 - $1,711 | 4 |
| BCBS-TX | $1,168 | $558 - $1,661 | 2 |
| Multiplan | $4,061 | $617 - $11,317 | 5 |
| Wellpoint | $598 | $366 - $1,340 | 2 |
| Anthem | $1,381 | $246 - $9,305 | 2 |
| CHC | $2,650 | $385 - $5,374 | 2 |
| Community Health Choice MCD | $368 | $368 | 2 |
How to Reduce Your Cost for Mri joint upr extr w/o&w/dye
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (11.47) x CF ($33.40) = $383
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Mri joint upr extr w/o&w/dye cost?
The Medicare facility rate for Mri joint upr extr w/o&w/dye is $383. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Mri joint upr extr w/o&w/dye cost without insurance?
Without insurance, the cost of Mri joint upr extr w/o&w/dye can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Mri joint upr extr w/o&w/dye?
Most commercial health insurance plans and Medicare cover Mri joint upr extr w/o&w/dye when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.