MRI EXAM NAME

COST *

CPT/HCPCS CODE

MRA Abdomen imaging with IV contrast ** $1,279.00 C8900
MRA Abdomen imaging without IV contrast $884.00 C8901
MRA Abdomen imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 C8902
MRI Abdomen imaging with IV contrast ** $1,279.00 74182
MRI Abdomen imaging without IV contrast $884.00 74181
MRI Abdomen imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 74183
MRI Brain (including brain stem) imaging with IV contrast ** $1,279.00 70552
MRI Brain (including brain stem) imaging without IV contrast $884.00 70551
MRI Brain (including brain stem) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 70553
MRI Cervical spine imaging with IV contrast ** $1,279.00 72142
MRI Cervical spine imaging without IV contrast $884.00 72141
MRI Cervical spine imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 72156
MRA Chest (excluding myocardium) imaging with IV contrast ** $1,279.00 C8909
MRA Chest (excluding myocardium) imaging without IV contrast $884.00 C8910
MRA Chest (excluding myocardium) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 C8911
MRI Chest imaging with IV contrast ** $1,279.00 71551
MRI Chest imaging without IV contrast $884.00 71550
MRI Chest imaging without IV contrast, followed by imaging with IV      contrast ** $1,479.00 71552
MRA Head imaging with IV contrast ** $1,279.00 70545
MRA Head imaging without IV contrast $884.00 70544
MRA Head imaging without IV contrast, followed by imaging with IV      contrast ** $1,479.00 70546
MRA Lower extremity (thigh, knee, lower leg, ankle, or foot) imaging with IV contrast ** $1,279.00 C8912
MRA Lower extremity (thigh, knee, lower leg, ankle, or foot) imaging without IV contrast $884.00 C8913
MRA Lower extremity (thigh, knee, lower leg, ankle, or foot) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 C8914
MRI Lower extremity joint (hip, knee, or ankle) imaging with IV contrast ** $1,279.00 73722
MRI Lower extremity joint (hip, knee, or ankle) imaging without IV contrast $884.00 73721
MRI Lower extremity joint (hip, knee, or ankle) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 73723
MRI Lower extremity non-joint (thigh, lower leg, or foot) imaging with IV contrast ** $1,279.00 73719
MRI Lower extremity non-joint (thigh, lower leg, or foot) imaging without IV contrast $884.00 73718
MRI Lower extremity non-joint (thigh, lower leg, or foot) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 73720
MRI Lumbar spine imaging with IV contrast ** $1,279.00 72149
MRI Lumbar spine imaging without IV contrast $884.00 72148
MRI Lumbar spine imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 72158
MRA Neck imaging with IV contrast ** $1,279.00 70548
MRA Neck imaging without IV contrast $884.00 70547
MRA Neck imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 70549
MRI Orbits, face, and/or neck imaging with IV contrast ** $1,279.00 70542
MRI Orbits, face, and/or neck imaging without IV contrast $884.00 70540
MRI Orbits, face, and/or neck imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 70543
MRA Pelvis imaging with IV contrast ** $1,279.00 C8918
MRA Pelvis imaging without IV contrast $884.00 C8919
MRA Pelvis imaging without IV contrast, followed by imaging with IV contrast $1,479.00 C8920
MRI Pelvis imaging with IV contrast ** $1,279.00 72196
MRI Pelvis imaging without IV contrast $884.00 72195
MRI Pelvis imaging without IV contrast, followed by imaging with IV      contrast ** $1,479.00 72197
MRI Temporomandibular (TM) joints imaging $884.00 70336
MRI Thoracic spine imaging with IV contrast ** $1,279.00 72147
MRI Thoracic spine imaging without IV contrast $884.00 72146
MRI Thoracic spine imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 72157
MRI Upper extremity joint (shoulder, elbow, or wrist) imaging with IV   contrast ** $1,279.00 73222
MRI Upper extremity joint (shoulder, elbow, or wrist) imaging without IV contrast $884.00 73221
MRI Upper extremity joint (shoulder, elbow, or wrist) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 73223
MRI Upper extremity non-joint (upper arm, forearm, or hand) imaging with IV contrast ** $1,279.00 73219
MRI Upper extremity non-joint (upper arm, forearm, or hand) imaging without IV contrast $884.00 73218
MRI Upper extremity non-joint (upper arm, forearm, or hand) imaging without IV contrast, followed by imaging with IV contrast ** $1,479.00 73220

 

 

* This cost does not include the fee for the radiologist’s reading. 

** For contrast exams, the cost listed does not include the cost of the contrast as it can vary between patients.