CPT73221

MRI Shoulder Cost in Arizona

Mri joint upr extrem w/o dye

$449Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Arizona Medicare physician rate (2026)

-2.6% vs national

Single statewide locality.

Arizona (Hospital)
$199.75
Facility physician fee
Private plan est.
$260–$400
~130–200% of Medicare
Cash / self-pay est.
$160–$300
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$337
$205 physician + $131 facility
Physician fee alone
$205
Only 46% of the hospital total

Choosing a surgery centre over a hospital saves about $112 on the Medicare allowed amount for mri shoulder. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Arizona

Check your ZIP code for local figures across Arizona, from metro Phoenix and Tucson to Flagstaff, Yuma, Prescott, and the rural stretches of the north and southeast.

What mri shoulder costs at hospitals near you

Everything above is a national average. The hospital you pick in Arizona moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Arizona

National office$205.08
National hospital (physician)$205.08
Arizona vs national3% below the national office rate of $205.08

Where Arizona ranks for this CPT

Rank (lowest physician fee first)#24 of 51
Lowest stateArkansas ($181.35)
Highest stateAlaska ($236.05)

MRI Shoulder and how Arizona is priced

CMS prices all of Arizona through one statewide locality, so Phoenix, Tucson, and the rural counties share a single set of geographic adjustment factors. The state's indices land close to the national average, which makes Arizona a useful benchmark when comparing procedure prices across the country. Because the locality is statewide, the rapid growth of metro Phoenix does not by itself change what Medicare approves there relative to Flagstaff or Yuma. Differences patients notice tend to come from the billing setting and local market conditions, not from the fee schedule.

Arizona has one of the largest Medicare populations in the country thanks to decades of retiree migration, and its winter snowbird influx means demand for care swings by season. Phoenix and Tucson offer deep specialist markets, while much of northern and southeastern Arizona relies on smaller hospitals and long drives for advanced care. Competition among large systems in the Valley gives Phoenix-area patients more room to shop than most rural residents have.

This procedure: A shoulder MRI without contrast (the upper extremity joint MRI code) images the rotator cuff tendons, labrum, and cartilage that X-rays cannot see, making it the key test for suspected rotator cuff tears and persistent shoulder pain. You lie still with the arm positioned at your side inside the scanner for 20 to 40 minutes. It is painless, though holding a sore shoulder motionless is the hardest part for many patients.

What Is MRI Shoulder?

A shoulder MRI without contrast (the upper extremity joint MRI code) images the rotator cuff tendons, labrum, and cartilage that X-rays cannot see, making it the key test for suspected rotator cuff tears and persistent shoulder pain. You lie still with the arm positioned at your side inside the scanner for 20 to 40 minutes. It is painless, though holding a sore shoulder motionless is the hardest part for many patients.

What Affects the Cost

  • Freestanding imaging centers price this scan dramatically below hospital outpatient departments.
  • Suspected labral tears sometimes require an MR arthrogram instead, where dye is injected directly into the joint first, adding an injection procedure and a different code.
  • Insurers frequently require completed X-rays and weeks of conservative care before approving, so those upstream costs are part of the pathway.
  • A positive finding often leads to orthopedic consultation, injections, or arthroscopic surgery, each a new spending episode.
  • The radiologist's reading fee is a separate component of the total.

Questions to Ask Before Booking

  • 1.Does my insurer require X-rays and therapy first, and does my record show them?
  • 2.Do you suspect a labral tear needing an arthrogram, and how much more does that cost?
  • 3.What is the price at a freestanding center versus the hospital?
  • 4.Will the surgeon you might refer me to accept this facility's images, or would I face a rescan?
  • 5.Is the radiologist fee included in the quote?

MRI Shoulder in Arizona: questions

Arizona is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 73221 is $199.75 in an office and $199.75 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Arizona uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $40 for the office physician line or $40 for the hospital physician line in Arizona. Medigap may cover that 20%. This is not the hospital facility fee.

No. $199.75 is only the physician's share. Adding Medicare's facility payment brings the total to about $449 in a hospital outpatient department, or about $337 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Arizona ranks #24 of 51 states on the physician line (3% below the national office rate of $205.08).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.