CPT73721

MRI Knee Cost in South Carolina

Mri jnt of lwr extre w/o dye

$448Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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South Carolina Medicare physician rate (2026)

-6.1% vs national

Single statewide locality.

South Carolina (Hospital)
$192.01
Facility physician fee
Private plan est.
$250–$384
~130–200% of Medicare
Cash / self-pay est.
$154–$288
~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
$336
$204 physician + $131 facility
Physician fee alone
$204
Only 46% of the hospital total

Choosing a surgery centre over a hospital saves about $112 on the Medicare allowed amount for mri knee. 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 South Carolina

Check your ZIP code for your region of South Carolina, whether Charleston and the Lowcountry, Columbia and the Midlands, Greenville-Spartanburg in the Upstate, or Myrtle Beach and the Grand Strand.

What mri knee costs at hospitals near you

Everything above is a national average. The hospital you pick in South Carolina 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 South Carolina

National office$204.41
National hospital (physician)$204.41
South Carolina vs national6% below the national office rate of $204.41

Where South Carolina ranks for this CPT

Rank (lowest physician fee first)#17 of 51
Lowest stateArkansas ($180.77)
Highest stateAlaska ($235.33)

MRI Knee and how South Carolina is priced

South Carolina prices through one statewide locality with indices a bit below the national average, so Charleston, Columbia, Greenville, and the rural Pee Dee share the same Medicare-approved amounts. Rapid coastal growth has not led CMS to break out a separate locality, keeping the fee schedule uniform from the mountains to the sea islands. The single set of adjustments makes the statewide figures here directly usable anywhere in the state. Facility fees at hospital-owned locations remain the largest source of price variation for patients.

The state's medical firepower splits three ways: an academic medical center and strong hospital market in Charleston, the capital-region systems in Columbia, and a large Upstate network centered on Greenville. Retiree-heavy coastal areas like Hilton Head and Myrtle Beach have booming demand for Medicare-age care, while the rural I-95 corridor faces some of the state's worst access gaps. Some border residents use Charlotte or Augusta providers.

This procedure: A knee MRI without contrast (the lower extremity joint MRI code) shows the menisci, ligaments including the ACL, cartilage, and bone marrow, none of which appear on X-ray. It is the definitive test for suspected meniscus tears and ligament injuries. You lie on your back with the knee in a small coil for 20 to 40 minutes of painless but noisy scanning, and results typically reach your doctor within a couple of days.

What Is MRI Knee?

A knee MRI without contrast (the lower extremity joint MRI code) shows the menisci, ligaments including the ACL, cartilage, and bone marrow, none of which appear on X-ray. It is the definitive test for suspected meniscus tears and ligament injuries. You lie on your back with the knee in a small coil for 20 to 40 minutes of painless but noisy scanning, and results typically reach your doctor within a couple of days.

What Affects the Cost

  • The hospital versus freestanding center price gap for knee MRI is large and well documented; this is a scan worth shopping.
  • Insurer authorization rules often require an X-ray and a trial of conservative care first, adding upstream visits.
  • A confirmed meniscus or ligament tear frequently leads to arthroscopy, so the MRI often begins a bigger spending episode.
  • In patients over about 50, MRI often shows incidental degenerative findings that can prompt further, sometimes unnecessary, care.
  • The radiologist's interpretation fee is a distinct component of the price.

Questions to Ask Before Booking

  • 1.Has my insurer approved this scan, and does my chart show the X-ray and conservative care they require?
  • 2.What is the all-in price at the freestanding centers near me?
  • 3.Given my age, could therapy first make this MRI unnecessary?
  • 4.Is the authorization tied to a specific facility?
  • 5.If the MRI shows a tear, what are the typical next steps and their costs?

MRI Knee in South Carolina: questions

South Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 73721 is $192.01 in an office and $192.01 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. South Carolina 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 $38 for the office physician line or $38 for the hospital physician line in South Carolina. Medigap may cover that 20%. This is not the hospital facility fee.

No. $192.01 is only the physician's share. Adding Medicare's facility payment brings the total to about $448 in a hospital outpatient department, or about $336 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. South Carolina ranks #17 of 51 states on the physician line (6% below the national office rate of $204.41).

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.