CPT73221

How Much Does an MRI Shoulder Cost in Tennessee?

Mri joint upr extrem w/o dye

$307Hospital outpatient total2026 Medicare, physician + facility

Under 2026 Medicare rates, an MRI shoulder costs up to about $307 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Tennessee averages $189.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 37010.
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Tennessee Medicare physician rate (2026)

-7.7% vs national

Single statewide locality.

Tennessee (Hospital)
$60.53
Physician reading only
Private plan est.
$246–$379
~130–200% of Medicare
Cash / self-pay est.
$151–$284
~80–150% of Medicare

What the whole procedure costs

The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.

Physician reading alone
$63
Only 21% of the hospital total

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. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Tennessee

Enter a ZIP code for your part of Tennessee, whether Nashville, Memphis, Knoxville, Chattanooga, the Tri-Cities, or the rural plateau and delta counties.

What MRI shoulder costs at hospitals near you

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

For example 37010.

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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 center 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. In Tennessee the office and hospital physician lines for this CPT differ by $128.78.

National vs Tennessee

National office$205.08
National hospital (physician)$63.13
Tennessee vs national8% below the national office rate of $205.08

Where Tennessee ranks for this CPT

Rank (lowest physician fee first)#8 of 51
Lowest stateArkansas ($181.35)
Highest stateAlaska ($236.05)

MRI Shoulder and how Tennessee is priced

Tennessee's Medicare rates come from one statewide locality with below-average geographic indices, so Memphis, Nashville, Knoxville, and Chattanooga all publish the same approved amounts despite being four distinct metro markets. The uniform locality stretches across a state that spans two time zones and several regional economies. Nashville's boom has raised local practice costs faster than the statewide averages that feed the indices. For patients, the fee schedule is identical statewide; the markets around it are anything but.

Nashville is the corporate capital of American hospital operations, home to major for-profit chains, alongside a prominent academic medical center, while Memphis anchors care for the Mid-South including parts of Mississippi and Arkansas. Knoxville and Chattanooga serve East Tennessee, and the rural Cumberland Plateau and West Tennessee counties have seen multiple hospital closures. Cross-border patient flows into Tennessee's metros are heavy from every neighboring state.

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 Tennessee: questions

Under 2026 Medicare rates, an MRI shoulder costs up to about $307 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Tennessee averages $189. Tennessee is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. Tennessee 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 $12 for the hospital physician line in Tennessee. Medigap may cover that 20%. This is not the hospital facility fee.

It depends on where the test is done. At an independent imaging center, lab or office, $189.31 is Medicare's full rate in Tennessee, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $60.53) and the hospital is paid separately, which brings the national total to up to about $307. Tennessee ranks #8 of 51 states on the non-hospital rate (8% 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.