MRI Shoulder Cost in Washington
Mri joint upr extrem w/o dye
$449Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Washington Medicare physician rate (2026)
+11.2% vs nationalAverage of 2 localities. Office range $213.31–$242.60.
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.
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 Washington
Enter your ZIP code to see whether Seattle-area or rest-of-state pricing applies, from Seattle, Tacoma, and Everett to Spokane, the Tri-Cities, Vancouver, Bellingham, and the Olympic Peninsula.
What mri shoulder costs at hospitals near you
Everything above is a national average. The hospital you pick in Washington moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Washington
Where Washington ranks for this CPT
CPT 73221 by Washington locality
| Locality | Office |
|---|---|
| seattle (king cnty) | $242.60 |
| rest of washington | $213.31 |
PE GPCI ranges from 1.053 to 1.227 in Washington. That index is why the same CPT is not one price statewide.
MRI Shoulder and how Washington is priced
Washington divides into a Seattle-area locality and a rest-of-state locality, so Puget Sound's biggest market carries higher geographic adjustments than Spokane, the Tri-Cities, or the coast. The Seattle locality reflects some of the highest wages in the western United States, while everywhere else in the state shares one lower-cost set of factors. An identical procedure is therefore approved at more in Seattle than in Spokane, a two-tier pattern much like Oregon's. Rest-of-state Washington still prices respectably against national averages.
Seattle is the referral capital of the Pacific Northwest, with academic medicine that serves not just Washington but Alaska, Montana, Idaho, and Wyoming through long-standing regional arrangements. Spokane anchors the Inland Northwest, drawing patients from northern Idaho and beyond, while the Olympic Peninsula and southwest coast are comparatively underserved. Rapid consolidation has concentrated much of the state's care into a few large systems.
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?
Other featured procedures in Washington
MRI Shoulder in other states
MRI Shoulder in Washington: questions
The 2026 Medicare physician office rate for CPT 73221 averages $227.96 across 2 Washington localities, from $213.31 in REST OF WASHINGTON to $242.60 in SEATTLE (KING CNTY). The hospital physician rate averages $227.96. Enter a ZIP for the exact locality.
Yes. CMS splits Washington into 2 payment localities. For this CPT the office physician fee spans $29.29 from the lowest to highest locality. Enter your ZIP code to see whether Seattle-area or rest-of-state pricing applies, from Seattle, Tacoma, and Everett to Spokane, the Tri-Cities, Vancouver, Bellingham, and the Olympic Peninsula.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $46 for the office physician line or $46 for the hospital physician line in Washington. Medigap may cover that 20%. This is not the hospital facility fee.
No. $227.96 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. Washington ranks #48 of 51 states on the physician line (11% above the national office rate of $205.08).