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Magnetic Resonance Imaging (MRI)

Estimated Average Prices for Procedures

These prices are for John C. Lincoln Health Network services performed at hospitals and facilities and DO NOT INCLUDE physicians' fees. If you would like an estimated average price for a specific location, please call: 623-434-6287.

The chart includes the following information:

  • The average charge for the procedure.
  • The average Arizona Health Care Cost Containment System (AHCCCS) payment John C. Lincoln Health Network receives for this procedure.
  • The average Medicare payment John C. Lincoln Health Network receives for this procedure.

Please select your procedure from the list below.

CPT Code CPT Code Description
72148 MRI, LUMBAR SPINE
73721 MRI LOWER EXTREM JT, W/O CONTRAST
72141 MRI, CERV SPINE
73221 MRI, JOINT UPPER EXTREM
77059 MRI BREAST, W/WO CONTRAST, BILATERAL
70551 MRI BRAIN
70553 MRI BRAIN COMBO
74183 MRI, ABDOMEN, COMBO
73718 MRI, LOWER EXTREM
70544 MR ANGIO, HEAD
72158 MRI, LUMBAR SPINE COMBO
72146 MRI, DORSAL SPINE
74181 MRI, ABDOMEN (MRI)
73218 MRI, UPPER EXTREMITY W/O CONTRAST
72197 MRI, PELVIS, COMBO

Average Costs and Payments

72148 - MRI, LUMBAR SPINE
Average Charge: $1,044
Average Payment with AHCCCS: $323
Average Payment with Medicare: $336

73721 - MRI LOWER EXTREM JT, W/O CONTRAST
Average Charge: $1,076
Average Payment with AHCCCS: $318
Average Payment with Medicare: $358

72141 - MRI, CERV SPINE
Average Charge: $1,051
Average Payment with AHCCCS: $344
Average Payment with Medicare: $355

73221 - MRI, JOINT UPPER EXTREM
Average Charge: $1,113
Average Payment with AHCCCS: $262
Average Payment with Medicare: $365

77059 - MRI BREAST, W/WO CONTRAST, BILATERAL
Average Charge: $2,508
Average Payment with AHCCCS: $389
Average Payment with Medicare: $441

70551 - MRI BRAIN
Average Charge: $1,061
Average Payment with AHCCCS: $284
Average Payment with Medicare: $340

70553 - MRI BRAIN COMBO
Average Charge: $1,618
Average Payment with AHCCCS: $458
Average Payment with Medicare: $535

74183 - MRI, ABDOMEN, COMBO
Average Charge: $1,634
Average Payment with AHCCCS: $524
Average Payment with Medicare: $503

73718 - MRI, LOWER EXTREM
Average Charge: $1,041
Average Payment with AHCCCS: $337
Average Payment with Medicare: $344

70544 - MR ANGIO, HEAD
Average Charge: $1,924
Average Payment with AHCCCS: $596
Average Payment with Medicare: $632

72158 - MRI, LUMBAR SPINE COMBO
Average Charge: $1,632
Average Payment with AHCCCS: $429
Average Payment with Medicare: $535

72146 - MRI, DORSAL SPINE
Average Charge: $1,054
Average Payment with AHCCCS: $333
Average Payment with Medicare: $323

74181 - MRI, ABDOMEN (MRI)
Average Charge: $1,113
Average Payment with AHCCCS: $334
Average Payment with Medicare: $335

73218 - MRI, UPPER EXTREMITY W/O CONTRAST
Average Charge: $1,040
Average Payment with AHCCCS: $337
Average Payment with Medicare: $320

72197 - MRI, PELVIS, COMBO
Average Charge: $1,618
Average Payment with AHCCCS: $523
Average Payment with Medicare: $542