Tennessee · 73218

Mri Scan Of Arm Without Contrast in Tennessee

Tennessee Medicare Avg
$110.05
19% below national avg
National Medicare Avg
$136.08
All states combined
Billed Charge (TN)
$743.31
What providers submit
Est. Commercial (TN)
$308.07
National avg: $396.26
Est. Cash / Self-Pay (TN)
$311.88
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

956
Services in TN
277
Providers
N/A
Min Payment
N/A
Max Payment

Tennessee Pricing in Context

In Tennessee, CPT code 73218 (Mri Scan Of Arm Without Contrast) carries an average Medicare payment of $110.05 - 19% below the national benchmark of $136.08. 277 providers across the state submitted claims for this procedure in 2023, performing 956 total services. Individual payments in TN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Tennessee is $743.31, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount, the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Tennessee sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for MRI procedures, the estimated commercial insurance price in Tennessee lands near $308.07, with self-pay cash prices typically around $311.88. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Mri Scan Of Arm Without Contrast cost in Tennessee?

The average Medicare payment for Mri Scan Of Arm Without Contrast in Tennessee is $110.05, which is 19% below the national average of $136.08. Providers in TN typically bill $743.31 for this procedure.

What does Mri Scan Of Arm Without Contrast cost with insurance in Tennessee?

With commercial insurance in Tennessee, Mri Scan Of Arm Without Contrast costs an estimated $308.07. Without insurance, the estimated cash price is $311.88. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Mri Scan Of Arm Without Contrast in Tennessee?

277 providers in Tennessee billed Medicare for Mri Scan Of Arm Without Contrast in 2023, performing 956 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Mri Scan Of Arm Without Contrast cheaper in Tennessee than the national average?

Yes - Mri Scan Of Arm Without Contrast costs 19% below the national average in Tennessee. The state average Medicare payment is $110.05 compared to $136.08 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.