72196TC (OTHER) by state — Price Transparency

OTHER · across United States

72196TC — MRI Pelvis With Contrast

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$428 National median

$223 – $909 IQR (p25 – p75)

78 hospitals filing

20 states

View hospital-by-hospital → Raw rate rows →

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What would you pay?

Plug in your deductible, what you've already spent against it, your OOP-max, and your coinsurance %. We'll math the rest. Math reference: methodology.

This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

Uninsured estimates use the cash / self-pay median for this code: $421.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 72196TC (OTHER), with interquartile range
State	Median	p25	p75
IL	$5,046	$1,351	$6,079
WI	$4,994	$872	$4,994
NE	$2,990	$2,990	$2,990
CA	$1,598	$1,598	$1,598
AR	$1,153	$1,153	$1,153
MN	$954	$954	$954
NJ	$895	$828	$1,008
OH	$608	$608	$952
CT	$605	$544	$869
MO	$543	$543	$543
CO	$479	$438	$553
TN	$402	$369	$402
NC	$371	$371	$371
NV	$359	$267	$362
MT	$328	$323	$333
IA	$318	$203	$446
NY	$259	$201	$322
FL	$231	$231	$231
KS	$209	$209	$211
VA	$182	$78	$182

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

IL	$5,046	$1,351	$6,079	$1,212	$6,754	2 ⚠ thin data	7	15
WI	$4,994	$872	$4,994	$183	$4,994	7	8	29
NE	$2,990	$2,990	$2,990	$360	$2,990	2 ⚠ thin data	7	10
CA	$1,598	$1,598	$1,598	$1,598	$1,598	1 ⚠ thin data	1	1
AR	$1,153	$1,153	$1,153	$1,153	$1,153	2 ⚠ thin data	1	3
MN	$954	$954	$954	$587	$954	4	2	7
NJ	$895	$828	$1,008	$299	$1,552	13	8	119
OH	$608	$608	$952	$608	$1,295	3	2	3
CT	$605	$544	$869	$198	$1,022	1 ⚠ thin data	3	9
MO	$543	$543	$543	$543	$543	1 ⚠ thin data	1	1
CO	$479	$438	$553	$211	$1,309	13	2	29
TN	$402	$369	$402	$336	$402	3	2	3
NC	$371	$371	$371	$371	$371	1 ⚠ thin data	1	1
NV	$359	$267	$362	$199	$1,746	3	9	18
MT	$328	$323	$333	$298	$333	1 ⚠ thin data	5	5
IA	$318	$203	$446	$183	$503	2 ⚠ thin data	2	8
NY	$259	$201	$322	$143	$777	10	16	148
FL	$231	$231	$231	$188	$231	4	3	7
KS	$209	$209	$211	$163	$211	1 ⚠ thin data	4	10
VA	$182	$78	$182	$78	$1,389	4	2	30