Logo
Delaware

Cost of a Knee MRI Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's concentrated healthcare market, dominated by three major health systems serving just three counties, creates unique pricing dynamics for medical imaging services. Knee MRI patients across the First State typically pay between $63 and $399, with a median out-of-pocket cost of $215 based on negotiated insurance rates from 201 active providers. Browse all Delaware Knee MRI providers to compare costs and find the most affordable option for your specific insurance plan.

Average

$226

Median

$215

Lowest

$63

Highest

$399

Providers

201

National avg: $268Delaware: $226

16% below national average

Compare Similar Procedures

How does mri knee compare to related procedures in Delaware?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$98$340$596199
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$66$203$363187
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$73$225$651103
CT Chest

CT scan of the chest with contrast

71260$61$177$273205

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 73721MRI any joint of lower extremity without contrast). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 73721 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 73721 (MRI any joint of lower extremity without contrast), as mandated by the CMS Price Transparency Rule.

What CPT 73721 covers: the provider's professional fee for mri knee. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Knee MRI Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above national averages, driven by limited insurer competition and the state's small geographic footprint that concentrates most specialists in New Castle County. The First State's unique position between major metropolitan markets influences pricing, as providers compete with Philadelphia and Baltimore facilities for complex cases.

Urban vs. Rural Provider Availability

Most of Delaware's 201 Knee MRI providers cluster in New Castle County around Wilmington, leaving Kent and Sussex counties with fewer options and longer travel times for specialized care. This geographic concentration drives up costs in rural areas where patients have limited choices, while urban areas benefit from more competitive pricing. Southern Delaware residents often travel north for specialized imaging, adding transportation costs to their total healthcare expenses.

Facility Type and Overhead Costs

ChristianaCare and Bayhealth dominate Delaware's hospital market, with their imaging centers typically charging premium rates due to academic affiliations and higher overhead costs. Independent imaging centers and outpatient facilities offer lower-cost alternatives, particularly in suburban areas where real estate and staffing costs are reduced. Hospital-based facilities often include facility fees that can double the total cost compared to freestanding centers.

Insurance Market Competition in Delaware

Delaware's small population supports only three major insurers - Highmark, Aetna, and UHC - creating limited competition that keeps negotiated rates higher than in larger states. This concentrated market gives insurers less leverage to negotiate aggressive discounts with the state's major health systems. The lack of a robust individual marketplace also limits consumer choice and price competition.

Physician Supply and Demand in Delaware

With 201 active Knee MRI providers serving under one million residents, Delaware maintains adequate specialist availability compared to national averages, though distribution favors northern counties. This reasonable supply-to-demand ratio helps moderate pricing somewhat, though the concentration of specialists in New Castle County creates access challenges for downstate residents. Wait times for routine Knee MRI appointments typically range from one to three weeks, indicating balanced supply and demand.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Knee MRI Costs in Delaware

What is the average cost of a Knee MRI visit in Delaware without insurance?

Uninsured patients in Delaware typically pay between $63 and $399 for a Knee MRI visit, with most facilities charging around the median rate of $215. These costs reflect negotiated insurance rates and may be reduced further with self-pay discounts that many Delaware providers offer. Hospital-based imaging centers tend toward the higher end of this range, while independent facilities often charge closer to the lower end.

Does Delaware Medicaid cover Knee MRI visits?

Yes, Delaware Medicaid covers medically necessary Knee MRI visits as the state expanded Medicaid under the ACA. Coverage requires prior authorization for non-urgent imaging and a referral from your primary care provider in most cases. Delaware Health and Social Services administers the program, and patients should verify their specific provider accepts Medicaid before scheduling appointments.

How do I find an affordable Knee MRI near me in Delaware?

Compare costs among Delaware's 201 active providers, focusing on independent imaging centers which typically charge less than hospital-based facilities. Ask about self-pay discounts if you're uninsured, and consider facilities in Kent or Sussex counties where overhead costs may be lower. Community health centers throughout Delaware also provide referral services and may offer sliding-scale pricing based on income.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial Knee MRI consultations typically involve more comprehensive evaluation and cost more than follow-up visits, though the $63-$399 range applies primarily to imaging procedures rather than consultation fees. New patient visits often include detailed history-taking and examination, while follow-up appointments focus on reviewing results and adjusting treatment plans. Most Delaware providers charge separate fees for consultation and imaging services.

Can I use an HSA or FSA to pay for a Knee MRI visit in Delaware?

Yes, Knee MRI visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay for deductibles, copays, and coinsurance related to your imaging appointment. Keep receipts and documentation of medical necessity for tax purposes, as HSA and FSA administrators may require proof that expenses were medically related.

How does telemedicine affect the cost of seeing a Knee MRI in Delaware?

Telemedicine consultations with Knee MRI specialists typically cost $50-150 less than in-person visits and are widely available throughout Delaware, particularly beneficial for Sussex County residents. While the actual imaging must be performed in person, initial consultations and follow-up result reviews can often be handled virtually. Delaware expanded telehealth coverage during the pandemic, and most major insurers now cover virtual specialist visits at similar rates to office visits.

Click a state to compare costs

Average Visit Cost

$183
$447

Office visit (CPT 73721)

Compare With Other States

RankStateAverage
1Georgia
Range: $64$1,036
$447
2Wisconsin
Range: $73$1,001
$404
3Maine
Range: $105$701
$366
4Nevada
Range: $80$642
$357
5Wyoming
Range: $59$697
$336
6Massachusetts
Range: $70$590
$329
7Hawaii
Range: $75$505
$322
8Nebraska
Range: $123$504
$322
9Minnesota
Range: $83$507
$306
10Colorado
Range: $60$642
$299
11Washington
Range: $59$505
$297
12New Hampshire
Range: $77$590
$296
13Iowa
Range: $80$516
$296
14Illinois
Range: $69$595
$295
15North Carolina
Range: $65$580
$290
16Indiana
Range: $59$595
$284
17Vermont
Range: $57$617
$281
18New Mexico
Range: $57$588
$281
19West Virginia
Range: $71$425
$274
20Utah
Range: $59$504
$273
21District of Columbia
Range: $53$560
$272
22Louisiana
Range: $55$429
$270
23Rhode Island
Range: $59$537
$267
24Oregon
Range: $75$393
$265
25Virginia
Range: $45$569
$262
26New York
Range: $48$582
$262
27South Dakota
Range: $131$327
$262
28Alaska
Range: $59$527
$261
29Idaho
Range: $59$462
$255
30Michigan
Range: $62$506
$252
31Kansas
Range: $65$504
$249
32Montana
Range: $59$358
$248
33Tennessee
Range: $66$479
$247
34North Dakota
Range: $83$327
$246
35Kentucky
Range: $59$492
$242
36Missouri
Range: $69$461
$238
37Alabama
Range: $53$479
$232
38Pennsylvania
Range: $55$506
$232
39Texas
Range: $59$464
$230
40South Carolina
Range: $58$468
$230
41Delaware
Range: $63$399
$226
42California
Range: $75$505
$220
43Mississippi
Range: $52$465
$220
44Oklahoma
Range: $55$464
$219
45New Jersey
Range: $47$466
$219
46Maryland
Range: $26$457
$218
47Ohio
Range: $45$452
$214
48Connecticut
Range: $55$472
$211
49Arkansas
Range: $66$327
$192
50Florida
Range: $35$479
$191
51Arizona
Range: $59$350
$183
MRI Knee in Other States