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Illinois

Cost of a Knee MRI Visit
in Illinois

Reviewed by Momentary Medical Group West PC

Illinois healthcare spending ranks among the highest in the Midwest, driven largely by Chicago's concentration of academic medical centers and specialized imaging facilities. Knee MRI patients in Illinois typically encounter negotiated rates ranging from $68.78 to $595.19, with median costs around $221.02 for the standard imaging procedure. With over 7,000 active providers offering knee MRI services across the state, patients have substantial options for finding affordable care throughout Illinois's diverse healthcare landscape.

Average

$295

Median

$221

Lowest

$69

Highest

$595

Providers

7,078

National avg: $268Illinois: $295

10% above national average

Compare Similar Procedures

How does mri knee compare to related procedures in Illinois?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$93$317$8425,703
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$76$186$5536,155
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$80$289$5378,716
CT Chest

CT scan of the chest with contrast

71260$64$167$3467,047

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 Illinois

Illinois healthcare costs run approximately 10% above national averages, reflecting the state's concentration of high-cost academic medical centers in Chicago and limited rural provider options downstate. The dramatic urban-rural divide creates significant cost and access disparities for specialty imaging services.

Urban vs. Rural Provider Availability

Chicago's medical district houses dozens of imaging facilities within a few square miles, while rural counties in southern Illinois may have only one or two options. This concentration allows for competitive pricing in metropolitan areas but can drive up costs in underserved regions. Patients in rural areas often travel 50+ miles to Chicago suburbs for specialized knee imaging.

Facility Type and Overhead Costs

Hospital-based outpatient imaging at systems like Northwestern Medicine or Rush typically costs 30-50% more than independent radiology centers due to higher overhead expenses. Academic medical centers command premium pricing for subspecialty musculoskeletal imaging expertise. Suburban imaging chains often offer the best combination of quality and affordability for routine knee MRIs.

Insurance Market Competition in Illinois

BCBS IL dominates the individual market while UHC and Aetna compete heavily for employer groups, creating varied negotiated rates across the state. The competitive insurance landscape generally benefits consumers through better negotiated rates. However, market concentration in certain regions can limit provider choice and maintain higher prices.

Physician Supply and Demand in Illinois

With over 7,000 active providers offering knee MRI services, Illinois maintains adequate radiologist supply in metropolitan areas but faces shortages in rural regions. This abundance in Chicago drives competitive pricing and shorter wait times, while downstate patients may face longer delays and higher costs. The robust provider network generally keeps pricing competitive compared to neighboring states.

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 Illinois

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

Uninsured patients in Illinois typically pay between $68.78 and $595.19 for knee MRI imaging, with a median cost around $221.02 based on negotiated insurance rates. These prices reflect what insurers actually pay providers, though cash-pay patients may qualify for discounts of 20-40% at many facilities. Independent imaging centers generally offer lower rates than hospital-based facilities for the same quality imaging services.

Does Illinois Medicaid cover Knee MRI visits?

Yes, Illinois Medicaid covers medically necessary knee MRI imaging following the state's expansion of the program. Prior authorization is typically required, and your doctor must demonstrate that conservative treatments have been tried or that imaging is essential for diagnosis. Coverage includes both the technical imaging fee and professional interpretation by a radiologist within the Medicaid provider network.

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

Compare prices between independent imaging centers and hospital facilities, as independents often charge 30-50% less for identical services. Ask about cash-pay discounts, payment plans, and sliding scale fees based on income at non-profit health systems. Community health centers and federally qualified health centers throughout Illinois may also offer reduced-cost imaging services for qualifying patients.

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

Knee MRI imaging costs remain consistent regardless of whether it's ordered during an initial consultation or follow-up visit, typically ranging from $68.78 to $595.19 in Illinois. However, the physician consultation fee may differ, with new patient visits generally costing more than established patient follow-ups. The imaging facility and radiologist fees are separate from your doctor's consultation charges.

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

Yes, knee MRI imaging qualifies as a medical expense eligible for HSA and FSA reimbursement when ordered by a physician for diagnostic purposes. You can use these tax-advantaged accounts to pay for both the imaging procedure and associated consultation fees. Keep all receipts and documentation showing the medical necessity of the imaging for your tax records.

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

While the actual knee MRI imaging must be performed in person, many Illinois providers offer telemedicine consultations to review results and discuss treatment options, reducing overall costs. Initial consultations via telemedicine typically cost 20-30% less than in-person visits and can help determine if imaging is necessary. Some radiologists also provide remote second opinions on knee MRI results, offering additional cost-effective expertise.

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