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New Jersey

Cost of a Knee MRI Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's healthcare costs run approximately 17% above the national average, reflecting the state's high cost of living and concentration of major medical centers along the New York metropolitan corridor. For Knee MRI visits, patients typically pay based on negotiated insurance rates ranging from $47 to $466, with a median cost of $144 according to recent transparency data. With over 7,000 active providers offering Knee MRI services throughout New Jersey, patients have substantial options when browsing all providers in New Jersey.

Average

$219

Median

$144

Lowest

$47

Highest

$466

Providers

7,266

National avg: $268New Jersey: $219

19% below national average

Compare Similar Procedures

How does mri knee compare to related procedures in New Jersey?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$63$230$8307,290
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$52$144$4597,247
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$64$235$5586,647
CT Chest

CT scan of the chest with contrast

71260$41$132$3717,333

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 New Jersey

Healthcare costs in New Jersey run approximately 17% above the national average, driven by the state's proximity to New York City's expensive medical market and high operational costs throughout the northeastern corridor. The state's dense population and well-developed healthcare infrastructure create both competitive advantages and cost pressures that affect Knee MRI pricing.

Urban vs. Rural Provider Availability

New Jersey's compact geography means most residents live within reasonable driving distance of multiple Knee MRI specialists, though the highest concentrations cluster around Newark, Jersey City, and the Philadelphia suburbs. Northern counties near New York City tend to have more specialists but also higher costs, while central and southern regions offer more competitive pricing.

Facility Type and Overhead Costs

Hospital-based orthopedic clinics affiliated with systems like RWJBarnabas Health or Hackensack Meridian typically charge higher facility fees than independent practices. New Jersey's high real estate and operational costs affect all provider types, but academic medical centers and large health systems often have the highest overhead expenses passed through to patients.

Insurance Market Competition in New Jersey

The presence of major insurers including Horizon Blue Cross Blue Shield, Aetna, and UnitedHealthcare creates moderate market competition that prevents the extreme rate variations seen in less competitive states. However, Horizon's dominant market position in certain regions can limit negotiating leverage for both providers and patients.

Physician Supply and Demand in New Jersey

With over 7,000 providers offering Knee MRI services, New Jersey maintains a relatively strong specialist supply that helps moderate pricing compared to shortage areas. This robust provider network reduces wait times and gives patients more options for finding cost-effective care, though demand remains high in desirable suburban markets.

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 New Jersey

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

Without insurance, Knee MRI visits in New Jersey typically range from $47 to $466, with a median cost of $144 based on negotiated rates from major insurers. Self-pay patients may qualify for discounts of 10-30% off these rates, and many providers offer payment plans to make care more affordable.

Does New Jersey Medicaid cover Knee MRI visits?

Yes, New Jersey expanded Medicaid under the Affordable Care Act, providing coverage for medically necessary Knee MRI visits to adults with incomes up to 138% of the federal poverty level. Coverage typically includes both the consultation and any recommended imaging or procedures, though some services may require prior authorization.

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

Compare costs across different facility types, as independent practices often charge less than hospital-based clinics in New Jersey. Ask about self-pay discounts, consider community health centers for uninsured patients, and verify that your chosen provider is in-network with your insurance plan to avoid surprise bills.

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

Initial Knee MRI consultations typically cost more than follow-up visits since they involve comprehensive evaluations and treatment planning. Based on current transparency data, the median cost for Knee MRI services is $144, though specific consultation codes may vary depending on the complexity of your condition and time spent with the physician.

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

Yes, Knee MRI consultations 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 copays, deductibles, and any out-of-pocket costs associated with your specialist visit and related treatments.

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

Telemedicine consultations for Knee MRI typically cost 20-40% less than in-person visits and are widely available throughout New Jersey. However, physical examination is often necessary for accurate diagnosis of knee conditions, so many providers use telehealth for follow-up visits and treatment plan discussions rather than initial evaluations.

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