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Ohio

Cost of a Knee MRI Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare market runs approximately 2% below national averages, benefiting from Medicaid expansion and strong insurer competition between Medical Mutual, Anthem, and UHC. Knee MRI patients typically pay between $44.64 and $451.61, with a median out-of-pocket cost of $146.82 based on negotiated insurance rates. With over 4,556 active Knee MRI providers across the state, patients can browse all providers in Ohio to find the most affordable option for their specific insurance plan.

Average

$214

Median

$147

Lowest

$45

Highest

$452

Providers

4,556

National avg: $268Ohio: $214

20% below national average

Compare Similar Procedures

How does mri knee compare to related procedures in Ohio?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$78$228$8134,538
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$49$136$4573,589
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$69$184$4496,569
CT Chest

CT scan of the chest with contrast

71260$41$122$2984,434

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 Ohio

Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market. The presence of major health systems like Cleveland Clinic and OhioHealth, combined with robust competition from regional insurers, helps maintain reasonable pricing for diagnostic imaging services.

Urban vs. Rural Provider Availability

Ohio's major metropolitan areas including Columbus, Cleveland, and Cincinnati offer abundant imaging options with over 100 facilities each, while rural southeastern counties may have only one or two providers within driving distance. This geographic disparity creates access challenges for rural patients but can result in lower overhead costs at smaller facilities. Urban areas typically see higher facility fees due to real estate costs and higher staffing expenses.

Facility Type and Overhead Costs

Hospital-based outpatient imaging departments in Ohio often charge 30-50% more than independent imaging centers due to higher overhead costs and facility fees. Major health systems like Cleveland Clinic and OhioHealth operate extensive imaging networks with premium pricing, while standalone centers focus on competitive cash pricing. Ambulatory surgery centers increasingly offer imaging services at rates between hospitals and independent facilities.

Insurance Market Competition in Ohio

Ohio benefits from robust competition between Medical Mutual, Anthem, and UHC, along with regional players like Molina and Buckeye Health Plan in the Medicaid market. This competitive environment prevents any single insurer from dominating rate negotiations with providers, resulting in more reasonable negotiated fees. The state's decision not to implement additional insurance regulations beyond federal requirements maintains market flexibility.

Physician Supply and Demand in Ohio

With over 4,556 active providers offering Knee MRI services, Ohio maintains adequate radiologist supply relative to its population of 11.8 million residents. This healthy provider-to-population ratio prevents artificial scarcity pricing while ensuring reasonable wait times for non-urgent imaging. Rural areas face some radiologist shortages, leading to increased use of teleradiology services for interpretation.

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 Ohio

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

Uninsured patients in Ohio typically pay between $44.64 and $451.61 for knee MRI procedures, with a median cost of $146.82 based on negotiated insurance rates. Independent imaging centers often offer cash-pay discounts of 20-40% off these rates for upfront payment. Many facilities in Ohio provide payment plans or sliding scale pricing based on income to make imaging more affordable for uninsured patients.

Does Ohio Medicaid cover Knee MRI visits?

Yes, Ohio Medicaid covers medically necessary knee MRI procedures with minimal out-of-pocket costs for eligible recipients. Ohio expanded Medicaid under the Affordable Care Act, providing coverage for adults earning up to 138% of federal poverty level. Prior authorization is typically required, and your physician must document that conservative treatments have been attempted before approving advanced imaging studies.

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

Compare prices between hospital-based imaging departments and independent centers, as standalone facilities often charge 30-50% less than hospitals in Ohio. Ask about cash-pay discounts, payment plans, and sliding scale fees if you're uninsured or have high-deductible insurance. Community health centers and federally qualified health centers throughout Ohio may offer imaging referrals at reduced rates based on your income level.

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

The cost data provided focuses specifically on knee MRI imaging procedures rather than consultation visits with physicians. However, imaging costs remain consistent whether ordered during an initial evaluation or follow-up appointment, ranging from $44.64 to $451.61 in Ohio. Your physician consultation fees would be separate from the imaging costs and vary based on complexity and visit type.

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

Yes, knee MRI procedures qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts when prescribed by a physician. You can use HSA or FSA funds to pay for the imaging study, related consultation fees, and transportation costs for medical care. Keep all receipts and documentation from your Ohio provider for HSA/FSA reimbursement or tax purposes.

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

While the actual MRI imaging must be performed in person at a facility, some Ohio radiologists offer telehealth consultations to review results and discuss findings, potentially reducing follow-up visit costs. Telemedicine consultations typically cost 20-30% less than in-person visits and can save travel time for patients in rural areas. However, the imaging procedure itself requires physical presence at an accredited facility with proper MRI equipment.

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