Logo
Virginia

Cost of a Knee MRI Visit
in Virginia

Reviewed by Momentary Medical Group West PC

Virginia's healthcare landscape features a mix of academic medical centers like UVA Health and VCU Health alongside growing outpatient imaging networks, creating competitive pricing for diagnostic services. Knee MRI patients typically pay between $44.80 and $569.32, with a median out-of-pocket cost of $171.99 across Virginia's 3,190 active imaging providers. The state's expanding ambulatory surgery center market and Medicaid expansion have improved access to MRI services from Northern Virginia's dense provider networks to rural Appalachian regions.

Average

$262

Median

$172

Lowest

$45

Highest

$569

Providers

3,190

National avg: $268Virginia: $262

2% below national average

Compare Similar Procedures

How does mri knee compare to related procedures in Virginia?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$76$265$9703,183
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$49$157$5533,167
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$60$214$5142,957
CT Chest

CT scan of the chest with contrast

71260$41$134$3712,895

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 Virginia

Virginia's healthcare costs run approximately 3% above national averages, reflecting the state's mix of high-cost Northern Virginia suburbs and more affordable rural regions. The state's growing ambulatory surgery center market and moderate regulatory environment have helped contain imaging costs compared to more restrictive northeastern states.

Urban vs. Rural Provider Availability

Northern Virginia's dense population corridor offers abundant imaging options with competitive pricing, while rural Southwest Virginia and the Shenandoah Valley have fewer facilities but often lower base costs. The Hampton Roads metropolitan area provides moderate pricing with good provider availability, though patients in far Southwest Virginia may face longer travel distances for specialized MRI services. Urban competition keeps prices in check, while rural areas compensate with lower overhead costs.

Facility Type and Overhead Costs

Virginia's major health systems including VCU Health, UVA Health, and Sentara operate hospital-based imaging departments with higher overhead costs than independent centers. Freestanding MRI facilities have proliferated throughout Virginia, offering competitive cash rates and often accepting a broader range of insurance plans. The state's certificate of need laws historically limited imaging equipment expansion, though recent deregulation has increased competition and improved pricing transparency.

Insurance Market Competition in Virginia

Anthem Blue Cross Blue Shield holds the largest market share in Virginia, followed by Optima Health in the Tidewater region and UnitedHealthcare in Northern Virginia. This moderate competition has produced reasonable negotiated rates for imaging services, though rural areas may have fewer insurer options. Regional insurers like Optima Health often negotiate competitive rates with local imaging centers, providing cost advantages for patients in their service areas.

Physician Supply and Demand in Virginia

Virginia's 3,190 active knee MRI providers indicate strong availability relative to the state's population, particularly in metropolitan areas around Richmond, Virginia Beach, and Northern Virginia. This healthy provider supply helps moderate pricing and reduces wait times for non-urgent imaging studies. Rural counties in Southwest Virginia have fewer imaging options, but telemedicine consultation and regional referral networks help connect patients with appropriate specialists for MRI 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 Virginia

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

Uninsured patients in Virginia typically pay between $44.80 and $569.32 for knee MRI studies, with a median cost of $171.99 across the state's imaging providers. Freestanding MRI centers often offer the most affordable cash rates, while hospital-based facilities tend toward the higher end of this range. Many facilities provide self-pay discounts of 20-40% off standard rates for patients paying at the time of service.

Does Virginia Medicaid cover Knee MRI visits?

Yes, Virginia's expanded Medicaid program covers medically necessary knee MRIs when ordered by a physician and performed at participating imaging facilities. Prior authorization may be required for certain studies, and patients should verify their chosen facility accepts Medicaid before scheduling. Most major imaging centers throughout Virginia participate in the Medicaid program, providing good access across urban and rural areas.

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

Compare prices between freestanding imaging centers and hospital-based facilities, as independent centers often offer significantly lower rates for identical studies. Ask about cash-pay discounts, payment plans, and prompt-pay incentives that can reduce your out-of-pocket costs by hundreds of dollars. Community health centers and federally qualified health centers throughout Virginia may also offer sliding-scale pricing based on income for qualifying patients.

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

The knee MRI study itself costs between $44.80 and $569.32 regardless of whether it's ordered during an initial or follow-up visit, though the physician consultation fees differ. Initial specialty consultations typically cost more than follow-up appointments, but the imaging study represents the largest portion of your total expense. Some providers offer package pricing that bundles the consultation and MRI study for cost savings.

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

Yes, knee MRI studies qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) when prescribed by a physician. These tax-advantaged accounts can significantly reduce your effective cost for imaging studies, particularly if you're in a higher tax bracket. Keep all receipts and documentation, as you may need to provide proof that the MRI was medically necessary rather than purely elective.

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

Telemedicine consultations for MRI result review typically cost 20-30% less than in-person follow-up visits in Virginia, making them an attractive option for discussing imaging findings. Many Virginia orthopedic specialists and radiologists offer virtual consultations to review MRI results and discuss treatment options. However, the initial MRI study must still be performed in person at an imaging facility, so telemedicine primarily reduces consultation rather than imaging costs.

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