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Wisconsin

Cost of a Knee MRI Visit
in Wisconsin

Reviewed by Momentary Medical Group West PC

Wisconsin's healthcare system serves over 5.8 million residents through a network of regional health systems including Aurora Health Care, Marshfield Clinic, and ThedaCare. For Knee MRI services, costs typically vary based on facility type and geographic location, with Wisconsin maintaining competitive pricing approximately 1% above the national average. The state has many active Knee MRI providers across both urban centers like Milwaukee and Madison and rural communities, allowing patients to browse all providers in Wisconsin to find the best value for their specific needs.

Average

$404

Median

$139

Lowest

$73

Highest

$1,001

Providers

5,766

National avg: $268Wisconsin: $404

51% above national average

Compare Similar Procedures

How does mri knee compare to related procedures in Wisconsin?

ProcedureCPTLowMedianHighProviders
MRI Brain

MRI of the brain with and without contrast

70553$80$381$2,4644,163
MRI Lumbar Spine

MRI of the lumbar spine without contrast

72148$73$181$1,4776,596
CT Abdomen & Pelvis

CT scan of abdomen and pelvis with contrast

74177$79$239$2,0905,417
CT Chest

CT scan of the chest with contrast

71260$73$154$8634,270

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 Wisconsin

Wisconsin's healthcare costs run approximately 1% above the national average, reflecting the state's balanced mix of urban medical centers and rural facilities. The state's unique geography, stretching from the Twin Cities metro influence in the west to Lake Michigan's eastern shore, creates distinct regional cost patterns across different healthcare markets.

Urban vs. Rural Provider Availability

Wisconsin's population centers in Milwaukee, Madison, and Green Bay offer multiple imaging options with competitive pricing, while rural areas in the north and southwest may have limited choices driving up costs. The 72-county state includes many rural communities where residents often travel 30+ minutes to reach the nearest MRI facility, impacting both access and pricing dynamics.

Facility Type and Overhead Costs

Hospital-based imaging at systems like Aurora Health Care, Ascension Wisconsin, and Marshfield Clinic typically costs more than independent imaging centers due to higher facility fees and overhead. Wisconsin's numerous community hospitals often charge premium rates compared to freestanding radiology centers, though they may offer more comprehensive services and extended hours.

Insurance Market Competition in Wisconsin

The state's insurance landscape includes major players like BCBS Wisconsin, UnitedHealthcare, and the educator-focused WEA Trust, creating moderate competition that helps control negotiated rates. This competitive environment means different insurers may have significantly different contracted rates with the same imaging facility, making insurance verification critical for cost planning.

Physician Supply and Demand in Wisconsin

Wisconsin maintains a reasonable supply of radiologists and imaging facilities relative to its population, with 5,766 providers offering Knee MRI services across the state. This adequate provider density helps prevent severe supply shortages that drive up costs, though rural areas still experience longer wait times and potentially higher prices due to limited local competition.

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 Wisconsin

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

Without insurance, Knee MRI costs in Wisconsin range from approximately $73 to $1,001, with a median cost around $139 based on negotiated rate data. Self-pay patients should expect to pay somewhere in this range, though many facilities offer cash discounts that can reduce these amounts by 20-40%. The wide cost variation reflects differences between hospital-based imaging centers and independent facilities throughout the state.

Does Wisconsin Medicaid cover Knee MRI visits?

Yes, Wisconsin's expanded Medicaid program (BadgerCare Plus) covers medically necessary Knee MRI services when ordered by a qualified healthcare provider. Coverage typically requires prior authorization and a documented medical need, such as injury evaluation or diagnostic workup for knee pain. Most BadgerCare Plus members pay minimal or no out-of-pocket costs for approved imaging services.

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

Compare prices between hospital-based imaging centers and independent radiology clinics, as costs can vary significantly across Wisconsin's diverse healthcare market. Ask about self-pay discounts if you're uninsured, and consider community health centers or federally qualified health centers that may offer sliding fee scales. Rural areas may have fewer options, so factor in travel costs when comparing total expenses.

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, as they involve comprehensive evaluation and interpretation of new imaging studies. Based on the negotiated rates in Wisconsin, you can expect initial services to fall in the higher portion of the $73-$1,001 range, while follow-up reviews or consultations about existing images generally cost less. The specific difference depends on the complexity of your case and the facility type.

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

Yes, Knee MRI visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these pre-tax dollars to pay for the imaging service, associated radiologist fees, and any required copays or deductibles. Keep all receipts and documentation for tax purposes, as the IRS may request proof that the expense was medically necessary.

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

Telemedicine can reduce costs by allowing remote consultation for MRI results review and follow-up discussions, eliminating travel expenses and facility fees for in-person visits. Many Wisconsin radiologists and orthopedists now offer telehealth consultations to discuss imaging findings, particularly beneficial for rural patients who might otherwise drive hours to major medical centers. However, the initial MRI scan itself still requires an in-person visit to an imaging facility.

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