Shoulder MRIs evaluate rotator cuff tears, labral tears, and joint inflammation. Standard shoulder MRI without contrast is the most common order for rotator cuff evaluation.
Tip: Rotator cuff tears are typically evaluated with 73221. Labral tears sometimes require 73223.
| Code | Variant | When it applies | |
|---|---|---|---|
| CPT 73221 | Without contrast | Standard shoulder MRI | See exact rates → |
| CPT 73222 | With contrast | Includes dye injection | See exact rates → |
| CPT 73223 | With and without contrast | Both scans performed | See exact rates → |
Ranges span all billing codes for this procedure. Actual rate depends on which variant is performed.
| Insurance | AdventHealth Tampa | AdventHealth Wesley Chapel | AdventHealth Zephyrhills | HCA Florida Brandon Hospital | HCA Florida Largo Hospital | HCA Florida South Tampa Hospital | HCA Florida Trinity Hospital | HCA Florida West Tampa Hospital |
|---|---|---|---|---|---|---|---|---|
| Molina | $169–$285Best | $169–$285Best | $169–$285Best | $0 covered | $0 covered | $0 covered | $0 covered | $0 covered |
| Medicare | $193–$362Best | $193–$362Best | $193–$362Best | $193–$362Best | $193–$362Best | $193–$362Best | $193–$362Best | $193–$362Best |
| Cigna | $454–$883Best | $465–$898 | $461–$893 | — | — | — | — | — |
| Oscar Health | $454–$1,484Best | $471–$1,540 | $517–$1,690 | — | — | — | — | — |
| Humana | $900 | $1,030–$2,343 | $708–$1,524Best | — | — | — | — | — |
| Aetna | $501–$850 | $501–$850 | $374–$667Best | $1,826 | $1,826 | $1,826 | $1,826 | $1,826 |
| Multiplan | $2,507–$3,486Best | $2,908–$6,618 | $2,908–$6,618 | $0 covered | $0 covered | $0 covered | $0 covered | $0 covered |
| Workers Comp | — | — | — | $3,174–$3,845Best | $3,174–$3,845Best | $3,174–$3,845Best | $3,174–$3,845Best | $3,174–$3,845Best |
| Self-pay (uninsured) | $2,255–$3,043 | $2,255–$3,043 | $1,457–$3,043Best | $5,209–$8,516 | $17,836–$25,657 | $10,135–$12,124 | $8,714–$9,873 | $6,508–$10,643 |
Source: Hospital price transparency files (federally required). Facility fees only.
Each hospital negotiates separate contracts with every insurer. For the same procedure, the rate can differ by 3–5x between hospital systems — larger systems have more leverage and command higher rates.
Facility fee only. The physician performing this procedure bills separately. Your out-of-pocket depends on your deductible and coinsurance. Federal law requires hospitals to provide a Good Faith Estimate before any non-emergency procedure.