Average Medicaid MRI (Magnetic Resonance Imaging) Payments in Sioux Falls, SD: $120.38
Avg. Paid
$120.38
Range
$35.83 – $141.15
Total Claims
15,832
Providers
10
Typical Payment Range
Typical Medicaid MRI (Magnetic Resonance Imaging) payments fall between $48.37 and $146.50 per claim (median: $74.16). The top 10% of payments exceed $247.35.
Based on per-provider averages across all Medicaid claims in this category.
MRI uses powerful magnets and radio waves to create detailed images of organs and tissues. Common types include brain MRI, spine MRI, joint MRI, and abdominal MRI.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering MRI (Magnetic Resonance Imaging) in Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanford Clinic
1210 W 18Th St |
$141.15 | 8,767 | 8,276 |
|
Avera Mckennan
1325 S. Cliff Ave. |
$121.45 | 4,501 | 4,154 |
|
Sean Charles Dodson
1210 W 18Th St Ste Ll03 |
$35.83 | 1,194 | 958 |
|
Kevin J Turneau
1325 S Cliff Ave |
$54.88 | 1,007 | 980 |
|
Mark Scott Vantassell
1400 W 22Nd St |
$69.88 | 272 | 256 |
|
Meredith L Hayes
1210 W 18Th St |
$42.64 | 27 | 27 |
|
Andrew Jay Erie
1210 W 18Th St Ste Ll03 |
$48.18 | 26 | 26 |
|
David Michael Martin Krause
1210 W 18Th St Ste Ll03 |
$74.10 | 14 | 13 |
|
Edward J Czarnecki
1210 W 18Th St |
$59.52 | 12 | 12 |
|
Derrick A. Doolittle
1210 W 18Th St Ste Ll03 |
$44.55 | 12 | 12 |
What to Expect: MRI (Magnetic Resonance Imaging)
An MRI scan typically takes 30-60 minutes. You'll lie on a table that slides into a tube-shaped machine. The machine makes loud knocking sounds. You must stay still during the scan. No radiation is involved. You may receive contrast dye through an IV for enhanced images. Results are usually available within a few days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 70553 | MRI brain w/o&w dye | $198.72 | 3,398,644 | 6,375 |
| 70551 | MRI brain w/o dye | $132.90 | 3,190,601 | 6,900 |
| 72148 | MRI lumbar spine w/o dye | $135.78 | 2,566,914 | 6,493 |
| 73721 | MRI jnt lower extrem w/o dye | $149.35 | 1,853,468 | 4,788 |
| 72141 | MRI neck spine w/o dye | $146.96 | 947,769 | 3,165 |
| 73221 | MRI joint upper extrem w/o dye | $143.68 | 561,369 | 2,116 |
| 74183 | MRI abdomen w/o&w dye | $213.24 | 460,046 | 1,608 |
| 72146 | MRI chest spine w/o dye | $165.71 | 107,193 | 506 |
| 72158 | MRI lumbar spine w/o&w dye | $156.12 | 101,358 | 428 |
| 72156 | MRI neck spine w/o&w dye | $201.54 | 94,551 | 354 |
| 72157 | MRI chest spine w/o&w dye | $176.21 | 51,471 | 211 |
| 73718 | MRI lower extremity w/o dye | $149.57 | 38,000 | 251 |
| 70543 | MRI face/neck w/o&w dye | $464.79 | 37,966 | 143 |
| 74181 | MRI abdomen w/o dye | $89.98 | 29,607 | 165 |
| 73720 | MRI lower extremity w/o&w dye | $121.14 | 7,737 | 68 |
| 73222 | MRI joint upper extrem w/dye | $146.32 | 4,393 | 31 |
| 73218 | MRI upper extremity w/o dye | $202.55 | 3,841 | 32 |
| 73723 | MRI jnt lower extrem w/o&w | $168.26 | 2,514 | 14 |
| 72142 | MRI neck spine w/dye | $476.30 | 2,123 | 9 |
| 70552 | MRI brain w/dye | $149.08 | 1,934 | 24 |
| 72147 | MRI chest spine w/dye | $512.55 | 1,662 | 8 |
| 72149 | MRI lumbar spine w/dye | $569.37 | 1,411 | 6 |
| 73220 | MRI upper extremity w/o&w dye | $62.78 | 781 | 8 |
| 73223 | MRI joint upper extrem w/o&w | $95.94 | 698 | 8 |
| 73722 | MRI jnt lower extrem w/dye | $52.35 | 653 | 4 |
| 70540 | MRI face/neck w/o dye | $209.97 | 138 | 3 |
| 71550 | MRI chest w/o dye | $48.32 | 106 | 2 |
| 77084 | MRI bone marrow imaging | $155.29 | 44 | — |
| 74182 | MRI abdomen w/dye | $128.07 | 26 | 2 |
| 70555 | fMRI brain by phys | $484.34 | 19 | 1 |
| 71552 | MRI chest w/o&w dye | $1,018 | 12 | 1 |
| 70542 | MRI face/neck w/dye | — | — | — |
| 70554 | fMRI brain by tech | — | — | — |
| 71551 | MRI chest w/dye | — | — | — |
| 72159 | MRI pelvis w/o dye | — | — | — |
| 73219 | MRI upper extremity w/dye | — | — | — |
| 73719 | MRI lower extremity w/dye | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a MRI (Magnetic Resonance Imaging) cost in Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for MRI (Magnetic Resonance Imaging) in Sioux Falls, SD is $120.38 per claim, based on 15,832 claims from 10 providers. Typical payments fall between $48.37 and $146.50. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer MRI (Magnetic Resonance Imaging) in Sioux Falls, SD?
There are 10 Medicaid providers offering MRI (Magnetic Resonance Imaging) related services in Sioux Falls, SD according to public payment data.
What is the price range for MRI (Magnetic Resonance Imaging) in Sioux Falls, SD?
Medicaid reimbursement for MRI (Magnetic Resonance Imaging) in Sioux Falls, SD ranges from $35.83 to $141.15 per claim, with an average of $120.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.
MRI (Magnetic Resonance Imaging) in Other Cities
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