CPT 72195 Radiology
Mri pelvis w/o dye Cost
Body System: Digestive
Medicare Facility Rate
$227
CMS PFS CY2026
Medicare Non-Facility Rate
$227
Office/clinic setting
Hospital Outpatient
$244
OPPS rate
Surgery Center (ASC)
$131
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.42
Work RVU
5.30
Facility PE RVU
0.09
Malpractice RVU
6.81
Total RVU
Frequently Asked Questions
How much does Mri pelvis w/o dye cost?
The Medicare facility rate is $227. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $244. Ambulatory surgery center rate: $131.
How much does Mri pelvis w/o dye cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $227.