CPT 72196 Radiology
Mri pelvis w/dye Cost
Body System: Digestive
Medicare Facility Rate
$268
CMS PFS CY2026
Medicare Non-Facility Rate
$268
Office/clinic setting
Hospital Outpatient
$356
OPPS rate
Surgery Center (ASC)
$189
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.69
Work RVU
6.22
Facility PE RVU
0.12
Malpractice RVU
8.03
Total RVU
Frequently Asked Questions
How much does Mri pelvis w/dye cost?
The Medicare facility rate is $268. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $356. Ambulatory surgery center rate: $189.
How much does Mri pelvis w/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 $268.