CPT code 73223: Joint MRI, without and with contrast2026 Medicare rate & RVUs in Bartlett, Illinois
CPT 73223: $391.63–$395.78 office across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.
Medicare pays $391.63–$395.78 for 73223 in the office in Bartlett, Illinois, from Chicago, IL to Suburban Chicago, IL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 6 sections
Where 73223 pays more and less in Bartlett, Illinois
Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | $391.63 | Unavailable |
| Suburban Chicago, IL | $395.78 | Unavailable |
How payment areas work in Bartlett
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Chicago · Cook County
- Suburban Chicago · DuPage County, Kane County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
How the 73223 rate is calculated
Each of 73223’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 73223
RVUs × geographic indexes × conversion factor
Work2.10
2.10 RVUs× 1.000 GPCI
Practice expense9.22
9.22 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
11.4700
Conversion factor
$33.4009
Medicare rate
$383.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 73223
The CMS indicators that decide how 73223 is paid alongside other services.
CMS payment indicators · 73223
Joint MRI, without and with contrast
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 4 | Diagnostic imaging reduction applies to the technical component (and professional component) of additional services. |
| Bilateral (modifier 50) | 3 | Each side paid at 100% (no 150% cap). |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
73223 without 26 · national office
$383.11
Joint MRI, without and with contrast
73223-26 · Professional component
$99.53
Pays only the interpretation and report.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 73223 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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