$201.04
Choose 72195 for pelvic MRI without contrast. Choose 72197 when both precontrast and postcontrast image sets are performed.
On this page
CMS RVU26D · Effective 2026-10-01
72197 MRI pelvis Medicare reimbursement rates in Arkansas
Reports pelvic MRI images obtained before and after contrast to evaluate pelvic organs, soft tissues, or a suspected mass or disease process. Compare 72197 office and facility rates across CMS payment localities in Arkansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 72197 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$295.49
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
MRI
About 72197: Pelvic MRI without and with contrast
Reports pelvic MRI images obtained before and after contrast to evaluate pelvic organs, soft tissues, or a suspected mass or disease process.
The examination uses magnetic resonance imaging to assess pelvic organs and soft tissues, with image sets acquired before and after contrast. Clinicians may request it to characterize a pelvic mass or evaluate conditions involving structures such as the uterus, ovaries, prostate, rectum, or pelvic soft tissues. A technologist performs the image acquisition, and a radiologist typically interprets the study in an imaging center or hospital department.
Report 72197 when the documented pelvic MRI includes both precontrast and postcontrast imaging; a study performed only without contrast or only with contrast belongs to a different code in this series. The report should identify the pelvic anatomy examined and document the precontrast and postcontrast sequences and the diagnostic interpretation. Medicare recognizes a professional component for interpretation and a technical component for equipment and staff; bill the global service without a component modifier, or use modifier 26 or TC for the respective component. The diagnostic imaging multiple procedure reduction applies to both components.
CMS billing rules for 72197
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Diagnostic imaging multiple procedure reduction applies to the technical and professional components.
Where the value comes from
- Work RVU2.15 · 21%
- Practice expense (office) RVU7.70 · 77%
- Malpractice RVU0.16 · 2%
392.9K
Medicare services in 2024 · #261 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
72197 compared with similar codes
Office rates for Arkansas, from the same CMS release.
$236.97
72196 describes pelvic MRI with contrast only; 72197 describes a study with imaging both before and after contrast.
$295.43
72198 is pelvic MR angiography, focused on vessels. Use 72197 for a general pelvic MRI examination with and without contrast.
72194
No office rateCt pelvis w/o & w/dye
72194 is CT imaging of the pelvis without and with contrast. 72197 is the corresponding MRI approach, not CT.
Compare 72197 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$295.49
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 72197 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
8,066
- Code
- 72197
- Physician work
- 2.15
- Practice expense
- 7.70
- Malpractice
- 0.16
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.15 | × 1.000 | 2.1500 |
| Practice expense | 7.70 | × 0.859 | 6.6143 |
| Malpractice | 0.16 | × 0.515 | 0.0824 |
| Total RVUs | 8.8467 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$295.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.15 | 1 |
| Practice expense | 7.7 | 0.859 |
| Malpractice | 0.16 | 0.515 |
(2.15 × 1 + 7.7 × 0.859 + 0.16 × 0.515) × $33.4009 = $295.49
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
72197 billing questions
When should 72197 be selected instead of 72195?
Use 72197 when the pelvic MRI includes imaging both before and after contrast. Code 72195 describes a pelvic MRI performed without contrast.
How does 72197 differ from 72196?
72197 represents imaging before and after contrast; 72196 is for imaging with contrast only. Select according to the sequences actually performed and documented.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Billing without either modifier represents the global service.
Does the multiple procedure reduction affect both portions?
Yes. CMS applies the diagnostic imaging multiple procedure reduction to the technical and professional components.
Is 72197 reported per sequence or per pelvic organ?
It represents the pelvic MRI examination, not each sequence or organ evaluated. The report should support that the examination included both precontrast and postcontrast imaging.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
8,06372196,,Mri pelvis w/dye,A,,1.69,6.22,,6.22,NA,0.12,8.03,8.03,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.15
8,06472196,26,Mri pelvis w/dye,A,,1.69,0.60,,0.60,,0.09,2.38,2.38,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,06572196,TC,Mri pelvis w/dye,A,,0.00,5.62,,5.62,NA,0.03,5.65,5.65,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.61,10.61,0.06
8,06672197,,Mri pelvis w/o & w/dye,A,,2.15,7.70,,7.70,NA,0.16,10.01,10.01,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.38,11.38,0.18
8,06772197,26,Mri pelvis w/o & w/dye,A,,2.15,0.76,,0.76,,0.13,3.04,3.04,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,0.00,0.00,0.00
8,06872197,TC,Mri pelvis w/o & w/dye,A,,0.00,6.94,,6.94,NA,0.03,6.97,6.97,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,02,0,88,10.62,10.62,0.05
8,06972198,,Mr angio pelvis w/o & w/dye,A,,1.76,8.17,,8.17,NA,0.13,10.06,10.06,1,XXX,0.00,0.00,0.00,4,0,0,0,0,9,,33.4009,09,0,88,11.21,11.21,0.15
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541