Medicare Physician Fee Schedule · Q3 2026 release

CPT 73721 in Indianapolis, IN 08102-00

Lower-extremity joint mri without contrast in ZIPs including 46204, 46202, and 46208

73721 2026 C ·

08102-00 A Active

Non-facility Facility

Allowed amount

$191.38

in a doctor’s own office or clinic

93.6% of the $204.41 national baseline

Medicare payment: $153.10
Patient / secondary: $38.28
Expected total to provider: $191.38

Patient / secondary and expected total to provider assume the Part B annual deductible is already met. If it isn't, the patient owes more than the amount shown here.

Locality-adjusted Physician Fee Schedule pricing

Formula

(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor

RVU × GPCI components of this amount
Component	RVU	× GPCI	= Adjusted
Work	1.32	× 1.000	1.3200
Practice expense	4.71	× 0.927	4.3662
Malpractice	0.09	× 0.486	0.0437
Sum of adjusted RVUs			5.7299
× 33.4009 conversion factor			$191.38

Citations

Physician relative value file (PPRRVU) PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 8,216)

hcpcs (col 1)

73721

status_code (col 4)

A

work_rvu (col 6)

1.32

pe_rvu_nonfacility (col 7)

4.71

pe_rvu_facility (col 9)

4.71

mp_rvu (col 11)

0.09
Geographic practice cost indices (GPCI) GPCI2026.csv in rvu26c-updated-06-30-2026.zip (row 52)

work_gpci (col 5)

1

pe_gpci (col 6)

0.927

mp_gpci (col 7)

0.486
Physician relative value file (PPRRVU) PPRRVU2026_Jul_nonQPP.csv in rvu26c-updated-06-30-2026.zip (row 11)

conversion_factor (col 26)

33.4009

How much does Medicare allow for CPT 73721 in Indianapolis, IN? Copy link

The Medicare allowed amount is $191.38 in the office (non-facility) and facility settings, under the Q3 2026 Physician Fee Schedule. That is 6.4% below the national baseline. This is the fee schedule amount before sequestration and before any deductible or coinsurance is applied — not necessarily what a specific claim pays.

What Medicare locality is Indianapolis, IN in? Copy link

CMS prices all of Indiana as one Medicare payment locality, so this amount applies statewide, including Fort Wayne, Evansville and South Bend — not only in Indianapolis, IN.

Why Indianapolis, IN differs from the national amount Copy link

Indianapolis, IN (this locality)

$191.38

National PFS baseline (GPCI 1.000)

$204.41

The national figure is a baseline, not an amount any provider is paid. This locality's geographic practice cost indices scale each RVU component before the conversion factor is applied, which puts Indianapolis, IN at 6.4% below the national baseline.

Work GPCI

1.000

Practice expense GPCI

0.927

Malpractice GPCI

0.486

2026 conversion factor

$33.4009

Formula and inputs Copy link

The office (non-facility) amount for 73721 in Indianapolis, IN: each component's RVU times its GPCI, summed, then multiplied by the conversion factor.

RVU and GPCI components of the Indianapolis, IN allowed amount for 73721
Component	RVU	× GPCI	= Adjusted RVU
Work	1.32	1.000	1.3200
Practice expense	4.71	0.927	4.3662
Malpractice	0.09	0.486	0.0437
Sum of adjusted RVUs			5.7299
× $33.4009 2026 conversion factor			$191.38

Participating, non-participating and limiting charge Copy link

All figures are for the office (non-facility) setting in Indianapolis, IN. The allowed amount is not the program payment — the rows below separate them. See how the limiting charge and sequestration are derived.

Participation and payment-split amounts for 73721 in Indianapolis, IN
Participating allowed amount The fee schedule amount a participating provider accepts as payment in full.	$191.38
Non-participating allowed amount 95% of the participating amount.	$181.81
Limiting charge Ceiling a non-participating provider may bill the patient on an unassigned claim — 115% of the non-participating amount.	$209.08
Medicare program payment 80% of the allowed amount, once the annual Part B deductible is met.	$153.10
Beneficiary coinsurance The remaining 20%.	$38.28
Sequestration adjustment Reduces Medicare's share only — never the allowed amount, and never the patient's share.	$3.06
Medicare pays after sequestration Program payment net of the sequestration reduction.	$150.04

Contracted rate: % of Medicare in Indianapolis, IN Copy link

Commercial contracts are usually written as a percentage of the Medicare fee schedule. Which Medicare amount they mean is the part that gets misread: a contract benchmarked to the fee schedule prices off this locality's allowed amount — $191.38 in the office (non-facility) setting — not the $204.41 national baseline.

Opens the calculator already set to Indianapolis, IN and the office (non-facility) setting. It also compares what a payer actually paid against the expected amount. See how to find your contract's actual percentage.

ZIP codes this Indianapolis, IN rate covers Copy link

The CMS ZIP-to-locality crosswalk maps 1,002 ZIP codes to this payment locality. 73721 prices identically in every one of them.

46001 46011 46012 46013 46014 46015 46016 46017 46018 46030 46031 46032 46033 46034 46035 46036 46037 46038 46039 46040 46041 46044 46045 46046 46047 46048 46049 46050 46051 46052 46055 46056 46057 46058 46060 46061 46062 46063 46064 46065 46067 46068 46069 46070 46071 46072 46074 46075 46076 46077 46082 46085 46102 46103 46104 46105 46106 46107 46110 46111 46112 46113 46114 46115 46117 46118 46120 46121 46122 46123 46124 46125 46126 46127 46128 46129 46130 46131 46133 46135 46140 46142 46143 46144 46146 46147 46148 46149 46150 46151 46154 46155 46156 46157 46158 46160 46161 46162 46163 46164

902 more ZIP codes map to this locality. The Indianapolis, IN locality page lists the full set.

Checking a different ZIP code?

Resolves the ZIP to its payment locality, so you can confirm whether this amount applies.

73721 in nearby payment localities Copy link

Payment localities in the same region as Indianapolis, IN, nearest first. Each amount is that locality's own GPCI-adjusted office (non-facility) figure for 73721. Proximity doesn't imply similar pricing — neighbouring localities often differ.

73721 allowed amount in payment localities near Indianapolis, IN
Metro	Allowed amount	vs. Indianapolis, IN
Columbus, OH	$190.75	-0.3%
Louisville, KY	$186.70	-2.4%
Chicago, IL	$209.40	+9.4%
Detroit, MI	$200.97	+5.0%
St. Louis, MO	$196.87	+2.9%
Milwaukee, WI	$195.73	+2.3%

Every payment locality nationwide is on the CPT 73721 rate map.

Other codes priced in Indianapolis, IN Copy link

Office (non-facility) allowed amounts in this same payment locality, Q3 2026.

Other curated codes and their allowed amounts in Indianapolis, IN
Code	Service	Indianapolis, IN	vs. national
72148	Lumbar Spine MRI Without Contrast	$179.76	-6.2%
70553	Brain MRI With and Without Contrast	$296.92	-6.3%
70551	Brain MRI Without Contrast	$183.17	-6.3%
72141	Cervical Spine MRI Without Contrast	$178.83	-6.2%
73221	Upper-Extremity Joint MRI Without Contrast	$192.00	-6.4%
74183	Abdominal MRI With and Without Contrast	$314.37	-6.4%
72146	MRI	$178.53	-6.2%
72197	Pelvic MRI With and Without Contrast	$312.82	-6.4%
77049	MRI	$317.99	-6.4%
73222	MRI	$292.04	-6.6%
70552	MRI	$251.72	-6.4%
73722	MRI	$294.21	-6.6%

Common questions Copy link

Which ZIP codes does the Indianapolis, IN rate for 73721 cover?

The CMS ZIP-to-locality crosswalk maps 1,002 ZIP codes to this payment locality, and every one of them prices 73721 identically. Examples include 46001, 46011, 46012, 46013, 46014, 46015.

Why is the 73721 rate in Indianapolis, IN different from the national amount?

The national figure is a GPCI 1.000 baseline, not an amount any provider is paid. This locality's geographic practice cost indices — work 1.000, practice expense 0.927, malpractice 0.486 — scale each RVU component before the conversion factor is applied, which is why Indianapolis, IN allows less than the $204.41 baseline.

Does this 73721 rate apply everywhere in Indiana?

Yes. CMS prices Indiana as a single Medicare payment locality, so the same GPCIs — and the same allowed amount — apply statewide, not only in Indianapolis, IN. That includes Fort Wayne, Evansville and South Bend. The city name here is a search-facing label for a statewide payment locality, not a city-specific rate.

What is the non-participating amount and limiting charge for 73721 in Indianapolis, IN?

A non-participating provider is paid $181.81 — 95% of the $191.38 participating fee schedule amount. On an unassigned claim the limiting charge caps what the patient can be billed at $209.08, which is 115% of the non-participating amount.

How much of the Indianapolis, IN 73721 rate does Medicare actually pay?

Medicare pays 80% of the allowed amount ($153.10) once the annual Part B deductible is met, and the beneficiary owes 20% ($38.28). Sequestration reduces Medicare's share by about 2% ($3.06), leaving $150.04. Sequestration never changes the allowed amount itself, which is why it is shown separately here.

Source & method Copy link

Computed from the CMS Medicare Physician Fee Schedule Q3 2026 release : this code's RVUs from the relative value file, multiplied by payment locality 08102-00's GPCIs, then by the 2026 conversion factor of $33.4009. ZIP coverage from the CMS ZIP-to-locality crosswalk, Q3 2026 release . Releases are immutable: an amount retrieved for a past quarter always reflects that PFS release. Coverage and coding correctness are outside this calculation.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 8,216)

Geographic practice cost indices (Q3 2026) · rvu26c-updated-06-30-2026.zip (GPCI2026.csv row 52)

ZIP code to carrier locality crosswalk (Q3 2026) · zip-code-carrier-locality-file-updated-05-13-2026.zip (ZIP5_JUL2026.txt)

Working a claim with an earlier date of service? The calculator prices 73721 in Indianapolis, IN against the release that governed that date. Past releases need a free account; today's rate does not.

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