Hip MRI Scan

What is a hip MRI scan?

A Magnetic Resonance Imaging (MRI) scan uses a combination of radio waves and magnets to capture detailed images of the inside of the body. No surgical incision is necessary and no radiation is involved. Unlike X-ray or CT scans, which primarily image bone, an MRI scan visualizes all the structures of the hip — bones, cartilage, labrum, tendons, muscles, bursae, and blood vessels — in exquisite detail from multiple angles.

A hip MRI scan looks specifically at the hip joint and surrounding structures, providing comprehensive images that allow a radiologist to identify injuries, degenerative changes, and other conditions that may be causing pain or limiting function. Because the hip is a deep joint surrounded by large muscle groups, MRI is often the only imaging study capable of evaluating the soft tissue structures that X-rays cannot see.

A hip MRI scan can identify a range of problems, including:

• Hip labral tears
• Femoroacetabular impingement (FAI)
• Hip osteoarthritis and cartilage loss
• Avascular necrosis (osteonecrosis) of the femoral head
• Subchondral insufficiency fractures
• Hip stress fractures not visible on X-ray
• Trochanteric and iliopsoas bursitis
• Tendon tears and tendinopathy
• Adult hip dysplasia
• Paralabral cysts
• Ischiofemoral impingement
• Sports hernia and osteitis pubis
• Tumors in the bones and soft tissues
• Complications or pain following hip surgery or replacement

A hip MRI scan is the gold standard imaging study for evaluating hip pain, particularly when X-rays are normal or inconclusive. It is essential for diagnosing soft tissue injuries, labral pathology, and early bone changes that require prompt treatment.

Hip MRI with or without contrast?

Hip MRI scans can be performed with or without contrast. A standard hip MRI without contrast provides excellent visualization of most hip pathology including labral tears, cartilage loss, bursitis, tendon injuries, and bone marrow changes. In some cases, an MRI arthrogram — in which contrast is injected directly into the hip joint — is requested to improve the detection of subtle labral tears or to evaluate the joint following prior surgery.

Though very rare, patients can be allergic to contrast agents, so they should only be used when clinically necessary. Adding contrast also significantly increases the cost and complexity of the examination.

At First Look MRI we perform hip MRI scans without contrast. If you require a scan with intra-articular or intravenous contrast, feel free to get in touch and we'd be happy to recommend a trusted facility that can provide this service.

How much does a hip MRI cost?

The average cost of a hip MRI scan at a hospital or imaging center can range from $700 to over $2,000 depending on your insurance, location, and facility. Insurance deductibles often mean patients pay nearly as much — or more — out of pocket than they would with a direct self-pay option, while also facing longer wait times and the added complexity of obtaining a referral.

Besides your insurance provider and location, one of the main factors influencing cost will be your insurance deductible. Often insurance deductibles for an MRI scan will be much higher than what you would pay to book one outright. We suggest you research and inquire about your deductible before deciding whether to go through your insurance or book a self-pay MRI scan.

At First Look MRI discounts are available for multiple scans, screening packages, and public servants. For more information see our pricing page.

MRI with insurance

If you have an insurance plan with a high deductible, your hip MRI scan can easily cost you between $1,000 and $2,000, with prices reaching $2,500–$3,000 at some facilities. Not only are costs typically higher through insurance, but a doctor's order or referral is usually required, adding cost and delaying the process further.

Due to these high costs, long wait times, the complexity of the booking process, and the lengthy delays for MRI results, many patients prefer to pay cash for their MRI scan.

Cost of a hip MRI without insurance

Many people assume that out-of-pocket MRI scans will be prohibitively expensive and don't consider the self-pay route. What most don't realize is that self-pay is often significantly cheaper, faster, and simpler than going through insurance. A hip MRI scan from First Look MRI costs only $499. You can usually book a same-day appointment and receive your results in less than 24 hours.

We only provide MRI imaging services without insurance (self-pay), so the price you see is the only price you'll pay, with no surprises or hidden costs.

Hip MRI results and video report

The first question most people ask is, "how long does it take to get results from my hip MRI scan?" You'll want your results as quickly as possible to share with your doctor and take the next steps — and we've got you covered. First Look MRI delivers reports via secure email within 24 hours, and in as little as 90 minutes with our STAT option.

Not only will your hip MRI results be delivered quickly, but you won't need to know how to read an MRI to understand them. An experienced radiologist will send you two reports: a detailed written report for your doctor, and a personalized video report in plain language so you understand exactly what was found and what it means for your next steps.

Your MRI video report

With your First Look Video Report™ you will receive a detailed walkthrough of your hip MRI findings explained in clear, non-technical terms. You'll understand what was found, what it means, and whether further evaluation or treatment is warranted — so you can make informed decisions about your care without waiting weeks for a follow-up appointment.

By not billing insurance providers, First Look MRI is free to innovate. Our MRI scan video report is a prime example of how we're changing the healthcare experience by putting patients first.

Hip MRI scan procedure

Below is a brief explanation of what to expect during your hip MRI scan:

Before the scan

You may eat or drink anything you like before your hip MRI scan — it will not affect the results in any way.

For a hip MRI, your entire lower body will enter the MRI machine, but the bore is wide and most patients do not experience significant claustrophobia. If you have concerns about enclosed spaces, please let us know when booking and we can discuss options. If you experience pain when lying flat for more than 30 minutes, ask your doctor about pain or relaxation medication prior to the scan.

Before entering the scan room, you will need to remove all metal objects including belt buckles, jewelry, zippers, and underwire bras. MRI machines use extremely strong magnets and all metal objects must be removed. You may be asked to change into a gown if your clothing contains metal fasteners. A secure locker is provided for your belongings during the scan.

During the scan

During the hip MRI scan, the scanning table will move your lower body into the magnet bore. You will be asked to remain as still as possible throughout the examination. A coil — a specialized device that captures the signals used to create your images — may be placed over the hip region to optimize image quality.

During the hip MRI scan you will not feel anything, but will hear intermittent humming, thumping, clicking, and knocking sounds. This is completely normal.

The MRI exam typically takes approximately 30–45 minutes. The technologist will be able to see and hear you at all times. If you experience discomfort or wish to pause or stop the scan at any point, simply communicate this and it will be done immediately.

After the scan

When the scan is complete, you can resume all normal activities immediately and drive yourself home, provided you have not taken any relaxation or pain medication beforehand. If you have taken relaxation medication, arrange for someone to drive you.

Your hip MRI results, along with your personalized video report, will be emailed to you — and to your doctor if requested — within 24 hours.

Reading a Hip MRI

Dr. Brian Gay provides an easy-to-understand explanation of what a hip MRI shows and how to interpret your results.