Pelvis MRI Scan

What is a pelvis 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 are limited primarily to bone visualization, an MRI scan provides comprehensive imaging of all pelvic structures — bones, joints, cartilage, ligaments, muscles, nerves, and soft tissues — in high resolution from multiple planes.

A pelvis MRI scan looks specifically at the bony pelvis and its associated structures, including the sacroiliac joints, pubic symphysis, hip joints, and the muscles and tendons of the pelvic floor and groin. It is a uniquely powerful imaging tool for diagnosing conditions that cause groin pain, pelvic pain, or low back pain that cannot be explained by lumbar spine imaging alone.

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

• Sacroiliitis and sacroiliac joint dysfunction
• Sports hernia (athletic pubalgia) and osteitis pubis
• Stress fractures of the pelvis and sacrum
• Avulsion fractures at muscle attachment sites
• Hip fractures and femoral neck stress reactions
• Ischiofemoral impingement
• Piriformis syndrome
• Iliopsoas tendinopathy and bursitis
• Pelvic floor muscle injuries
• Developmental hip dysplasia
• Legg-Calvé-Perthes disease and SCFE in pediatric patients
• Rheumatoid arthritis and inflammatory joint disease
• Tumors and masses of the pelvis and bony structures
• Complications following pelvic or hip surgery

A pelvis MRI scan is the most comprehensive imaging study available for evaluating complex pelvic and groin pain — particularly in athletes and patients whose symptoms span multiple anatomical regions that cannot be fully assessed by hip or lumbar spine MRI alone.

Pelvis MRI with or without contrast?

Pelvis MRI scans can be performed with or without contrast. A standard pelvis MRI without contrast provides excellent visualization of the bones, joints, ligaments, muscles, and soft tissues of the bony pelvis for most musculoskeletal indications. Intravenous contrast may be requested in specific clinical situations — such as evaluation of suspected tumors, infection, or inflammatory conditions — to better characterize tissue vascularity and enhancement patterns.

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

At First Look MRI we perform pelvis MRI scans without contrast for musculoskeletal indications. If you require a scan with 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 pelvis MRI cost?

The average cost of a pelvis 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 frequently mean patients pay nearly as much out of pocket as a direct self-pay price — while also facing longer wait times and the added step of obtaining a physician 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 pelvis MRI scan can easily cost 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 further delaying access to imaging.

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 pelvis MRI without insurance

Many people assume that out-of-pocket MRI scans will be prohibitively expensive and never consider the self-pay route. What most don't realize is that self-pay is often significantly cheaper, faster, and simpler. A pelvis 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.

Pelvis MRI results and video report

The first question most people ask is, "how long does it take to get my pelvis MRI results?" You want answers quickly — and we deliver. First Look MRI sends reports via secure email within 24 hours, and in as little as 90 minutes with our STAT option.

You won't need to know how to read a pelvis MRI to understand your results. 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 — before you ever set foot in a follow-up appointment.

Your MRI video report

With your First Look Video Report™ you will receive a clear, detailed explanation of your pelvis MRI findings in non-technical language. You'll understand what was found, what it means clinically, and what your options may be — empowering you to make informed decisions about your care and have a productive conversation with your physician.

By not billing insurance providers, First Look MRI is free to innovate. Our personalized video report is a direct expression of our commitment to patient-centered care.

Pelvis MRI scan procedure

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

Before the scan

You may eat or drink normally before your pelvis MRI scan — it will not affect the results. For some pelvic MRI indications, having a comfortably full bladder can improve image quality; your scheduling team will advise you if this applies to your exam.

For a pelvis MRI, your lower body will enter the MRI machine. The bore is wide and most patients tolerate this comfortably. If you have concerns about enclosed spaces or difficulty lying flat for an extended period, please let us know when booking. Before entering the scan room, remove all metal objects including belt buckles, jewelry, zippers, and underwire bras. A secure locker is provided for your belongings.

During the scan

During the pelvis MRI scan, the scanning table will position your lower body within the magnet bore. You will be asked to remain as still as possible, as motion degrades image quality. A coil — a specialized signal-capturing device — may be placed over the pelvis to optimize image resolution.

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

The exam typically takes approximately 30–45 minutes. The technologist will be able to see and hear you throughout. If you experience discomfort or wish to stop 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 right away and drive yourself home, provided you have not taken any relaxation or pain medication. If you have taken relaxation medication, arrange for someone to drive you.

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

Reading a Pelvis MRI

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