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    What do MRI scan and CT scan prices include?

    Posted by Ravi Sohal on Fri, Mar 13, 2009
      
      
      

    Trying to get MRI scan and cost of CT scans is challenging. Even when you have the information, it's not clear what exactly you might be paying for. Does the price include contrast? What about the Radiology report? And what if you need additional testing? This post will be a work in progress, but I hope it sheds some light on what MRI and CT scan costs include and don't include...

    Prices vary by body part and medical condition

    Most MRI and CT scan exams each have different prices. For example, an MRI of the Brain may not cost the same as an MRI of the Knee. Your test might also be two different tests bundled into one order. A CT scan to look for kidney stones is actually two scans - a CT scan of the Abdomen and a CT scan of the Pelvis.

    Price will change if you are going to have contrast/dye

    Pricing medical procedures using a multi-tier cost scheme is very common in medicine. For example, most MRI and CT scan be done in three different ways. This changes the cost of the scan.  In order of increasing cost they are:

    • Without contrast - images are taken without administering any IV contrast/dye.
    • With contrast - images are taken only after the IV contrast is given.
    • With and without contrast - images are taken before the IV contrast is given and then again after wards.

    Some facilities (particularly hospitals) will also charge for the actual performance of placing the IV. For uninsured patients this cost is usually bundled into the price of the rest of the scan as opposed to a separate charge.

    Many CT scan exams are done with IV contrast. IV contrast for MRI scans is usually given if you have had surgery to the area begin scanned, history of cancer or if looking for infection. Even for those tests that are ordered without contrast, sometimes during the scan the Radiologist may see something "unusual" or detect a tumor or infection and then ask for the contrast to be given. 

    Note, there is no additional cost if you get oral contrast to drink. That is, if you are given oral contrast for a CT scan of the Abdomen and do not receive the IV contrast it is considered a CT Scan of the Abdomen without contrast.

    The Radiology report is included

    MRI and CT scan costs include the official Radiologist interpretation. This includes comparing to older scans even if done at another hospital or imaging center. Your doctor receives a copy of the report.

    Copies of the CD or films

    Sometimes you'll be asked to take a CD or films of your MRI or CT scan to your doctor to review. Most facilities will give you a copy, if requested, free of charge.

    Call back for additional images may not be included

    You won't be charged for call backs if due to technical issues or if you were unable to complete the exam because of  pain or claustrophobia. However, if it is for "more testing", then yes, there will be additional costs.

    Simplifying it for you...

    As you can see it is hard to pin down the actual cost of an MRI or CT scan. Unfortunately, much of healthcare works this way.

    We've taken a different approach with our Radiology shopping site and are trying to simplify MRI and CT scan prices for you. Our prices include the test and report. There are no extra charges for contrast/dye injections. We think this is a good first step in reforming how medical services are priced and purchased. We hope you do too. 

    Do you have any suggestions for us? Please leave your comments below:

    Tags: , , , ,

    COMMENTS

    If I need a sedative or brace/stabilizing device to stay still for the exam is that something I have to pay for? Would the doctor bill me for that? if so, do most insurances pay?  
     
     
     
    I would really appreciate any guidance in this area.  
     
    Kristin

    posted @ Monday, April 27, 2009 2:16 PM by Kristin


    Hi Kristin, 
     
    Your doctor would prescribe the sedative and you would pay for it as per your pharmacy benefits. In regards to stabilizing, some radiology facilities/departments have cushions that can help stabilize the joint being examined or position you for the test. For example, a triangular shaped cushion that rests under your knees for a lumbar spine MRI. There is no charge for using these. 
     
    Hope that helps!

    posted @ Monday, April 27, 2009 4:26 PM by Ravi Sohal


    what is the actual cost of an MRI, not the charge(s). In other words, how much are they marked up. Let's say production cost of an item is $4.oo. Shipping is $1.00. Destination charges, (receiving, stocking, etc. $1.25.) This brings actual cost to $6.25. The customer is charged $12.75 (not bad profit). How much to do it, not what the patient pays?

    posted @ Monday, June 22, 2009 4:15 PM by Tim G


    when having a lumbar/sacral scan, apparently you are not fully enclosed. what part of the body is not in the tube or is the scan from the waist down

    posted @ Friday, August 28, 2009 7:57 AM by a curtin


    Curtin, 
     
    It depends on your height. But most people are in up to their shoulders if not more.

    posted @ Friday, August 28, 2009 8:28 PM by Ravi Sohal


    My husband recently went into emergency room with very severe pain behind his sternum. He was checked out to see if he was having a heart attack. Fortunately, all of his tests came back good. Nothing was found and he was given a Zantag. He was advised to go to his doctor when the clinic opened for further tests. Those further tests included 3 CT Scans. Two of the scans were of his pelvis and his throat. When we questioned them with the Doctor and the hospital that performed them, we were told that it was to be thorough and that we would be paying for them $1,100 - $1,250 range. He was also given a drug incident to radiology for $350. We asked for some leniency in our portion not paid by insurance and got a negative response. We have never quesioned procedures before. BTW, we have been gracious in our inquiries, we like our doctor and want to keep him. THIS TEST WAS FOR NO OTHER REASON THAN TO FIND WHAT CAUSED HIM THE PAIN that was likely a ball of gas as they determined in the emergency room. The extensive tests have only revealed a healthy guy.

    posted @ Friday, September 25, 2009 4:57 PM by Carma


    Sorry my recent comment/inquiry may be off topic for this stream.

    posted @ Friday, September 25, 2009 5:00 PM by Carma


    I just got a bill for CT abdomen/pelvis scan - $4535.00 and contrast dye - separate, mind you - $786. $5200 for a 5 minute scan? Does that sound right? The insurance company is saying they will pay it - but my GOD - this is why health care is in such trouble! This ER is screwing EVERYONE by doing this! 
     

    posted @ Thursday, October 13, 2011 3:33 PM by Tracy


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