MRI w/o Contrast
(*excludes Breast) |
$500 |
| MRI w/Contrast |
$575 |
| Each additional MRI (same visit) |
$375 |
| CT Scan w/o Contrast |
$300 |
| CT Scan w/Contrast |
$375 |
| CT Scan w/ & w/o Contrast |
$400 |
| Each additional CT Scan (same visit) |
$100 |
| QCT-Bone Density |
$175 |
| DXA-Bone Density |
$175 |
| CT Virtual Colonoscopy |
$600 |
| Dental Scan One Arch/Two Arches |
$175/$275 |
| *with Simplant One Arch/Two Arches |
$225/$375 |
| Mammogram Screening |
$150 |
| Mammogram Diagnostic unilateral/bilateral |
$150 |
| Breast Ultrasound |
$100 |
| Breast MRI* |
$700 |
Ultrasound each study
(excludes breast) |
$200 |
| X-Ray each study |
$75 |
| Coronary Artery Calcium Scoring (CACS) |
$300 |
| Coronary CT Angiography (CCTA) |
$800 |
| Hysterosalpingogram (HSG) |
$500 |
| PET/CT |
$1,600 |
Prices effective November 18, 2011.
Above pricing requires payment in full at time of service and is subject to change without notice.
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One Simple Fee Schedule
The following prices are based on payment in full by cash, check or credit card at the time of your exam. Imaging Healthcare Specialists does not submit claims to insurance for imaging studies paid at time of service.
Patients Covered by Health Insurance Plans:
Imaging Healthcare Specialists is contracted with many insurance carriers including PPOs, HMOs, Indemnity and Government contracts and other payers, and is required to submit claims for all covered imaging studies per contractual and plan agreements. Pricing is based upon Global Fee Schedules and contractual plan agreements with each insurance company and does not reflect our One Simple Fee Schedule.
Patients’ Plan Deductibles & Co-Payments:
All plan Deductibles and Co-Payments will apply as outlined and are determined by your individual insurance plan. Co-Payments and un-met Deductibles may be required at the time of visit. Deductibles and Co-Payments may not be reduced or waived.
Authorization for Imaging Services:
Your insurance plan will most likely require an authorization or pre-certification for your diagnostic imaging exam or services. Imaging Healthcare Specialists will verify your insurance plan eligibility and benefits for radiologic procedures or services on your behalf. Authorizations for radiologic services must be obtained by your physician. Imaging Healthcare Specialists will work with your physician to be certain an authorization has been obtained prior to your scheduled imaging exam. When an authorization has not been obtained prior to your scheduled exam, we will conveniently reschedule your exam with you to allow time to obtain all necessary authorizations for services so as not to increase any out of pocket expenses to you.
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