*Your insurance company has all of the information about your plan, contracted rates, co-pays, co-insurance, reimbursement rates and your deductible.
There are several contributing factors that determine what your MRI will cost.
Yes, but it is difficult to get accurate figures. You as a consumer cannot be a wise healthcare shopper without information on quality and price. You will need to understand the total payment for service, including what the plan (insurance company) pays and the remaining price minus your deductible, co-pays, etc.
You need to be very specific.
Our insurance specialist can provide you with a comprehensive estimate of your out-of-pocket expense. We do not have access to this information until we receive an order from your doctor. We can provide anyone with our commercial rate, but this is not a true cost projection.
A commercial rate is a base rate/fee for an exam, or a retail rate. This does not take into consideration what your insurance company’s contracted rate is.
A contracted rate is an agreed upon price between an insurance company and a facility. The contract states that a provider can only bill the insured a negotiated/contracted rate of service.
A payment defined in your insurance policy and paid by you each time a medical service is accessed.
A percentage that you pay after the insurance policy’s deductible is met.
There are several measures of quality. Our healthcare system has an immense variation in care delivery, a wide range of services and products, and different approaches for measuring outcomes.
Some measures of quality are listed here:
Pricing transparency is knowing what the price you will be charged for a service or product. Price transparency exists when, prior to seeking care, a consumer knows what his out-of-pocket expense will be.