CLEAR ANALYSIS OF WHY AN MRI COSTS SO MUCH IN THE US

November 06 07:55 2018

About 2 years ago, young parents of 3-year old Elodie took her to one of the best hospitals in the United States to take an MRI to diagnose a serious illness.  They were up for a very bad surprise. The tests, fortunately, came up negative. However, the MRI cost them over $16K for just a 30-minute exam. Today many patients face the same problem, either they similarly fall through the insurance cracks or even belong to the group of high-deductible patients who are underinsured and are many times charged the full sticker price for an MRI. Why do MRIs cost so much?

While MRI costs anywhere from $800-$6,000 with the average cost north of $1,100 it’s now almost 10x as expensive as in the countries of the European Union. Even with the higher salaries in the US medical field, it’s hard to account for such a big difference.

While radiologists are paid $250+ per hour, the actual MRI cost of reading is much lower as a skilled radiologist can do anywhere between 5-15 scans per hour. This allows for a facility that works with a teleradiologist, who sits in a more affordable location like Nevada to charge as little as $40 per scan reading.

MRI prices are driven by high markups. Hospitals mark up the prices of all of the services they offer because the insurance payment for each service is normally arbitrary and unpredictable. By charging many times the reasonable rate for each service, hospitals are able to “cash in” on the occasional gross overpayment that insurance companies offer from time to time. This is especially prevalent in the pricing of MRI scans.

With such high margins, it’s no surprise that US healthcare is failing its patients. Currently, almost 18% of GDP goes to healthcare expenses, which is about ~50% more than in many developed countries. The only way consumers can change this is to vote with their feet and go to facilities that are more affordable for patients. So please always ask your doctor for a recommendation for a more affordable clinic and once you get your referral, don’t hesitate to go to a more affordable location.

At AffordableScan, their goal is to provide patient multiple options, so you can always find the scan for the rate that you can afford. If you need help, please don’t hesitate to contact AffordableScan’s patient concierges.

For more information, please visit: www.affordablescan.com

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Website: affordablescan.com