Sponsored By
An organization or individual has paid for the creation of this work but did not approve or review it.



How much does a CT or MRI scan cost? It varies

The cost of brain scans at U.S. hospitals can vary wildly — some patients paying five times as much — for the same scan depending on their health insurance plans, according to a recent study in Radiology, a journal of the Radiological Society of North America.

7Tesla MRI Scanner
A 7Tesla MRI Scanner located in the Mayo Clinic Charlton Building in 2018.
Post Bulletin file photo
We are part of The Trust Project.

ROCHESTER, Minn. — At some U.S. hospitals, a patient could pay five times more than another patient at the same hospital for the same brain scan if they have different health insurance plans, according to a recent study.

The October study titled, “Price Variability for Common Radiology Services within U.S. Hospitals,” and published by Radiology, a journal of the Radiological Society of North America, found that when commercial insurance companies negotiate different prices for the same service within the same hospital, it can lead to widely varying costs.

On average, common radiology prices within the same hospital have a 3.8 price gap, meaning a radiology service might cost as little as $1,000 for one patient and as much as $3,800 for another patient if they have a different insurance plan.

“Many commercial plans are leaving money on the table when negotiating prices with hospitals, especially for expensive CT and MRI scans,” said study co-author Ge Bai in an RSNA news release. “High prices paid by commercial plans eventually come back to bite U.S. employers and workers through high premiums and out-of-pocket costs.”

The study also found that CT and MRI scans have higher prices compared to other radiology services, such as an abdominal ultrasound.


The study's authors found that higher prices relative to Medicare for higher cost services imply higher hospital profitability. RSNA wrote in its news release that this can potentially motivate hospitals to direct investments away from low-cost to high-cost imaging without regard to incremental clinical value.

Up until recently, these price details weren’t as accessible as they are now. The Hospital Price Transparency Rule required U.S. hospitals to disclose pricing information starting January 2021, so consumers can shop and compare prices across hospitals and estimate the cost of care before going to the hospital.

“Price transparency took the blindfold off the eyes of commercial payers, forcing them to recognize the fact that they are often paying too much,” Bai said in the news release. “Equipped with pricing information, radiologists can change the landscape of care delivery to benefit patients and payers.”

Related Topics: NEWSMDHEALTH
Molly Castle Work is an award-winning investigative journalist. She has investigated a range of topics such as OSHA and worker safety during COVID-19, racially-disproportionate juries and white-owned newspapers' role in promoting lynchings. Readers can reach Molly at 507-285-7771 or mwork@postbulletin.com.
What to read next
Providers at St. Luke's and Essentia say national shortages of amoxicillin, Adderall and Tamiflu are felt locally, but not fully disrupting care at this point.
Gay and bisexual men had once been barred from donating blood due to HIV concerns. After easing the restrictions over time, the FDA may significantly ease the restrictions once again to expand the donor-eligible population.
When your alarm clock goes off, do you hop out of bed feeling refreshed and ready to tackle the day? Or are you groggy, tired and would rather hit snooze and sleep longer? A new study shows that the secret to feeling more energetic in the morning is to do three things. Viv Williams has the details in this episode of NewsMD's "Health Fusion."
The strike will begin Dec. 11, unless tentative contract agreements are made with hospitals before then. Nurses at Essentia and Twin Cities hospitals would strike for three weeks, until Dec. 31. St. Luke's nurses plan to strike indefinitely.