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Re: The MRI thread [Triingtotrain] [ In reply to ]
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Triingtotrain wrote:
I thought it might be interesting to start a new MRI thread after a recent thread. (I hope Jan Frodeno is well and doesn't have a stress fracture)

Many of us were discussing costs of MRIs and health insurance. I found it super interesting how costs varied greatly depending on where you lived and what type of health insurance you have (or lack of it).

I dug up an invoice from my first MRI in 2015 training for my first Ironman. I had a severe femoral neck stress fracture (top of femur bone). Back then I believe my deductible was around $2K to $2,500. I live in the Northeast of the US. I went to Dartmouth Hitchcock for my first MRI. Out of pocket I paid $1,770.11 and I found another bill related to this for $142.75 which I believe was for reading the MRI by a doctor.

What have you paid? What insurance did you have (if any)? What part of the body? I think that makes a difference too. Maybe a foot MRI is less than a hip MRI?

I'm trying to attach a photo of my first medical bill for this so you may see this edited a few times :-)

3 on my head ~ 15 yrs ago.2 under 100% universal coverage for me (and every other single Canadian) the 3rd i paid for at private clinic and cost me 600Can$
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Re: The MRI thread [spockwaslen] [ In reply to ]
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spockwaslen wrote:
If you did 10,000 MRIs which would be roughly three an hour ten hours a day for a year.

At 500 an MRI you generate 5 million dollars

At 1000 an MRI you generate 10 million dollars.

Now you have to pay maybe two or three radiologists to read all the studies and you have to pay a tech etc but I looks like you could pay you capital costs easily in a year.

That is a great business model. One can see why in America at least some doctors own MRIs and imaging centres. A neurosurgeon could order an MRI on pretty well every patient that he sees. You generate your own demand for MRIs.

It also would suggest than an MRI should cost about 500 on average. Am I missing something here?

Eh, that's very high. Not every scan is a wrist/shoulder/etc, you have more complicated readings that can take multiple hours, so you're not doing 30 readings a day. Maybe 5-8 per day tops if you're lucky just due to cycling patients in and out, errors, everything. And that's over simplifying things. 250 working days (365 days - 104 weekends - holidays/etc), so 250 * 8= 2000 readings which is aggressive. At $500 per scan, payback on the machine is roughly 3 years. I'm not trying to justify the cost of US healthcare and the argument is arbitrary at best, I'm just trying to give background info on numbers. Yes it's overpriced and yes I've had them and had to go through deductible BS same as others.
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Re: The MRI thread [Triingtotrain] [ In reply to ]
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Triingtotrain wrote:
I thought it might be interesting to start a new MRI thread after a recent thread. (I hope Jan Frodeno is well and doesn't have a stress fracture)

Many of us were discussing costs of MRIs and health insurance. I found it super interesting how costs varied greatly depending on where you lived and what type of health insurance you have (or lack of it).

I dug up an invoice from my first MRI in 2015 training for my first Ironman. I had a severe femoral neck stress fracture (top of femur bone). Back then I believe my deductible was around $2K to $2,500. I live in the Northeast of the US. I went to Dartmouth Hitchcock for my first MRI. Out of pocket I paid $1,770.11 and I found another bill related to this for $142.75 which I believe was for reading the MRI by a doctor.

What have you paid? What insurance did you have (if any)? What part of the body? I think that makes a difference too. Maybe a foot MRI is less than a hip MRI?

I'm trying to attach a photo of my first medical bill for this so you may see this edited a few times :-)

Australian here. Medical specialist.
Never had to pay a cent for an mri or ct or other imaging.
Private system works well, public you can get it quickly if you need it.
I have literally been running the floor at work, phoned the radiology practice and then am lying in the mri 30 mins later, with the radiologist then reading my scans with me afterwards.
The USA system is broken and I can’t comprehend what you have to go through to get basic medical care.
Yes as a specialist myself I get extra good service but that service level is very typical of what most people get.
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Re: The MRI thread [PJC] [ In reply to ]
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PJC wrote:

So rich people with insurance are sweet.

No insurance, you lose.

That’s sad for those living in what you believe “the land of the free. “


"The land of the free" doesn't mean a free lunch. You still have to take responsibility for yourself and your actions.

Rich people with insurance? LOL in "The land of the free" you can get insurance free from the government, assuming your not "rich" and have to pay your own way like a responsible person.
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Re: The MRI thread [jond81] [ In reply to ]
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jond81 wrote:
spockwaslen wrote:
If you did 10,000 MRIs which would be roughly three an hour ten hours a day for a year.

At 500 an MRI you generate 5 million dollars

At 1000 an MRI you generate 10 million dollars.

Now you have to pay maybe two or three radiologists to read all the studies and you have to pay a tech etc but I looks like you could pay you capital costs easily in a year.

That is a great business model. One can see why in America at least some doctors own MRIs and imaging centres. A neurosurgeon could order an MRI on pretty well every patient that he sees. You generate your own demand for MRIs.

It also would suggest than an MRI should cost about 500 on average. Am I missing something here?


Eh, that's very high. Not every scan is a wrist/shoulder/etc, you have more complicated readings that can take multiple hours, so you're not doing 30 readings a day. Maybe 5-8 per day tops if you're lucky just due to cycling patients in and out, errors, everything. And that's over simplifying things. 250 working days (365 days - 104 weekends - holidays/etc), so 250 * 8= 2000 readings which is aggressive. At $500 per scan, payback on the machine is roughly 3 years. I'm not trying to justify the cost of US healthcare and the argument is arbitrary at best, I'm just trying to give background info on numbers. Yes it's overpriced and yes I've had them and had to go through deductible BS same as others.

I agree.

I've had a few MRIs and they generally take 30-45 minutes each. And that is with me, a healthy person who can lay still for the entire procedure. You can imagine how much longer it takes if you are dealing with the elderly, a peds pt who needs sedation, or a claustrophobic pt who needs extra time. All of these can really throw a wrench in the system very quickly.
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Re: The MRI thread [AndrewPhx] [ In reply to ]
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AndrewPhx wrote:
I had an MRI in 2017 in Phoenix. At the time I had very good insurance with Cigna. However, Cigna was reluctant to pay for an MRI that my doctor wanted me to get. I wanted it done and did not want to wait while the insurance company and doctor battled it out. So I paid cash - $500. My sense was that that was the going rate for walk-ins without insurance.

I just had MRI on Friday here in SoCal. Been in pain since Jan. My doctor is pretty sure it’s C5/6 disc bulge but he needs to see exactly where an how much before we can do epidural or worst case surgery. My HC provider is Cigna and they wanted me to get PT first before authorization. After couple kim the there has been no improvement so we scheduled MRI. Insurance was still pushing back so I paid out of pocket while we continue to push for approval. It was only $550. This makes no sense since we have spent about $2k in PT. I had assumed it would have been thousands of $$. If I had known only $550, I would have paid long ago. I’m in instant pain and lost some feeling and dexterity in left hand. Makes sleeping or just walking around painful. The only time not in pain is when I swim or run and it warms up good. Go to doc on Tuesday to analyze the results. Hoping that shits will ease pain and give body chance to recover
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