For Patients · Insurance & Authorization
Insurance & authorization
Learn how insurance works and find out what your exam may cost.
Insurance coverage & prior authorization
We are in network with most major health plans. This includes Medicare, state Medicaid plans, workers’ compensation, and auto accident and personal injury claims.
Before your exam, call your insurance company to make sure the imaging center is in your plan’s network.
Many health insurance plans require prior authorization (pre-certification) for advanced imaging procedures, including MRI, CT, PET/CT, nuclear medicine, and some ultrasound procedures. RadNet works collaboratively with your referring physician’s office to ensure necessary prior authorizations from your insurer are obtained prior to your appointment date. While we assist with this process, we encourage you to confirm that any required authorization has been obtained prior to your visit to help avoid potential delays or rescheduling.
Your out-of-pocket costs are determined by your insurance plan and may include co-payments, deductibles, and co-insurance. At the time of scheduling, RadNet provides an estimate based on the insurance information available from your carrier. Please note that this estimate may change if your insurance carrier processes additional claims or updates your benefits between scheduling and your appointment date. Final patient responsibility is determined by your insurance carrier.
If your plan requires an HMO primary care physician referral, please ensure it is active before your scheduled exam.
How much will my exam cost?
Our scheduling team answers cost questions before your exam. If you have insurance, your cost depends on your plan. Ask when you schedule, or call your insurance company. If you do not have insurance, you can get a Good Faith Estimate.
Good Faith Estimates for uninsured & self-pay patients
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
Affordable self-pay rates
For patients without insurance coverage, or patients undergoing elective screening exams not covered by insurance (such as preventative heart scans or wellness screenings), RadNet offers competitive self-pay cash rates. Self-pay fees are bundled to include both the technical scanning procedure and the board-certified radiologist’s interpretation report.
Your rights under federal law
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
- For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
Who can help, before and after your exam
Before your exam, ask our scheduling team. After your exam, call our billing team.
Before your exam
Have a question about cost, insurance, or prior authorization? Ask our scheduling team when you schedule your exam.
After your exam
Have a question about your bill or a payment? Call the billing phone number printed on your bill. Our billing team answers Monday to Friday, 8 a.m. to 8 p.m. Eastern Time (5 a.m. to 5 p.m. Pacific Time), and Saturday, 10 a.m. to 2 p.m. Eastern Time (7 a.m. to 11 a.m. Pacific Time). See Billing for ways to pay.
Frequently asked questions
Advanced procedures (like MRI, CT, PET/CT and some ultrasound procedures) often require pre-approval from your insurer. RadNet works directly with your ordering physician to submit clinical documentation and track your authorization status before your scheduled exam date.
We offer competitive self-pay prices if you do not have insurance. Ask for a Good Faith Estimate when you schedule. It shows what we expect your exam to cost.
Ask for a Good Faith Estimate when you schedule your exam. You can also ask before you schedule. Cost questions before your exam go to our scheduling team. Our billing team helps with bills after your exam.