Reimbursement

What Do Ultrasounds Cost?

Where you have your Ultrasound performed, how much you are charged, and how much you have to pay is up to you and where you get your ultrasound. By doing a little homework and shopping around you can save hundreds of dollars. An ultrasounds performed by a licensed medical professional (physician or registered diagnostic sonographer) costs on average between $100 - $1,000 depending upon what type of ultrasound you get (3-D vs. regular). Not all facilities charge the same amount for the same procedure. Usually stand alone ultrasound facilities, which are not associated with hospitals, cost around $99 to $300. The same ultrasound performed at a hospital may run $200 to $1000. These ultrasound cost usually include the price for black and white pictures, videos, and/or a CD photo disk. Often the cost of an ultrasound is reimbursed by insurance companies if the procedure is considered medically necessary. If this is the case then usually a small co-pay is the only out of pocket expense. However, if you are getting an ultrasound simply to have a picture (3-D, 4-D, or standard 2-D) or to determine the sex of the baby your insurance company may not be willing to pay the cost of the procedure and you will be left responsible for the charges. So make sure you ask your insurer if the intended ultrasound will be reimbursed or not. If the cost will not be reimbursed then make sure you shop around for the procedure to ensure you save as much as you possibly can.

Costs Reimbursement - Insured Customers
Most insurance companies, including Medicare, will reimburse the cost of getting an ultrasound. In most situations when an ultrasound is requested by a medical professional the procedure is automatically determined to be reimbursable dependant upon your particular insurance plan. It's important that you are familiar with your insurance prior to having any procedure, especially expensive procedures, performed to know if there are any special notifications or authorizations that need to be secured to ensure reimbursement. Make sure you notify the imaging doctor or technician of your concerns or pre-certification prior to any elective tests or procedures. If pre-certification is required by our insurance carrier and you do not get such pre-certification this may result in full denial of your insurance claim. Medicare and other insurance coverage policies are always changing so it is important that you contact Medicare (www.mericare.gov) or your insurance company to determine coverage prior to having any procedure performed.

 

 

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