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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
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What Does a Shoulder MRI Cost the Consumer?

Robert W Westermann1, Cameron Schick1, Christopher M Graves1

  • 1Department of Orthopaedics and Rehabilitation, University of Iowa, 200 Hawkins Dr., 01008 JPP, Iowa City, IA, 52242, USA.

Clinical Orthopaedics and Related Research
|November 30, 2016
PubMed
Summary
This summary is machine-generated.

The cost of a shoulder MRI is significantly lower at independent imaging centers compared to hospital-owned facilities. Consumers and physicians should be aware of these price differences for advanced imaging services.

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Area of Science:

  • Radiology
  • Health Economics

Background:

  • Magnetic Resonance Imaging (MRI) utilization is high in the US, with over 100 MRIs per 1000 inhabitants annually.
  • Limited understanding exists regarding the cost of MRI procedures and the factors influencing price variations.

Purpose of the Study:

  • To determine the consumer cost of a noncontrast shoulder MRI in Iowa.
  • To assess the frequency and extent of discounts offered for MRI services.
  • To identify factors, such as facility ownership (hospital-owned vs. independent) and location (rural, urban, critical access), associated with cost variations.

Main Methods:

  • A telephone survey was conducted with all 71 hospital-owned and 26 independent imaging centers in Iowa offering MRI services.
  • The scripted inquiry focused on the technical component cost of a noncontrast shoulder MRI, excluding radiologist reading fees.
  • Statistical analysis was performed to identify significant cost-influencing factors, with a p-value less than 0.05 defining significance.

Main Results:

  • The average technical component cost for a shoulder MRI was $1874 (range: $500-$4000).
  • Nearly half (49%) of centers offered discounts, averaging 21% savings.
  • Hospital-owned centers were significantly more expensive ($2062) than independent centers ($1400). Rural centers, excluding critical access hospitals, also showed higher costs ($2213) compared to others ($1794).

Conclusions:

  • Significant cost disparities exist for shoulder MRIs in Iowa, with independent centers being considerably less expensive than hospital-owned ones.
  • Referring physicians and consumers should be aware of these price variations when selecting advanced imaging service providers.