ArticleClinical orthopaedics and related research2017
What Does a Shoulder MRI Cost the Consumer?
Article in Clinical orthopaedics and related research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
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- Medicaid Insurance is Associated With Decreased MRI Use for Ankle Sprains Compared With Private Insurance: A Retrospective Large-database Analysis.Clinical orthopaedics and related research · 2024Article
- Healthcare costs of failed rotator cuff repairs.JSES reviews, reports, and techniques · 2023Article
- Emerging Role of Quantitative Ultrasound-Based Imaging Techniques for Characterizing Rotator Cuff Tears: A Scoping Review.Diagnostics (Basel, Switzerland) · 2023Article
- Magnetic resonance imaging for elbow pathology: overused by both orthopedic surgeons and primary care providers.JSES international · 2022Article
- The Use of Multiple Imaging Studies Before Shoulder Stabilization Surgery Is Increasing.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Overview of Methods to Quantify Invasiveness of Surgical Approaches in Orthopedic Surgery-A Scoping Review.Frontiers in surgery · 2021Article
- Obtaining Imaging Cost and Quality Information in Femoroacetabular Impingement: The Patient Experience.The Iowa orthopaedic journal · 2020Article
- Magnetic resonance imaging reproducibility for rotator cuff partial tears in patients up to 60 years.BMC musculoskeletal disorders · 2019Article
- Letter to the Editor: What Does a Shoulder MRI Cost the Consumer?Clinical orthopaedics and related research · 2017Article
- Predicting adjacent infections in pediatric septic arthritis: Do predictive criteria extrapolate across geographic regions?: Predicting Periarticular Infection in the Southeast.Journal of orthopaedicsArticle
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5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMore than 100 MRIs per 1000 inhabitants are performed in the United States annually, more than almost every other country. Little is known regarding the cost of obtaining an MRI and factors associated with differences in cost. QUESTIONS/PURPOSES: By surveying all hospital-owned and independent imaging centers in Iowa, we wished to determine (1) the cost to the consumer of obtaining a noncontrast shoulder MRI, (2) the frequency and magnitude of discounts provided, and (3) factors associated with differences in cost including location (hospital-owned or independent) and Centers for Medicare & Medicaid Services designation (rural, urban, and critical access).
methodsThere were 71 hospitals and 26 independent imaging centers that offered MRI services in Iowa. Each site was contacted via telephone and posed a scripted request for the cost of the technical component of a noncontrast shoulder MRI. Radiologists' reading fees were not considered. Statistical analysis was performed using standard methods and significance was defined as a probability less than 0.05.
resultsThe mean technical component cost to consumers for an MRI was USD 1874 ± USD 694 (range, USD 500-USD 4000). Discounts were offered by 49% of imaging centers, with a mean savings of 21%. Factors associated with increased cost include hospital-owned imaging centers (USD 2062 ± USD 664 versus USD 1400 ± USD 441 at independent imaging centers; p < 0.001; mean difference, USD 662; 95% CI, USD 351-USD 893) and rural imaging centers, unless designated as a critical access hospital (USD 2213 ± USD 668 versus USD 1794 ± USD 680; p = 0.0202; mean difference, USD 419; 95% CI, USD 66-USD 772).
conclusionsIn Iowa, the cost to the consumer of a shoulder MRI is significantly less at independent imaging centers compared with hospital-owned centers. Referring physicians and healthcare consumers should be aware that there may be substantial price discrepancies between centers that provide advanced imaging services. LEVEL OF EVIDENCE: Level IV, Economic and decision analysis.
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