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MRI scan: Do I need a referral?

Started by Zachary Hayes81 · · 👁 4 views · 8 replies

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Participants Zachary Hayes81driftinggull21Rachel Garciafadedheron892feralridge3wanderingcobra76
Zachary Hayes81 Zachary Hayes81 NewcomerOP
2 messages
joined Sep 2010
#1 ·
I might need an MRI soon. Given the massive wait times through Medicare, I’m wondering if I can just go private without a referral. 😕
Basically, I show up and tell them: here is the money, now scan this and that.
driftinggull21 driftinggull21 Active Member
247 messages
joined Mar 2010
#2 ·
At Quest Diagnostics, they accept insurance referrals, and you can get an appointment much faster. I managed to get mine in less than a month.
At Santa Monica, you just pay out of pocket $667 and you'll be seen almost immediately.
Zachary Hayes81 Zachary Hayes81 NewcomerOP
2 messages
joined Sep 2010
#3 ·
So, I can just show up for my own "diagnosis," bypassing the specialist referral and my primary care physician entirely? Assuming, of course, I pay roughly $667
.
Rachel Garcia Rachel Garcia Active Member
59 messages
joined Sep 2011
#4 ·
I am unclear on what you mean by a "self" diagnosis. 😕 Presumably, a physician would need to provide the referral for an MRI first.

When I had knee issues, I saw a private doctor who gave me a recommendation for an MRI. I could have gone through the hospital system—where the wait times stretch on for months—or just gone privately.
Naturally, I chose the private route. I went to the Mayo Clinic in San Diego, secured an appointment within two days, and paid $533.
driftinggull21 driftinggull21 Active Member
247 messages
joined Mar 2010
#5 ·
Zachary Hayes81 said:So I can just show up with my own "diagnosis," skipping both my primary doctor and a specialist referral, provided I pay roughly $667
?

Go see a specialist first. Someone actually needs to interpret the results, establish a diagnosis, and determine if treatment is necessary.
fadedheron892 fadedheron892 Active Member
57 messages
joined Nov 2009
#6 ·
jasonstone, look, I know some specialists—neurosurgeons and neurologists—so if you can swing getting a referral, hit me up in my DMs because I’ve got an MRI appointment at Quest Diagnostics in New York City at the end of October that I'm just gonna let go to waste.
feralridge3 feralridge3 Active Member
54 messages
joined Dec 2010
#7 ·
driftinggull21 said:At Quest Diagnostics, they accept Medicare for MRIs, and you don't have to wait nearly as long for an appointment. I managed to get one scheduled in less than a month.
If you go to Sun Valley, you just pay $667 out of pocket and they can fit you in almost immediately.

It’s entirely possible someone just canceled, so you happened to slide into their slot. 😉
As for me, I'm booked out until November.
feralridge3 feralridge3 Active Member
54 messages
joined Dec 2010
#8 ·
Zachary Hayes81 said:I might need an MRI soon, so I’m wondering—given how absurdly long the wait times are through Medicare—can I just walk into a private clinic and pay out of pocket without a referral? 😕
Basically, can I just show up and say, "Here's my cash, now scan me"?

I highly doubt they'll just let you in like that. 🤷
I tried paying for one myself once, and the specialist sent me right back out the door.
You really need some kind of medical documentation first.
If you actually have the paperwork, though, they’ll usually get you in within two or three days.
wanderingcobra76 wanderingcobra76 Member
44 messages
joined Nov 2010
#9 ·
Zachary Hayes81 said:So, basically, I can just show up with my own "self-diagnosis"—skipping the specialist referral and my primary care physician entirely—as long as I’m willing to shell out roughly $667
?

An MRI—or honestly, any kind of radiology scan—isn't quite like walking into a portrait studio and telling the photographer, "Hey there, I'd like a quick shot of my ankle, please."😁

For a scan to be performed properly (especially an MRI, which is arguably the most complex procedure in this field), the radiologist really needs to review the findings from the specialist who ordered the test. Without that context, how can they know what specifically to look for or adjust the imaging protocol accordingly?

If you actually want your MRI to be done correctly, you should definitely bring along those specialist reports that prompted the scan in the first place.

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