How much does a CT scan cost with UnitedHealthcare?

Asked by: Lydia Cremin  |  Last update: December 5, 2025
Score: 4.8/5 (6 votes)

Imaging (CT/PET scans, MRIs) No Charge Free Standing/Office: $250 copay /service Hospital: $350 copay /service Not Covered Cost-sharing waived at non-IHCP with IHCP referral.

How much does a CT scan cost with insurance?

The average price of a CT scan runs about $300 to $6,750, whether you have insurance or not. Inflation can cause prices to be higher than average.

What does UnitedHealthcare not cover?

UnitedHealthcare does not cover the services or costs related with a service that is not a covered health care service under the member's UnitedHealthcare Health Plan, including but not limited to cosmetic surgery, bariatric surgery, infertility, and experimental and investigational procedures.

Does UnitedHealthcare Medicare require pre-authorization for CT scan?

Authorization is not required for procedures performed in an emergency room, observation unit, urgent care center or during an inpatient stay. *Note: For Medicare Advantage benefit plans, prior authorization is not required for CT, MRI, or MRA.

What is the disadvantage of UnitedHealthcare?

Cons About UnitedHealthcare Medicare Advantage

You may only have access to certain HMO or PPO plans in your area. And while UnitedHealthCare has competitive pricing, your location may only have access to plans with higher deductibles, more copays, and fewer additional benefits.

Deciphering Medicare plans and costs with UnitedHealthcare

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Is UnitedHealthcare a good insurance plan?

Although a few companies, such as Kaiser Permanente, performed better in this category, UnitedHealthcare received 4.06 out of 5 stars. The company also did well in J.D. Power 2023 U.S. Commercial Member Health Plan Study scores for California, which measures health plans for overall customer satisfaction.

Is there a class action lawsuit against UnitedHealthcare?

UnitedHealth Group Inc has agreed to a $69 million settlement to resolve allegations that it breached fiduciary duties under the Employee Retirement Income Security Act of 1974 (ERISA). The class action lawsuit, which has been pending for over three years, involved the company's 401(k) savings plan.

Does UnitedHealthcare pay for CT scans?

Imaging (CT/PET scans, MRIs) No Charge Free Standing/Office: $250 copay /service Hospital: $350 copay /service Not Covered Cost-sharing waived at non-IHCP with IHCP referral.

Why are CT scan not covered by insurance?

Some insurance policies may cover all or only part of the cost of a CT scan if the CT scan has been specifically ordered by a medical professional; others may require pre-authorization before getting a CT scan. If it is an elective CT scan, the cost may need to be paid entirely out of pocket.

Is CT scan fully covered by Medicare?

Medicare Part B covers diagnostic non-laboratory tests (like CT scans, MRIs, EKGs, X-rays, and PET scans) when your doctor or other health care provider orders them as part of treating a medical problem...

What are the four things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

What health insurance company denies the most claims?

According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.

Can I use UnitedHealthcare anywhere?

With UnitedHealthcare Options PPO health plans, you can use any doctor, clinic, hospital or health care facility in the national network.

Which is cheaper an MRI or a CT scan?

Cost: CT scans are almost half the price of MRIs. The average computed tomography scan costs around $1,200 while an MRI is about $2,000. Speed: CT scans take much less time than MRIs.

Why is my CT scan so expensive?

The high cost of a CT scan can be broken down into a technical fee, professional fee, and facility fee. The CT machinery is expensive to begin with, then the room that houses the CT machine is also expensive to build, and the technologists who interpret the images must be paid.

Why would a CT scan be denied by insurance?

In some instances, a CT scan might be an excluded procedure under your health insurance policy, or you may have neglected to obtain the required pre-authorization. Other reasons a CT scan could be denied would be if your insurance company deemed the CT scan to be medically unnecessary.

What is the average cost of a CT scan?

As a matter of fact, the cost of a computed tomography scan depends on a few factors. However, it typically costs somewhere between $300 to $3,280 in the United States. Below we have discussed the factors affecting how much is a CT scan.

Can I just go get a CT scan?

CT scans are a vital part of diagnosing health conditions that occur within the body. Most insurance companies require CT scan referrals from a licensed healthcare provider. Some imaging labs also require a referral before you can book an appointment. A referral validates the scan's necessity for the patient's health.

Do I need a referral to a specialist with United Healthcare?

With UnitedHealthcare Navigate® health plans, you access your coverage and benefits with the guidance of a primary care provider (PCP). With this plan, your coverage requires that you get a referral from your PCP before you see another physician or specialist in the network. No coverage is provided without a referral.

What to do if you can't afford a CT scan?

Financial assistance programs: Inquire with the facility or hospital where the CT scan would be performed about any financial assistance programs they offer. They may have programs for individuals who cannot afford the full cost of the scan.

What organs does a CT scan cover?

Below is a brief description of some common areas that are evaluated by CT scans.
  • Chest (thorax) problems. A CT scan may find infection, lung cancer, a pulmonary embolism, and an aneurysm. ...
  • Abdomen. ...
  • Urinary tract. ...
  • Liver. ...
  • Pancreas. ...
  • Gallbladder and bile ducts. ...
  • Adrenal glands. ...
  • Spleen.

Did UnitedHealthcare have a data breach?

Jan 24 (Reuters) - The cyberattack at UnitedHealth Group's (UNH.N) , opens new tab tech unit last year affected the personal information of 190 million people, the health conglomerate said on Friday, making it the largest healthcare data breach in the United States.

Can I sue UnitedHealthcare?

If you believe that your insurance company denied your health insurance claim without any justification, you may be entitled to file a bad-faith lawsuit against UnitedHealthcare.

How can I find out if I am part of a class action lawsuit?

If you think you may be included in a class action lawsuit, you can check a current list of lawsuits at classaction.org.