← Return to What insurance is accepted at Mayo Clinic?

Discussion
teresamason avatar

What insurance is accepted at Mayo Clinic?

Visiting Mayo Clinic | Last Active: Mar 25 10:12pm | Replies (12)

Comment receiving replies
Profile picture for bajjerfan @bajjerfan

@vic83

Back on 11/04/25 I had a hips and pelvic MRI with contrast. Mayo billed Medicare $4729 for the service. I don't know if that included the Radiologist as I don't currently see a separate billing for them. Medicare thought that they deserved just $284 for the service. I'd posit that almost any employer sponsored plan would have paid considerably more than that. I don't know what my supplement policy paid, but it likely wasn't much.

I've never been turned down for MC, but I can see why a doctor might do that.

FWIW I pay $398 [MC pt B and supplement] in premiums. Mayo couldn't stay in business if all they saw were MC patients and neither could any other medical facility.

Jump to this post


Replies to "@vic83 Back on 11/04/25 I had a hips and pelvic MRI with contrast. Mayo billed Medicare..."

@bajjerfan Yes, if you check on the Medicare site, you can see the "full" claim charge and then what Medicare pays which is a much smaller amount. Private insurers do pay more for the same service but still much lower than the "retail" billed amount. It is up to Congress to increase what Medicare can pay. One thing to note, is that the charge by healthcare provider is extremely high. I have read that nobody knows why providers charge the exaggerated amount, just our system. Medicare however offers the provider access to a high number of patients which increases their revenue. In marketing, a product is given a price to promote highest volume in sales, because that produces a higher total profit for the company - higher unit price does not mean higher total profit for the company.
Before Medicare, many Seniors could not afford/find health insurance and just died. Private insurers may pay more but they are well known for requiring approval for a procedure and delaying things. And a research institution like Mayo needs patients with interesting issues. There is a reason to be "not for profit"