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DiscussionWhat insurance is accepted at Mayo Clinic?
Visiting Mayo Clinic | Last Active: Mar 25 10:12pm | Replies (12)Comment receiving replies
Replies to "@bajjerfan Yes, if you check on the Medicare site, you can see the "full" claim charge..."
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@vic83
For most services there is what's called UCR usual customary and reasonable charges for billing out those services. I don't know how strictly Mayo or any other provider adheres to that. IIRC they vary somewhat by area. Charges in excess of UCR are probably excluded by the insurer. Mine was supposed to be MRI with 3D rendering which is why it comes out higher, but I can't vouch for that. In my experience MC pays a lot higher percentage for an office call than other services from what I've seen from my EOBs.
Mayo or any other medical service would not survive very long if all they saw were MC patients. That's one reason so many rural hopitals are struggling or going under: MC doesn't reimburse at a high enough rate. Also a main reason why IMO a MC for all type national coverage could never fly. YMMV.