My doctor ordered an ANNUAL MAMMOGRAM for me. Isn’t this covered under my insurance?
- It depends. Your ANNUAL Mammogram could be either a Screening or a Diagnostic Mammogram. A Screening Mammogram is usually covered completely by insurance as part of their “Wellness” package.
- A Diagnostic Mammogram, however, is processed through your insurance company as a diagnostic exam, so you may have out-of-pocket expenses, based on your co-pay arrangement and whether or not you have met your deductible for the year.
When will my doctor receive my Mammography report?
- Screening Mammography will normally be read within 5 business days, and the report will then be faxed to your physician.
- Diagnostic Mammography will be reviewed immediately by a subspecialized Imaging Physician and the results faxed to your physician the same day.
Why am I receiving two bills for my Mammogram?
- When you have your mammogram, you will receive 2 bills:
- A Cedars-Sinai bill for the technical portion.
- A bill from the Imaging Physician group who interpreted your study.
What is the “Facility Charge” that appears on my Mammography bill?
- The hospital sends one bill for all visits on the same day. The consolidated statement may list charges for your visit to the Saul and Joyce Brandman Breast Center and will also itemize the charges related to the breast imaging exam you completed. A separate bill will be sent by your doctor and the Imaging Physician.
In addition to my Mammogram, I am being billed for something called CAD. What is this?
- CAD stands for Computer-Aided Detection, a recent advance in the field of breast imaging.
To schedule an appointment, please call (310) 423-8000.
If you have questions about your Cedars-Sinai bill, please contact:
- Cedars-Sinai Business Office: (323) 866-8600
If you have questions about the subspecialized Imaging Physician’s separate bill, please contact:
- Cedars-Sinai Imaging Medical Group: (800) 303-3044