How Billing Works
Please be sure to bring your insurance card and present it at your appointment. It is important for us to make photocopies of your insurance cards and any pertinent information related to your insurance coverage. Specific questions regarding your policy and coverage should be directed to your insurance carrier, as insurance plans and benefits vary widely. Please check the list below to see if we accept your insurance, but also clarify with your provider regarding your specific plan.
Contact Our Billing Department
Our billing departments can be reached Monday through Thursday from 7:45am until 4:45pm to assist you with your billing and insurance questions. If you would like to make a payment on your bill, please send it to the address listed below or use our “Pay Your Bill Online” Portal.
PO Box 36900
Las Vegas, NV 89133
Phone: 702-732-6000 option 5
Pay Your Bill Online
SDMI accepts most insurance plans. Click here to access the complete list of accepted insurances.
SDMI is a preferred provider with numerous insurance plans. Please check with your insurance provider and/or our facility when scheduling appointments to ensure that your procedure will be covered under your plan. Follow the appropriate link below for a list of our most common participating insurance providers.
Your insurance coverage is based on criteria outlined in your insurance plan coverage document. It is best to check with your insurance company if you are unsure about whether they will cover the test. Even if your insurance plan covers the test, you will be responsible for any co-payment, co-insurance, or deductible amount specified by your insurance plan.
Yes. The patient must 1) provide a copy of their Medicaid card and 2) sign a waiver that they agree they are responsible for costs not covered by Medicaid.
CO-PAYS & DEDUCTIBLES
The amount an insurance company pays for a test is dependent upon the co-pay, co-insurance, and any deductible amounts that need to be satisfied. It is best to check with your insurance company to determine what your out-of-pocket expense will be on your procedure.
A co-payment (co-pay) is a fixed dollar amount that patients pay for physician office visits, prescriptions or hospital services. Coinsurance is a defined percentage of the charges for services rendered that a patient must pay. A deductible is the amount of eligible expense a person must pay each year from his/her own pocket before the insurance plan will make payment for eligible benefits. Auto insurance works similarly…if in an accident, a deductible is typically paid before the insurance will pick up the tab for the remainder of the repair bill.
Allowing your services to be billed to your insurance plan will help to satisfy your mandatory insurance deductible. Once this deductible is met, your insurance provider will then make payment for future allowed services, thus minimizing any future out-of-pocket costs to you.
AUTHORIZING FOR IMAGING
Authorization is an insurance company’s way of giving you permission to receive an exam or procedure. It essentially means that they must review your doctor’s reasoning for ordering a specific exam to determine if it is medically necessary before they will agree to pay for it. Please Note: The authorization constitutes a medical decision only and does not guarantee benefit payment.
Several insurance plans require pre-authorization for some types of Radiology tests, typically MRI, CT, PET Scans, and Nuclear Medicine Cardiac Scans. It is the responsibility of your referring physician to contact your insurance plan, provide information to obtain the necessary authorization and provide the authorization number to SDMI.
COST OF EXAMS & PROCEDURES
If you are not billing an exam or procedure to insurance (either because you don’t have insurance or because you choose not to), then you are considered a “Self-Pay” patient. Self-pay rates vary based on the exam that you are having completed, and there are hundreds of exams offered by SDMI. If you would like to find out how much the exam you are having will be, you can call our Scheduling Dept. at 702.732.6000 option 2.
Possibly. There are many different sites now that offer pricing information for healthcare exams and procedures so it can be confusing. Many factors that go into determining the price of an exam, such as whether it needs to be with our without contrast. Please contact us at our Scheduling Dept. so that we can give you personalized pricing based on your specific exam and insurance. Scheduling can be reached at 702.732.6000 option 2.
There is not one standard price for all imaging exams. There are hundreds of different types of imaging exams, and the prices vary based on many factors, such as whether it needs to be with our without contrast, the type of facility where the exam takes place, the patient’s insurance, etc. Please call our Insurance Verification Department so that we can give you personalized pricing based on your specific exam and insurance. The Insurance Verification Department can be reached at 702-732-6000 option 2.