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Billing Info

Billing, Self Pay, and Out of Pocket Costs Information

CMI participates with most major insurance companies. Please contact our office at 315-792-4666 if you have any questions about whether or not CMI participates with your insurance company. CMI is unable to guarantee coverage nor answer specific questions about your coverage.

Sometimes there are uncovered costs otherwise known as “out of pocket” costs associated with obtaining an MRI. A variety of payment options are available to help you manage your financial responsibility at CMI. Out of pocket costs for patients include co pays, co insurance, deductibles and noncovered services. Co pays and deductibles are due at the time of service. CMI offers several options for patients to pay for non covered medical costs including cash, check, Mastercard, Visa, Discover, and Care Credit. Care Credit is a line of credit that is available to help cover your out of pocket medical expenses.

Financial Assistance Application

CMI offers a Financial Assistance Program for those in need. The program is based on federal poverty guidelines and it may assist with any outstanding balances with CMI. An application and proof of income are required from the responsible party. The patient is required to apply for Medicaid prior to approval.

Below you will find a link to our Financial Assistance Application.  If you feel you qualify for assistance, you may complete the form and send it back with the required documentation.  If you have any questions about the application, feel free to reach out to our billing department at 315-801-7386 or email

Financial Assistance Application

Self-Pay Rates

We value all of our patients and understand that not everyone has health insurance or the coverage that they would like. With this in mind, we offer a 20% prompt-pay discount when you pay in full at the time of your visit. Please consult this pricelist below if you are paying out of pocket.

MRI Without/With Contrast:  $1200 (without discount) or $960 (with 20% Prompt-Pay discount)

MRI No Contrast:  $1000 (without discount) or $800 (with 20% Prompt-Pay discount)


Participating Insurances 

If your insurance is not listed below, you may contact the CMI Insurance Specialist for details on out-of-pocket costs.

AARP Medicare Plans from UHC


AETNA Supplement Insurance

Allied Insurance

American Progressive Supplement Insurance

BCBS Alabama


BCBS Anthem of California 

BCBS Anthem of NJ

BCBS Capital

BCBS Federal

BCBS Highmark of PA

BCBS Highmark of WV

BCBS Michigan

BCBS North Dakota

BCBS Northeastern NY

BCBS of Arizona

BCBS of Illionois

BCBS of Massachusettes

BCBS of North Carolina

BCBS of Texas

BCBS Verizon

BCBS Walmart (Arkansas)

BCBS Walmart (Texas)

Blue Cross/ Blue Shield - Excellus





Emblem Health (formerly GHI)                                       


Empire (BC/BS)

Empire (United Healthcare)

Evercare by UHC

Fidelis Care New York and Fidelis Medicare Advantage


Health Republic

Humana  ( ID#530988)

Lifetime Benefit Solutions (RMSCO)



Medicaid  (CMI prov # 01647929)



MVP (CMI provider ID #225100)                              

North American (Guardian) 

One Call 



Selman & CO (Formally ASI) Tricare Supplemental Ins

Senior Network Health

Sieba Limited

Tuft's Health Plan



United American Group Services

United Healthcare



Hospital Affiliations

CMI is affiliated with the following hospitals:   MVHS- St.Luke's Hospital and St.Elizabeth's Hospital  

Emergency/Inpatient Services:  If you receive an MRI while being treated in the Emergency Room or as an inpatient at either hospital, the hospital may bill for the technical portion of this study.  

MR Arthrograms with injections:  If you receive an MR Arthrogram, you will receive a bill from MVHS for the technical portion of the procedure.  

*Please contact the CMI Insurance Specialist 315-801-7381 or the MVHS Billing Office at 315-368-0099.

MVHS Billing 

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