The cost of cardiac MRI

While a cardiac MRI can produce 3-D images that are far more detailed and precise than fuzzy, 2-D echocardiograms, the procedure is also about five times more expensive. Insurers often resist the use of the technology for screening purposes, but it's usually covered in serious cases. "Generally one can get reimbursed if there's a suspected pathology," says Raymond Stainback, MD, the medical director of noninvasive cardiac imaging at the Texas Heart Institute, in Houston. "Insurers have become much more open to that."

But patients shouldn't start demanding MRI just yet. Echocardiography machines are portable, very quick, and usually quite sufficient to diagnose and monitor a heart condition. "The echocardiogram is still going to be the workhorse," says Dr. Stainback.

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