Independent Radiology Providers

As an Independence Blue Cross (Independence) member, you have alternatives to the hospital when seeking radiology services. If you have a PPO plan, you may visit an independent radiology provider if you have an order from your physician for radiology services. If you have an HMO or POS plan, you must use the radiology site selected by your primary care physician (PCP).

What is an Independent Radiology Provider?

An independent (or freestanding) radiology provider is not owned or jointly owned by a hospital or health system. With several locations throughout the Independence service area, they are easy to access.

PDF iconFind a radiology site.

The Value of the Independence Network

Radiology providers in our network agree to provide services to Independence members at negotiated rates. You should always use an in-network radiology provider in order to maximize your benefits. If you have a plan with a deductible or coinsurance, it is beneficial for you to use the least costly site of service, as shown in the chart below.

The charts below are examples based on average costs and are for illustrative purposes only.

($=lower cost; $$$=higher cost)
Provider type Chest X-ray
Independent Radiology
$
Hospital — Low cost
(Community-based)
$$
Hospital — Higher cost
(Academic/teaching)
$$$

($=lower cost; $$$=higher cost)
Provider type Mammography
Independent Radiology
$
Hospital — Low cost
(Community-based)
$$
Hospital — Higher cost
(Academic/teaching)
$$$

($=lower cost; $$$=higher cost)
Provider type MRI of the knee
Independent Radiology
$
Hospital — Low cost
(Community-based)
$$
Hospital — Higher cost
(Academic/teaching)
$$$

PPO members

If you have a PPO plan, you may visit an independent radiology provider if you have an order from your physician for radiology services. Using an in-network independent radiology provider will give you the lowest cost-share.

HMO and POS members

HMO and POS members should follow the direction of their PCP, who will direct members to their designated radiology provider. HMO members do not have an out-of network benefit and should therefore use their designated radiology site. If an HMO member uses an out-of-network radiology site, such non-emergency services will not be covered, and the member may be billed for the entire cost of the radiology services. If a POS member uses an out-of-network radiology site, the member will be responsible for the out-of-network level of cost-sharing (i.e., copayment, coinsurance, deductible) and may be subject to provider balance-billing.

Questions about your care choices?

Call 1-800-ASK-BLUE (1-800-275-2583).