Get a Quote

Cash Pricing

At OSMRI you will never be surprised with hidden or add-on fees for your exam and what you are quoted will be the total and final cost.

* This price is for cash, check, or debit paid in full at the time of service.

For an estimate for your patient responsibility for your imaging exam, please fill out the following secure form. Please note that someone may contact you to follow-up with additional information.
Preferred Location*
Name*
First Middle Last
Email*
Phone*
Best contact method?*
- Email
- Phone
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM
DD
YYYY
MRI Body Part*
MRI Type*
- With Contrast
- Without Contrast
- Arthogram
Insurance Information
Please provide all insurance information so we can provide you with an accurate quote of your patient responsibility.
Provider*
Precert Phone #*
Located on back of insurance card.
ID #*
Group #*
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