PET and the Heart
How much does it cost?
In order to provide the highest quality PET imaging of the heart at an affordable price, yet still offer the expertise of K. Lance Gould M.D., the Weatherhead PET Center for Preventing and Reversing Atherosclerosis has established the following levels of preventive service and payment options:
Plan 1 — For Cash Paying Patients
PET Scan, comprehensive lifestyle and medical assessment by K. Lance Gould M.D. $3000.00.
This plan includes a detailed medical and lifestyle evaluation, the PET scan and personal review of the results with Dr. Gould followed by a detailed preventive Medicine treatment plan. The preventive medicine plan with Dr. Gould includes a comprehensive review of medical history, medications, symptoms, diet, exercise regimen, and lifestyle. A full written report including preventive treatment recommendations is sent to the patient and to other physicians as requested. Payment can be made by cash, check or credit card.
Plan 2 — Private Insurance coverage
The PET Center has contracts with the following insurance companies:
- Blue Cross – HMO, PPO, Traditional
- United Healthcare
- Cigna (MedSolutions)
The ordering physician should send an order for the PET (pet order form) along with patient insurance information. The ordering physician who has the patient’s medical history should do pre-authorization. Orders should be faxed to 713-500-6615 and our office will contact the patient to schedule and review the financial coverage.
Plan 3 — Medicare coverage
Patients with established heart disease on Medicare may be referred by their private physician for PET imaging. Charges will be billed to Medicare but patients will be responsible for their deductible and for the remainder of the charges not reimbursed by Medicare. (Not to exceed the Medicare allowable charge) This plan will not include a preventive medicine plan or review of results with Dr. Gould. A report of the PET will be sent to the referring physician.
A Preventive Health treatment plan by Dr. Gould is available for Medicare patients for an additional charge of $500, which may not be covered by Medicare. This includes a detailed medical and lifestyle evaluation, a personal review of the results with Dr. Gould followed by a detailed preventive Medicine treatment plan. This preventive service plan with Dr. Gould and staff includes a comprehensive review of medical history, medications, symptoms, diet, exercise regimen and lifestyle. A full written report is sent to the patient and to other physicians as requested.
Unfortunately, Medicare does not cover the costs of PET for patients having only the risk factors for heart disease such as family history, high cholesterol levels, high blood pressure or diabetes, therefore the cash prices would apply.
For further information, please call the Weatherhead PET Center for Preventing and Reversing Atherosclerosis at (713) 500-6611.