This referral does not require charity care.

For patients with contrast allergies: Premedication_Instructions

Senior Clinician

Answers to the following questions should be entered in notes section of the MRI order on EPIC:

BEFORE ordering this imaging test, review the following conditions and follow the special instructions:

The patient is 65 years or older OR has diabetes, renal disease, liver disease, or other significant medical conditions

The patient has chronic kidney disease and the MRI scan will require IV gadolinium contrast

The patient has an ALLERGY to IV GADOLINIUM contrast (MUST review "Allergies" tab before placing order!)


Teaching Senior

Include in the email to referrals whether or not the patient has:

If imaging is ordered with contrast, please make sure a BMP (<6 weeks) is on file.

Once a patient has successfully received charity care, the ACT and referrals teams will notify the Head TS of the week, confirm that the referral is still necessary, and schedule the patient's appointment.

Access to Care Team


Cost to EHHOP Patient: The cost of the MRI is $20 per body part regardless of charity care status or which body part is scanned. Patients must bring the EHHOP voucher to the appointment to indicate they are from EHHOP.

If the scan is urgent or the patient has charity care levels 1 or 2, EHHOP will pay the bill. The cost of the scan should be filled out as amount authorized for transfer on the voucher form.

If the patient has above charity care level 2, the patient will pay the bill and will need to bring the cost of the scan to the appointment. The patient will still need to bring the voucher to indicate the patient is from EHHOP but the amount authorized for transfer is $0.

Please contact the Radiology Referrals Manager with any questions.

Wait time

It takes about 1-2 weeks to schedule an MRI.

Contact information

Radiology Associates, MC level, Annenberg. (212) 241-8333

Pre-scan requirements

Radiology Associates will need to know the following information:

  • Whether the patient has liver or kidney disease.
  • A BMP within six weeks of the scan must be on file at the time of scan
  • Does the patient have any metal in their body (e.g. pacemaker)?
  • Is the patient allergic to contrast?