Short answer up top, then the exact rule. Here's what Original Medicare does and doesn't cover for MRI and CT scans in 2026 — and where a Medicare Advantage plan can fill the gap.
Quick answer: Yes. Part B covers diagnostic non-laboratory tests — MRIs, CT scans, X-rays, EKGs, and PET scans — when your provider orders them to find or treat a medical problem. You pay 20% of the Medicare-approved amount after the Part B deductible. Watch the setting: at a hospital outpatient department you also owe a separate copayment.
Medicare Advantage (Part C) plans cover the same diagnostic imaging as Original Medicare, but with a Medicare Advantage plan you'll typically need prior authorization from the plan before it covers certain services — advanced imaging like MRI, CT, and PET commonly falls in that group. You'll also pay the plan's copay instead of the 20%, and you'll need an in-network facility. Confirm authorization is approved before your scan.
Anyone facing an ordered scan. Two questions decide your bill: is the facility a hospital outpatient department or a freestanding center (the copay difference), and — on Advantage — has prior authorization been approved before you show up.
See the current Part A, Part B, and Part D numbers — premiums, deductibles, and the new drug cap — in one place. Free, no signup.
See 2026 Medicare Costs →After the Part B deductible you pay 20% of the Medicare-approved amount at a doctor's office or an independent imaging facility. At a hospital outpatient department you also owe a hospital copayment that may exceed 20%, but in most cases it can't be more than the Part A hospital deductible. Advantage plans charge their own copay instead.
Part B covers diagnostic non-laboratory tests, including MRIs, when your provider orders them to find or treat a medical problem. With a Medicare Advantage plan you'll typically need prior authorization before the plan covers certain services, and advanced imaging like MRI, CT, and PET commonly falls in that group — check with your plan before the scan. Medicare also advises checking with the provider before you get advanced imaging done outside a hospital.
Coverage gaps in Original Medicare — like MRI and CT scans — are exactly what a Medicare Advantage or Medigap plan is meant to fill. Our free Enrollment Finder shows the window you can switch in, and the guide library walks through the trade-offs. This page is free to share with anyone weighing their options.
Open the Enrollment Finder →This answer is based on U.S. government Medicare coverage rules: