Urgent Care Cost-Fees
Cost-Fees At Urgent Care - Avoiding A Sticker Shock!
There was a time we had to encourage folks NOT to use an Emergency Room for minor emergencies (read our blog urgent care vs. emergency room) as the average ER bill is upwards of $1000. Now, that there are 10,000+ Urgent Care Centers in the US – far more than the number of Emergency Rooms, it is time to discuss how to avoid making financial mistakes in choosing an Urgent Care. Being a smart consumer of healthcare services can be challenging indeed. These tips will help you save a bundle in the long run, esp. in NYC Area. Statcare has been in business 10 years- we know what we are talking about (check out our reviews). Healthcare need not cost you so much. Visit our locations in Queens, Brooklyn, Bronx & Hicksville, Long Island.
Going to a “Big Chain” Urgent Care (20 or more locations)
Do that and chances are you’ll have to cough up a pretty penny!
The negotiated rate of Big Chain Urgent Care (20 or more locations) is often upwards of 2-3 times that of smaller urgent care centers (less than 10 locations).
You might think, I have health insurance, why should it matter at all? My insurance will foot the bill. Well, you are in for a sticker shock. You forgot that deductible!!
As of 2018, there are hardly any health insurance plans that have a zero deductible amount. A deductible is the portion you pay for covered health care services before your health insurer starts to pay.
Here is a real case scenario from a Big Chain Urgent Care in NYC.
You have Big Blue Insurance
You have a $5,000 deductible
You have a $50 co-pay.
(This means you are required to pay the first $5,000 of all covered services before your Insurer even becomes liable for any costs).
Here is how this will work:
You visit the Big Chain Urgent Care.
They will collect just your $50 copay at the time of the visit.
You go home after your visit.
The Big Chain Urgent Care now submits a bill for $350+ to your insurance plan because that is what their contract with Big Blue Insurance states. (The same Big Blue Insurance had contracted rates of $100 with other urgent care centers in your neighborhood – you just had no way of knowing!).
Your Insurer approves all their charges as per their negotiated fee arrangement.
The amount of $350+ now becomes due
But your insurer says you have a deductible.
And applies the full amount towards that deductible.
The Big Chain Urgent Care is told that it is the members responsibility as the deductible has not been met.
That big fat bill from the Big Chain Urgent Care is now coming to you!
You, now have to cough up $350+ all because you didn’t know how the Big Chain Urgent Care contracts work!
In fact, two of the “Big Chain” Urgent Care Centers in NYC have a negotiated rate of $350+ with one insurer and upwards of $200 with many other insurers. Had you chosen to go to a different Urgent Care Center, your out-of-pocket expense would have barely touched $100 in total.
Lesson# 1. The only thing that matters when you choose an Urgent Care in today’s world is your deductible. If you have a deductible, go to a smaller UCAOA Accredited Urgent Care.
What can you do to reduce your urgent care cost and fees?
It can be a harrowing experience for sure. The worst thing is not knowing what one’s financial liability will be. Many customers using these Big Chain Urgent Care Centers are stuck with bills of several hundred dollars.
First and foremost, find out your potential financial liability before you go to that Big Chain Urgent Care Center by calling your health plan and asking them the contracted charges. Remember, these Big Chain Urgent Care Centers are now the new overpriced “Emergency Rooms” of yesterday when it comes to super inflated bills.
Secondly, call around the urgent care centers in your area and ask about their pricing. Many staff at these facilities may not be able to answer all your questions especially as they will not know what your potential treatment will be. All treatment modalities will depend upon your medical condition – so your final bill will depend on what condition you are getting treated and if you are having a procedure done.
Thirdly, visit their website. Look for price transparency in costs-fees and service charges.
At Statcare, we have transparent pricing as listed on our website. At Statcare, you can always pay for your care if you have a high deductible insurance plan so you never have to worry about any more bills once you leave our facility.
Not knowing your co-pay for an urgent care visit before you go to the Urgent Care.
If you are young and healthy, chances are you have never had to use your health insurance plan. It is very common for people to not know what their copay is for an urgent care visit. As a result, you may not have carried with you enough money or have the credit card to charge the copay to. Not to worry.
What can you do to find out your copay cost?
Here is how you can find out your copay information
- The copay is usually listed on the health insurance card. The ER copay is usually the highest ($100-500 or more), the urgent Care copay is usually in the $40-75 range and the PCP copay is usually in the $25-40 range
- Sometimes you will not find an urgent care copay. However, there will be a specialist copay listed. Urgent Care copays are usually the same as a specialist copay.
- You can call your health plan and find out your copay.
- You can walk into a Statcare facility and our staff can swipe the insurance card and let you know what your benefit plan coverage and copay is before you decide how you want to proceed.
Lesson # 2. Know your urgent care copay. If you have a high copay, you might want to consider other options. Going to a primary care physician or negotiating an all-inclusive price for your visit will avoid having to deal with unnecessary bills.
Mistake # 3.
Going to a hospital based Urgent Care believing it will be a low cost, low-priced visit
Many hospitals have opened their own Urgent Care or affiliated themselves with one. Usually, the clue is the proximity of the Urgent Care to the hospital ER. This kind of an urgent care visit has the potential to be the most expensive in terms of being a high cost, high fees visit.
These urgent care clinics are merely hospital emergency rooms disguised as an urgent care. They probably will bill like an Emergency Room (not your low cost, low fees facility for sure!).
What can you do to find out the costs and fees for your visit?
Here are some options:
- Ask before you get seen, if that facility bills as an urgent care or as an ER. Write down the name of the employee that gives you that information. When you receive an ER bill for that visit, you will be able to go back to the billing office and negotiate better because you will have the name of the employee that misinformed you in the first place.
- Avoid them completely
Lesson # 3. Know where you go. What’s in a name? Everything! When it comes to ER or Urgent Care, a hospital name suggesting charity may not be so charitable after all!
Mistake # 4.
Not considering a Televisit
If you are in a bind, there are far more economical options than going to a Big Chain Urgent Care.
A typical Urgent Care visit may cost you around $100. A televisit costs far less.
How do you cut your costs and fees for medical services with a Televisit?
The world of Televisists can be confusing. You want to use a Televisit option with a physical office as a back-up, just in case you need blood tests or X-Rays or someone to check you out in person.
Statcare has an office near you in case you needed to be seen as well.
When you call Statcare, you can be serviced through a Televisit from the comfort of your home. You do not need anything except your smartphone or ipad or computer and a decent wifi signal.
If you haven’t tried a Televisit, you must! It can be scheduled between your meetings or at your lunch break or even late at night when most urgent care centers are closed. The prescriptions will be sent electronically to a pharmacy near you. Insurance covers these visits and if you are paying for it yourself, these visits aren’t expensive. Check out Statcare’s prices listed below.
What Cost Transparency Or Fee Transparency Means At Statcare
“Providing accurate and relevant prices including what is covered or not covered in that price”.
The last thing we want is for our customers to have crushing debt from hidden or unexpected medical expenses. Statcare is a leader, not just in price transparency but also in providing comprehensive healthcare that’s affordable and accessible to everyone
It is a myth that higher price always means better quality of healthcare.
Going to a UCAOA certified Urgent Care definitely means higher quality of care.
At Statcare, we try to be transparent with pricing and payment policies.
You can always call us and we will be glad to answer any questions you have.
As a part of our commitment to transparency, we have posted the prices for many of our services below. While this list is by no means all-inclusive of all the services that Statcare offers, it does provide the cost and fee information for many of frequently provided services.
If you plan on using insurance, we recommend you call your insurance company before your visit to make sure that the service you want from Statcare is covered under your plan.
Participation in Statcare’s self-pay pricing cannot be combined with use of commercial insurance benefits. Statcare’s self-pay pricing cannot be provided to patients participating in any Government Health Plans.
Prices shown below reflect discounts that patients without insurance are eligible for only if they pay in full at the time of receiving medical care. All prices are estimates and can change over time. The website may not reflect the most updated current or recent pricing esp. for vaccines and equipment based procedures as market forces determine the procurement costs. To receive actual pricing, patients who do not have health insurance may request prices by calling our number listed above. All prices are provided before the visit. However, please note, the cost may increase if there is a medical procedure being done and additional treatments are needed. A good example is wound care where a cautery may be needed to stop bleeding before the wound can be stitched up. At Statcare, we are committed to keep you informed about your costs at all times.
|Visit||Visit Description||Visit Cost-Fees|
|Full Gynecological Exam||Fee For A Walk-In Gyn Exam For Women’s Health||$125.00|
|ThinPrep Pap Smear||Fee For A Routine Pap Smear To Screen For Cervical Cancer. Needs Gyn Exam Visit.||$65.00|
|ThinPrep Smear with HPV Testing||Fee For A Routine Pap Smear To Screen For HPV Infection & Cervical Cancer. Needs Gyn Exam Visit.||$165.00|
|Televisit||Fee For An Online Consultation With Our Medical Provider||$60.00|
|Simple Consultation Charge, Weekday||Medical Office Visit Cost (for patients wanting to pay for their care)||$100.00|
|Follow-up Consultation Charge||Medical Office Visit Cost For Follow-up Visits (for patients wanting to pay for their care)||$50.00|
|Simple Consultation Charge, Weekends, Holidays||Medical Office Visit Cost (for patients wanting to pay for their care)||$110.00|
|Follow-up Consultation Charge, Weekend, Holidays||Medical Office Visit Cost For Follow-up Visits (for patients wanting to pay for their care)||$60.00|
|Immigration Doctors Fees (Civil Surgeon Fee) For Immigration Medical (Inmigración Física)||Green Card Physical By USCIS Certified Civil Surgeons||$119.00|
|Travel Clinic Consultation||Travel Clinic Visit Fee Includes Prescriptions For Travel Medicines As Needed||$50.00|
|DOT Physicals||Fee For A CDL Medical Exam By NRCME Certified DOT Medical Examiner||$85.00|
|DMV Eye Exam/DOT Vision Test||Fee For A DOT Certificate Issued By Our NYS DMV Certified Vision Examiners||$20.00|
|TLC Medical Exam||Fee For A Certificate Issued By Our NYS Licensed Physician Examiners||$50.00|
|Preoperative Clearance||Pre-Surgical Clearance Fee (Physical). Lab Tests Not Included||$150.00|
|Routine Physicals||Fee For A Walk-In Physical. Full Physical Exam Done All 7 Days A Week||$100.00|
|Suboxone Treatment Visit (First Visit)||Buprenorphine Therapy Visit Fee||$350.00|
|Suboxone Treatment Visit (Follow-Up Visit)||Buprenorphine Therapy Visit Fee||$200.00|
|Sublocade Treatment Visit (First Visit)||Injectable Buprenorphine Therapy Visit Fee||$350.00|
|Sublocade Treatment Visit (Follow-Up Visit)||Injectable Buprenorphine Therapy Visit Fee||$200.00|
|Vaccines Including Immigration Vaccines||Description||Cost-Price per dose|
|Flu Vaccine. (Quadrivalent Influenza Vaccine)||Influenza Vaccine Cost For Current Flu Season. Flu Vaccine used in Immigration vaccination also.||$25.00|
|Typhoid Vaccine (Oral Vivotif)||Travel Vaccine Price reflects last avail. price (Call for latest price & reserve your shot as high demand). Typhoid V protection lasts five years (unlike injectable vaccine).||$115.00|
|MMR Vaccine (Injectable Measles, Mumps, Rubella Vaccine).||MMR Vaccine Cost (last avail. price. Call for latest price). Do not take if pregnant. MMR Vaccine used in Immigration vaccination also.||$125.00|
|Varivax Varicella Vaccine For Chickenpox (Injectable).||Varicella Vaccine Cost (last avail. price. Call for latest price). Do not take if pregnant. Varicella Vaccine used in Immigration vaccination also.||$180.00|
|Boostrix Tdap Vaccine (Tetanus, Diphtheria & Pertussis).||Boostrix (Tdap) Vaccine Cost. Tetanus, Diphtheria & Pertussis/Whooping Cough. For Adults, New Grandparents & Immigration vaccination.||$80.00|
|Tetanus Vaccine (Td, Tetanus/Diphtheria)||Tetanus Vaccine To Prevent Tetanus.||$65.00|
|Hepatitis A Vaccine For Travel||Travel Vaccine To Prevent Hepatitis A Infection||$95.00|
|Hepatitis B Vaccine||Prevents Hepatitis B Infection||$90.00|
|Japanese Encephalitis Vaccine For Travel||Travel Vaccine To Prevent Japanese Encephalitis Infection||$290.00|
|Typhoid Vaccine (Injectable) For Travel||Travel Vaccine Price reflects last avail. price (Call for latest price & reserve your shot as high demand). Injectable Typhoid Vaccine protection lasts only two years (see oral vaccine).||$115.00|
|Pneumovax (Pneumococcal Vaccine – PPSV23 or 23 valent).||Pneumococcal Vaccine Cost. Pneumovax Protects Against Pneumonia. Pneumonia Vaccine used in Immigration vaccination also.||$90.00|
|Zostavax (Herpes Zoster Vaccine) For Shingles||Protects Against Herpes Zoster (Shingles)||$325.00|
|Menactra Meningitis Vaccine||Protects Against Meningitis In College Students||$280.00|
|Yellow Fever Vaccine For Travel||Travel Vaccine Protects Against Yellow Fever, Yellow Fever Card Included (last avail. price. Call for latest price). Do not take if pregnant.||$230.00|
|Urgent Care Treatments||Description||Cost-Fees|
|IV Fluids||1000 ML Of Any IV Fluid As Needed||$150.00|
|IV Fluid 2nd Bag||1000 ML Of Any IV Fluid As Needed||$25.00|
|IV Antibiotic Dose||Broad Spectrum Antibiotic Cost. Used For Infections.||$60.00|
|Injection For Nausea, Vomiting||Medicine USed To Stop And Prevent Nausea & Vomiting||$25.00|
|Injection For Severe Pain||Analgesic Injection For Pain. Not Habit Forming||$30.00|
|Injectable Antacid Treatment||Antacid Therapy For Acidity And Abdominal Pain From Gastritis||$30.00|
|Vitamin B12 Injection||Vitamin B12 Injection For Vitamin Deficiency, Tiredness, Fatigue.||$20.00|
|Nebulizer Treatment||Nebulizer Treatment For Breathing Problems Like Asthma||$30.00|
|Antibiotic Injection For STD Infections||CDC Recommended Treatment Combination For STD’s||$50.00|
|Splinting For Fractures||Splinting Costs For All Fractures In-Office (Price Varies)||$200.00|
|Specialty Tests At Urgent Care||Description||Cost-Fees|
|Concussion EEG & Neurocognitive Testing||Better than CT Scan in detecting Mild Brain Injury. FDA Approved. Prevent TBI. Prevent CTE.||$400.00|
|Brain Physical (Baseline) For Kids Playing Sports||For Kids Playing Soccer, Lacrosse, Football, Basketball, Ice Hockey and More. FDA Approved. Detects even minor Brain Trauma and change from baseline. Sports Head Trauma remains the most under-diagnosed condition||$50.00|
|Post-Sports Concussion Brain Physical||$100.00|
|Hearing Test (Audiometry)||$20.00|
|Fluorescein Eye Exam, Anesthetic For Eye Injury And Foreign Body||$35.00|
|PPD Skin Test For TB||PPD Skin Test Cost For Tuberculosis (Includes 2 Visits – One for the test and one visit for the reading)||$40.00|
|2 Step PPD Skin Testing||Two Step PPD Testing Cost includes 4 visits (If you are PPD Negative with the first PPD Testing)||$80.00|
|Urgent Care Procedures||Description||Cost-Fees|
|Eye Irrigation After Chemical or Physical Trauma||Walk-In For Emergency Eye Wash After Injury||$40.00|
|Ear Wax Removal||Walk-In For Ear Cleaning And Ear Wax Removal||$60.00|
|Removal Of Foreign Body||Walk-In To Get Foreign Body Removed||$60.00|
|Removal Of Vaginal Foreign Body||Walk-In To Get VAginal Foreign Body Removed||$80.00|
|EKG (Electrocardiogram)||Walk-in Electrocardiogram For Your Heart||$50.00|
|Wound Care||Walk-In For Wound Care And Dressing Changes||$50.00|
|Stitches For Cuts & Open Wounds (Laceration Repair)||Stitches For Cuts (Prices Vary)||$250.00|
|Suture Removal||Walk-In For Stitch Removal Or Staple Removal||$50.00|
|Chest X-Ray (2 Views)||Chest X-Ray (2 Views, Read By A Radiologist)||$85.00|
|Any X-Ray (2 Views)||Any X-Ray (2 Views, Read By A Radiologist)||$85.00|
|Any X-Ray (3 or more Views)||Any X-Ray (3 or more Views, Read By A Radiologist)||$95.00|
|Breath Alcohol (BAC) Testing||BAC Test For Employees||$35.00|
|Ingrown Toenail Removal||Surgical Procedure For Ingrown Toenails||$200.00|
|Cauterization||In Office Cautery Of Blood Vessels To Stop Bleeding||$120.00|
|Epistaxis Treatment For Nasal Bleeding||Control Epistaxis Or Nasal Bleeding With Rhinostat||$120.00|
|Hearing Test (Audiometry Screening)||In Office Screening Test For Hearing Loss||$20.00|
|Incision & Drainage (I&D) Of Abscess||Incision & Drainage Of Abscess (Price Varies)||$180.00|
|Burn Dressing||Specialized Burn Dressings For All Skin Burns||$50.00|
|Lab Tests Performed At Urgent Care||Description||Cost-Fees|
|MonoSpot Test||In-Office Test Screens For Infectious Mononucleosis Infection||$25.00|
|Urine Analysis (UA)||In-Office Urine Test for Infections||$15.00|
|Urine Culture and Sensitivity Testing||Lab is able to identify type of bacteria and it’s antibiotic sensitivity pattern||$40.00|
|Flu Wash For Influenza A & B||In-Office Test for Influenza A & Influenza B||$40.00|
|Strep Test||In-Office Test For Streptococcal Pharyngitis||$25.00|
|Throat Culture||Lab is able to identify type of bacteria esp. Streptococcal as well as it’s antibiotic sensitivity pattern||$25.00|
|10 Panel Drug Test||Comprehensive Routine Urine Drug Testing||$75.00|
|Pregnancy Test||Screens For Pregnancy Status||$15.00|
|HCG Levels (QL)||Blood Test For Confirming Pregnancy Status||$70.00|
|HCG Levels (QN)||Blood Test For Predicting Gestational Age Of Fetus In Pregnancy||$40.00|
|5 Panel Drug Test||Focused Routine Drug Testing In Urine Sample||$40.00|
|PSA||Diagnostic PSA Blood Test Screens For Prostate Cancers & Diseases Of Prostate Gland||$50.00|
|IGRA Quantiferon Gold Test For TB||IGRA Blood Test For Tuberculosis||$85.00|
|Urine Gonorrhea Test (NAAT)||Urine Screening Test For Gonorrhea||$75.00|
|RPR For Syphilis Testing||Blood Test That Screens For Syphilis||$10.00|
|Full Cholesterol Profile||Know Your Good & Bad Cholesterol. Manage Your Cardiovascular Risk||$40.00|
|PT/INR||Preoperative Blood Test To Screen For Bleeding Problems||$50.00|
|TPPA Test For Syphilis||Confirmatory Test For Syphilis||$40.00|
|TSH||Blood Test For Thyroid Screening||$50.00|
|TSH With Free T4||Blood Test Cost For Thyroid Monitoring||$50.00|
|CBC||Blood Test Cost For Anemia And Blood Disorders||$20.00|
|ESR Westergren Method||Blood Test Cost For Monitoring Infections||$15.00|
|Sickle Cell Screen||Blood Test Cost For Sports Physicals, Screens For Sickle Cell Disease In Athletes||$60.00|
|Iron/TIBC||Blood Test Cost For Iron Deficiency And Other Anemias||$35.00|
|Comprehensive Metabolic Panel with GFR Measurement||Blood Test Cost For Electrolytes, Kidney, Liver Function and More||$25.00|
|Vitamin D Levels||Blood Test Cost To Detect Active Vitamin D Levels And Diagnose Deficiency Of Vitamin D||$75.00|
|3 Hour GTT (Glucose Tolerance Test)||Blood Test That Stress Tests And Diagnoses Diabetes Earlier Than Any Other Test||$40.00|
|Hemoglobin A1C||Blood Test That Screens And Helps Monitor Diabetes||$35.00|
|Lipase||Blood Test Cost For Abdominal Pain and Pancreatic Inflammation||$25.00|
|Amylase||Blood Test Cost For Abdominal Pain and Pancreatic Inflammation||$20.00|
|Rheumatoid Factor||Blood Test Cost For Screening For Rheumatoid Arthritis||$25.00|
|HEP A Antibody (IgG and IGM)||Blood Test Cost To Check For Hepatitis A||$50.00|
|HEP B Surface Antibody (QL)||Blood Test Cost To Check For Protection Against Hepatitis B Infection||$50.00|
|HEP C Antibody||Blood Test Cost To Check For Hepatitis C Infection||$50.00|
|MMR (Measles/Mumps/Rubella) Titers||Blood Test Measures Protection From Measles, Mumps & Rubella||$100.00|
|Varicella IgG Titers||Blood Test Measures Protection From Chicken Pox||$50.00|
|Form Completion (cost per page)||Time & Labor Charge||$10.00|
|Injection Administration Fee||Administration Fee Includes Labor & Supply Charge||$10.00|