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Do urgent care visits cost significantly more than appointments with a PCP dr?

Posted on 5/1/17 at 7:51 pm
Posted by PenguinNinja
Antarctica (and Japan)
Member since Sep 2011
2082 posts
Posted on 5/1/17 at 7:51 pm
I have a high-deductible health plan, so I'm paying out of pocket either way. Had to go to the urgent care last week for the same issue that my wife (no pics) now needs to go for, so she's basically just going to get a prescription for antibiotics.

I walked in and out of the urgent care within 20 minutes...cost $110. I figure a visit to a PCP (we don't have an established one yet...just moved from out of town) has got to cost about that, right? If so, frick waiting on an appointment.

Posted by oVo
Member since Dec 2013
11804 posts
Posted on 5/1/17 at 7:55 pm to
PCP is cheaper but you may have to wait
Posted by baldona
Florida
Member since Feb 2016
20481 posts
Posted on 5/1/17 at 7:57 pm to
Did they have to run any tests on you? Your final bill could still be coming once they run your insurance. You may be done, but $110 for an urgent care visit is on the cheaper side in my experience especially if they have to run some type of test to figure out what's wrong.

But yes, primary care is always the cheapest option.
Posted by fr33manator
Baton Rouge
Member since Oct 2010
124302 posts
Posted on 5/1/17 at 8:02 pm to
I find doctors on PCP to be erratic.
Posted by PenguinNinja
Antarctica (and Japan)
Member since Sep 2011
2082 posts
Posted on 5/1/17 at 8:02 pm to
How much cheaper?

10%? 30%? 50%?
Posted by pjab
Member since Mar 2016
5647 posts
Posted on 5/1/17 at 8:04 pm to
Have you ever seen what this stuff does to kids?!?
Posted by CaptainJ47
Gonzales
Member since Nov 2007
7353 posts
Posted on 5/1/17 at 8:04 pm to
One has a larger copay, but an after hours clinic bills the same as a PCP. An urgent care center can bill higher rates but your insurance company has a negotiated amount to prevent highway robbery. Likely comes down to time and some extra money but on a HDHP it isn't insane.
Posted by bodsworth
Pelham AL
Member since May 2015
120 posts
Posted on 5/1/17 at 8:05 pm to
I would check out a virtual doctor.

I just used amwell for the flu, very pleased with the service!
Posted by Riseupfromtherubble
You'll Never Walk Alone
Member since Jun 2011
38378 posts
Posted on 5/1/17 at 8:06 pm to
quote:

I walked in and out of the urgent care within 20 minutes...cost $110


damn, makes me appreciate my insurance. Mine is $25
Posted by CaptainJ47
Gonzales
Member since Nov 2007
7353 posts
Posted on 5/1/17 at 8:07 pm to
quote:

damn, makes me appreciate my insurance. Mine is $25


The difference is with your $25 you may just get your bill later.
Posted by shotcaller1
Member since Oct 2014
7501 posts
Posted on 5/1/17 at 8:10 pm to
I move a lot for work and live off urgent care clinics. Can't say I've ever been charged??

I paid more the one time I made an appt with a dr weeks in advance. I think you're doing it wrong OP
Posted by biohzrd
Central City
Member since Jan 2010
5602 posts
Posted on 5/1/17 at 8:11 pm to
With a high deductible, if your family is healthy and not prone to getting sick, an urgent care is pretty much a wash. I have a high deductible and when my daughter broke her wrist it was 225.00 for an urgent care to X-ray and put it in a temp spent. The specialist charged us 850.00 for a cast, and a couple of mor X-rays. Had we gone to the ER it would've been 4 times as much for the initial visit. I'd rather pay the 100.00 to the after hours clinic right down the road with very little wait, than have to make an appointment drive across town to my regular dr. If I just have a flu or something. More of a convenience thing for myself.
This post was edited on 5/1/17 at 8:14 pm
Posted by Big Saint
Houston
Member since May 2009
1453 posts
Posted on 5/1/17 at 8:11 pm to
quote:

The difference is with your $25 you may just get your bill later.


Also the OP stated he had an HDHP meaning he's paying all costs until the deductible. This guy has a $25 copay but his premiums are much higher.
Posted by StrongSafety
Member since Sep 2004
17547 posts
Posted on 5/1/17 at 8:13 pm to
Just don't go to an ER. Had some bad, unbearable wisdom tooth pain (got it taken out a week later by a DDS), went to an ER, cost me a total of $1500 (insurance shaved a lot off that). Pain meds didn't even work
Posted by NCNurse
LKN
Member since Jan 2017
26 posts
Posted on 5/1/17 at 8:13 pm to
If you are not an established patient, the initial visit to the PCP can be higher as the LOS (level of service) will be billed higher as a new patient vs an established patient.

Example: Level 3 established patient may run $75 but a Lev 3 New Patient may run $175.

Posted by bakersman
Shreveport
Member since Apr 2011
5713 posts
Posted on 5/1/17 at 8:14 pm to
Cost more than your pcp, but cheaper than going to the ER and waiting for hours
Posted by GetBackToWork
Member since Dec 2007
6260 posts
Posted on 5/1/17 at 8:14 pm to
That's cheap for today's rates.

Urgent Care can run over $200. Even with a policy having co-pays, rates are usually higher than $100.

If you have Blue Cross, they now offer an iPhone app that provides online urgent care evaluation. Say you have a sinus infection, and know you need an antibiotic, you can do this over the internet. Doesn't work for things like wounds or injuries, obviously. Best part is it only costs like $30

Posted by CorkSoaker
Member since Oct 2008
9784 posts
Posted on 5/1/17 at 8:17 pm to
Usually more expensive and usually an idiot PA or NP. My last visit to one made me seriously wonder how that chick passed a single science college course.
Posted by StealthCalais11
Lurker since 2007
Member since Aug 2011
12450 posts
Posted on 5/1/17 at 8:19 pm to
quote:

damn, makes me appreciate my insurance. Mine is $25



Subtle brag
Posted by shotcaller1
Member since Oct 2014
7501 posts
Posted on 5/1/17 at 8:20 pm to
Yeah I'll drive myself to an urgent care with 104 fever (which I did) than have anyone take me to an ER. I used to volunteer in one, and the wait times are atrocious. The fiancee was not happy with that decision
This post was edited on 5/1/17 at 8:22 pm
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