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Urgent Care

By admin | In News | on November 23, 2013


Urgent Care Price Matrix

Urgent Care Center

If your primary care physician is not available and you need quick medical attention for a non-life-threatening problem, visit an urgent care center.

What: Urgent care centers have similar resources to primary care facilities, but they provide comprehensive quality care on a walk-in basis with extended hours.

When to go: Go to an urgent care center when you need immediate medical attention or have non-emergency health concerns after hours. Examples include ear infections, sprains, simple cuts and burns, and eye injuries.

These clinics can usually handle problems that need immediate attention but aren’t life-threatening or emergencies, like stitches, sprains and x-rays.

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Urgent medical conditions are ones that are not considered emergencies but still require care within 24 hours. Some examples of such conditions include:

    • Accidents and falls
    • Eye irritation and redness
    • Fever or flu over 104 degrees
    • Vomiting, diarrhea or dehydration
    • Severe sore throat or cough
    • Sprains and strains
    • Moderate back problems
    • Breathing difficulties (i.e. mild to moderate asthma)
    • Bleeding/cuts — not bleeding a lot but requiring stitches
    • Diagnostic services, including X-rays and laboratory tests
    • Minor broken bones and fractures (i.e. fingers, toes)
    • Skin rashes and infections
    • Urinary tract infections
    • Dial 911 immediately for any Medical Problem that Appears to be Life-Threatening

Emergency Department

CashMedicalCare does not work with emergency centers. Dial 911 if you are in a medical emergency.

Life-threatening emergencies and late-night trauma require an immediate visit to the hospital.

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What: Emergency rooms offer inpatient care, emergency services, trauma services, and more. Emergency clinicians are able to recognize, diagnose, and make recommendations for a wide array of medical issues

When to go: Call 911 or drive to the emergency department at your nearest hospital whenever conditions cause severe symptoms and/or put your health at serious risk. Examples include heart attacks, poisoning, severe bleeding, and broken bones.

Some examples of conditions that require emergency medical care include:

    • Severe chest pain or difficulty breathing
    • Compound fracture (bone protrudes through skin)
    • Deep knife wounds or gunshot wounds
    • Moderate to severe burns
    • Poisoning
    • Serious head, neck or back injury
    • Pregnancy-related problems
    • Convulsions, seizures or loss of consciousness
    • Fever in newborn (less than 3 months old)
    • Heavy, uncontrollable bleeding
    • Severe abdominal pain
    • (Signs of) Heart attack (i.e.. chest pain lasting longer than two minutes)
    • (Signs of)Stroke (e.g. loss of vision, sudden numbness, weakness, slurred speech, or confusion)
    • Suicidal or homicidal feelings

Alternatives to ER Care

Unless it’s a true emergency, you’ll likely get quicker medical care at other care settings such as an urgent care center, retail health clinic or walk-in doctor’s office. Use these options, where available, when you need medical care quickly, but can’t see your regular doctor. These conveniently located, licensed and accredited care settings are staffed with doctors, nurses and physician’s assistants. So you’ll get quality care, and you’ll often pay much less than you would for emergency care. And they’re usually open evenings, weekends and sometimes holidays, and can cost about the same as a doctor visit.

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Retail health clinic: Many major pharmacies and retail stores now have these walk-in clinics staffed by medical professionals. Go there when you need convenient, routine care, like for coughs and flu shots.

Walk-in doctor’s office: No appointment is needed at these offices, and you usually aren’t required to be an existing patient. This alternative is a good choice when you need simple medical care in a hurry, like for mild asthma or minor allergic reactions.

Your health plan may have a 24/7 nurse line that you can call for assistance in determining the severity of your symptoms and where to go for care.


Things You Should Know –

In Network vs. Out of Network Charges.Fair Health Consumer.org

For instance, your insurer’s contracted rate for a primary care visit might be $120.  If you have a $20 co-payment for primary care visits, you will pay $20 when you see a doctor in your network.  Your insurer will pick up the remaining $100.

 If you go outside your network, it’s a different story. You will likely pay more if you go “out-of-network” for your care. That’s because:

 Providers outside your network have not agreed to any set rate with your insurer, and may charge more.

 Your plan may require higher co-pays, deductibles and co-insurance for out-of-network care. So, if you normally have to pay 20% of the cost of the service in-network, you may have to pay 30% out-of-network. Often, you’ll have to pay that PLUS any difference between your insurer’s allowed amount and what the provider charges.

 Your plan may not cover out-of-network care at all, leaving you to pay the full cost yourself.


Questions To Ask Your Provider (if insurance is an option) – Fair Health Consumer.org

Consumer ReportsUrgent Care-What You Need To Know – April 2009

Urgent Care – Cost? Moderate—comparable to most doctor visits (around $120), but much less than ER care. And the insurance co-pay is likely to be lower than an ER too.

Retail Clinic – Cost? Low—$55 to $75 on average if you pay out of pocket, or a regular office visit co-pay if your insurance covers it.

Emergency Care –  Cost? High—$400 on average.


First Person: Which is Cheaper Out of Pocket – Urgent Care Facility or Hospital ER?Yahoo Answers  – February 201

With two kids and an accident prone adult, medical emergencies such as lacerations, broken bones, or insect bites would probably be unavoidable in our family. As long as anesthesia is not required, an urgent care facility will likely be more bang for my healthcare dollars. Most urgent care facilities are staffed by former ER doctors and nurses, so the quality of care is at par with hospitals. However, not only are they much more prompt, but it also makes financial sense given the one-time, low cost of using an urgent care facility, even one that does not accept insurance.

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Your Doctor Is In Isle Four CNN Money – December 30, 2008

Retail clinics, online docs and other new health-care options aim to deliver fast, reliable treatment, no appointment necessary. And you might be able to pick up some groceries at the same time.

Retail clinics

Best for: Simple ailments (like strep throat or pinkeye), plus preventive care (flu shot or blood-pressure check)

Price: About $89to $125 a visit

Insurance coverage: Usually, but check with your carrier.

Company clinics

Best for: Preventive care (immunizations and screenings); basic ailments; disease management

Price: Typically $0

Insurance coverage: Yes

Urgent-care centers

Best for: Acute conditions that need quick attention but aren’t life threatening (a sprain or a sliced finger)

Price: About $150 to $250 a visit

Insurance coverage: Most centers accept the major health plans and cash


Average costs of top 9 procedures at a typical Urgent Care from a study by Medica Choice Networks:

urgent care

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