Guide to Navigating an Urgent Care Visit Without Insurance

Guide to Navigating an Urgent Care Visit Without Insurance

It’s no secret that more and more Americans are taking on health plans with outrageously high deductibles or dropping their health insurance coverage altogether. Several studies have highlighted the millions of people of all ages in the United States that are lacking health coverage—or lacking affordable health coverage, which often prevents them from seeking care they need.

If this sounds familiar, know you’re not alone. In fact, “in the first 6 months of 2017, 28.8 million (9.0%) persons of all ages were uninsured,” according to the 2017 National Health Interview Survey.” As insurance coverage has dropped, more and more people are turning to urgent care as a more affordable alternative to hospital emergency rooms or primary care doctor’s offices. If you need to go to urgent care, it’s a good idea to know how much you’ll be expected to pay ahead of time, especially if you don’t have insurance to help supplement the cost of care.

At the same time that healthcare organizations, including urgent care centers, are being encouraged to provide price transparency, patients are shouldering a heavier burden of payment responsibility. If both patients and providers take initiative to understand and communicate healthcare costs, the result will be greater transparency, more affordability, and better care.

Below, learn how much an urgent care visit costs, whether you should go to urgent care if you don’t have insurance, and how to save money at urgent care.

How much does an urgent care visit cost?

Put simply, the amount you’ll pay depends on what your visit is for. Debt.org shared the below table, which was originally prepared by Medica Choice Network. The table outlines nine of the most common reasons people visit the ER, determined by calculating the average number of claims submitted in 2010 to the Medica Choice Network:

“The Annals of Internal Medicine study found that the average cost of an urgent care visit for three common illnesses — middle ear infection, pharyngitis and urinary tract infection — was $155. Other estimates place the average urgent care visit at anywhere from $71 to $125. The bottom line is that an urgent care visit is substantially cheaper than an emergency room visit.”

Condition Emergency Room Cost Urgent Care Cost
Allergies $345 $97
Acute Bronchitis $595 $127
Earache $400 $110
Sore Throat $525 $94
Pink Eye $370 $102
Sinusitis $617 $112
Strep Throat $531 $111
Upper Respiratory Infection $486 $111
Urinary Tract Infection $665 $112

When you book an urgent care appointment on Solv, we list the cash/self-pay prices for each clinic, so you know what you’ll be expected to pay ahead of time. If you’re paying for care on your own, let the urgent care center know. Sometimes they’ll offer a discount or interest fee payment plan if they know you don’t have insurance.

Should I go to urgent care if I don’t have health insurance?

Without health insurance, urgent care is a much better choice than the ER for minor, acute issues. As shown in the above table, the amount you may pay at the ER can be three to four times higher than what you’d pay to be treated for the same issue at urgent care. Many people go to the ER because they know they’ll have to be treated, even without insurance. Urgent care centers will also treat you without insurance and many will offer payment plans if you can’t pay upfront.

How can I save money at urgent care if I’m uninsured?

Though urgent care is almost always cheaper than going to the ER and, for people without insurance, can be cheaper than going to see a regular doctor, the cost may still seem overwhelming if you’re paying out-of-pocket. According to a Kaiser Family Foundation survey, almost half of people without insurance have trouble with medical bills. Thankfully, since so many people are dealing with high deductibles and a lack of insurance, many healthcare facilities are taking steps to ensure that people can afford care.

  • Look up rates online before you go — Many urgent care centers list the cash/self-pay prices on their website or on Solv, where you can book an urgent care appointment. Knowing what you’ll be expected to pay ahead of time can help you budget for the unexpected.
  • Ask about discounted/cash/self-pay rates — Often, urgent care facilities will offer discounted rates for patients who are paying out-of-pocket. Though it’s not required that they do, asking about a discounted rate can help you negotiate a lower cost while still getting high-quality care.
  • Ask about payment plans — Similarly, if you do rack up an urgent care bill that you can’t afford, let your doctor know. They may be able to provide you with a low- or no-interest payment plan, so you have more time to pay.
  • Ask for generic prescriptions — If your urgent care doctor writes you a prescription, ask if there is a generic option available. Generic prescriptions have the same active ingredients as their brand name counterparts but are a fraction of the price.
  • Double check your bill — Mistakes happen, so it’s always a good idea to read through your urgent care bill before you pay. Make sure that you were only charged for services you received. If you see any duplicate charges or items that you didn’t receive, let the urgent care center know so they can adjust the bill.

For non-life-threatening conditions, urgent care is a great option for uninsured patients. Especially if you use Solv to make an appointment, you’ll be seen a lot faster — most patients wait less than 20 minutes to see a medical provider. Urgent care is also a lot less expensive. Cigna, a major insurance provider, estimates that an average ER visit costs $2,259, while an average urgent care visit costs just $176—a significant difference. The next time you or your child needs medical attention after hours, keep this guide in mind. For minor, acute conditions, a trip to urgent care will get you answers and relief a whole lot faster than the ER, and at a fraction of the cost.

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