How much does urgent care cost?

The cost of a visit to the emergency room or an urgent care center can vary based on where you are geographically, whether you are in-network or out of network, and which location you visit.

For non-life-threatening illnesses and injuries, urgent care centers can typically offer substantial cost savings over a visit to the ER. Some insurance companies have estimated that an in-network urgent care visit can cost up to 80% less than an ER visit.1

To provide a clear idea of the cost of an urgent care visit, we have outlined below how pricing works at Physicians Immediate Care.

Self-Pay Patients

For patients without insurance or those patients with high deductibles who may choose not to submit their claim, we have three simple price categories to choose from. Starting at $155 in Illinois and $130 in Indiana, we treat a variety of injuries and illnesses at set rates. Every Care Level includes an examination, medical history, vital signs, and take-home instructions.

Care Level 1 includes a clinical visit with instant lab tests.

Care Level 2 includes a clinical visit with instant lab tests plus additional diagnostics/services, such as X-Ray or an EKG.

Care Level 3 includes a clinical visit with instant lab tests, additional diagnostics/services, plus minor procedures including stitches, treatment of a finger, toe, or rib fracture, and foreign object removal.

Once a patient qualifies for a Care Level, they can receive an unlimited amount of services covered by that Care Level. For instance, if a patient is getting an x-ray, they qualify for Care Level 2. The patient can now receive an unlimited amount of instant lab tests, x-rays, and minor diagnostic procedures without being charged per procedure.

Additional Costs

Complex procedures, such as broken bones, dislocations, or extensive lacerations, are not included in the Care Level pricing. These services will cost extra. There are also additional charges for vaccines, medications, injectables, durable medical equipment (crutches, casts, splints), and outside labs.

Follow Up Visits

For patients that fall within the Care Levels, we have a $40 recheck fee (plus additional charges) for all follow-up visits related to the initial visit. For Care Level patients, this recheck fee now includes any additional x-rays needed if the patient’s original visit was Care Level 2 or 3.

Patients Paying with Insurance

For patients with insurance, we accept most major health insurance plans and can bill the insurance companies directly. Just bring your primary insurance card, secondary insurance card (if you have one) and the policyholder’s name, date of birth and social security number.

If you’re not sure whether your insurance benefits will cover your visit at Physicians Immediate Care, please contact your insurance company.  Most HMO plans require their members receive a referral from their PCP prior to receiving services covered at an urgent care center or other specialists. Please contact the customer service number on the back of your insurance card to verify.

To see a list of the insurance plans we accept, click here.

Cost

When paying with insurance, the amount that you will be billed for is the rate that has been negotiated with your insurance plan. Insured patients will also be expected to pay their outlined urgent care co-payment immediately.

The summary of benefits from your insurance company should outline the copayment or coinsurance cost for an urgent care visit. If you aren’t sure, contact your insurance provider to get more information about how your coverage works.

About Us

Physicians Immediate Care, also known as Physicians Urgent Care, is a Midwest leader in urgent care and occupational health services with over 40 locations in two states. No appointments are required, and most clinics are open seven days a week, up to 12 hours a day, to treat non-life threatening illnesses and injuries. Our clinics are staffed by a doctor or advanced practice provider, under the supervision of a doctor, who provides quality, caring service, and effectively diagnoses and treats a variety of injuries and ailments.

  1. https://news.aetna.com/2015/12/urgent-care-or-er-the-right-answer-may-surprise-you/