Q: Why does a hospital ER visit for an orthopedic injury cost more than DOC?
A: Most emergency room prices are inflated based on the rates at which insurance companies will reimburse a hospital on a patient’s behalf. (That’s why a single aspirin could cost as much as $30). In addition, hospitals are allowed by law to charge a ‘facility’ fee. This fee, which ranges with local hospitals from $150-$400 per visit, is added to already higher treatment fees. This causes ER visits to cost significantly more than out-patient orthopedic treatment like DOC provides. Plus, with DOC, you’ll be treated by an orthopedic specialist.
Q: How much money can I save with a visit to DOC vs. the hospital ER?
A: Each patient’s visit to a hospital ER is unique. And with such, each patient’s bill will vary. However, here is a typical pricing comparisons with 2 local Treasure Valley hospitals versus the same procedure by DOC:
Procedure: X-rays, Splint, Facility Fee
- Saint Alphonsus Medical Center: $1921.70
- St. Lukes Regional Medical Center: $1640.00
- DOC. $504.00 (a savings of nearly 70%)
Note: Hospital Emergency Room Facility Fees can range into the thousands depending upon the procedure.
Q: How much time can I save having DOC treat my injury vs. a hospital ER?
A: When you compare DOC with the two largest Treasure Valley hospitals’ average treatment time, DOC is by far the quickest and most efficient orthopedic care provider:
According to Hospital Stats.org, the average overall visit time for a non-critical ER patient at St. Luke’s is estimated to be 2:16. For Saint Alphonsus the overall visit time for non-critical ER patients is 2:11.
Patient Wait Times
Q: Will you bill my health insurance?
A: Yes. At DOC we will bill all insurances and we are in-network with most major insurances. Although, it is always best to contact your insurance company to check if we are in-network.
Q: Does DOC require a referral to see me?
A: DOC does not require a referral to see you, but your insurance may require you to obtain a referral from your PCP before being seen.
Q: What is the cost to be seen if I don't have insurance?
A: We make sure our self-pay fee schedule is comparable to contractual payments for insured patients. For the initial visit we charge $400.00 and that includes the exam with the provider, x-rays, casting or splinting, and DME. For each sequential visit the cost is $200.00 which also includes the exam, x-rays, casting or splinting, and DME.
Q: What is the difference between the contractual rate and billed rate?
A: Each insurance company negotiates a different contractual rate with the providers' offices. These rates change every year. Our office uses a standard billed rate for all patient claims and lets the insurance company reduce the amount to what was negotiated. We do this because each insurance company pays a different amount for each code. Additionally, it is illegal to have a different billed rate for each insurance company so our billed rate is higher than the contractual rate so it includes all contractual rates of every insurance company.