FAQ

 

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 and their outpatient clinics 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 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.