doctor visits with insurance

How Much Does a Doctor Visit Cost With and Without Insurance?

Without insurance, medical care can get pricy fast. Where you live, what doctor you’re going to, and what tests you need will all figure into your doctor’s visit bill. In this article, we’ll break down those costs and give you some tips for saving money.

What Goes into the Cost of a Doctor’s Visit?

Geography is one of the biggest factors in the price of a doctor’s visit. Most medical facilities pass some of their overhead expenses onto their patients. If you live somewhere with a higher cost of living, like California or New York City, you’ll likely pay more for doctors’ visits. The practice has to pay more for utilities and rent, and those costs show up in your bill. For example, Mayo Clinic’s Patient Estimates tool quotes $846 for a 60-minute office visit in Jacksonville, Florida, but $605 for the same visit in Wisconsin.

Like the cost of living, supplies and equipment will also end up on your tab. Say you need a strep test, blood draw, or Pap smear. The supplies needed for the test plus the cost of the lab fees will all figure into the price.

Bills for the same exams and procedures can also vary depending on what kind of facility you’re going to. Smaller practices and public health centers are often a lot cheaper than university or private hospital systems. This is due in part to their buildings being smaller and their overhead fees being lower.

Price of Out-of-Pocket Doctors’ Visits

The cost of a doctor’s office visit also depends on what kind of doctor and the procedure you need to have done. For example, an in-office general wellness checkup will be cheaper than a specialist procedure. If you have an emergency, an urgent care center will be much more affordable than the emergency room.

Primary Care Physician — Physical Exam

Physicals usually include blood pressure readings, cholesterol measurements, and vaccines. Prostate exams for men and Pap smears and breast exams for women are also often included. Pediatric physicals focus on the growth milestones for your child’s age. Doctors check height, weight, sleep patterns, diet, and the vaccines required by public schools.

The range for a yearly physical can be anywhere from $100 to $250 or more without insurance. A CVS Minutecare Clinic may charge just $59 for a sports physical, but not all organizations will accept this as proof of physical health.

Primary Care Physician — Procedures

On top of the base cost for physical exams, you may have extra charges for any specific tests or procedures you need. According to the Cardiometabolic Health blog, the most common procedures in primary care medicine include bloodwork, electrocardiograms, and vaccines/injections.

Bloodwork is one of the biggest cost wild cards. Certain tests can run you from as little as $10 to as much as $10,000 . Large national labs like Labcorp offer pricing on their website, so you know what to expect going in. For example, Labcorp’s General Health Blood Test , which includes a metabolic panel, complete blood count (CBC), and urinalysis, costs $78.

Electrocardiograms or EKGs check your heart health and can find cardi ac issues. This quick procedure involves monitoring your heartbeat through electrodes placed on your skin. While it’s a painless and accurate way to detect heart conditions, the costs can add up without insurance. Expect to pay as little as $410 or as much as $1700 for this procedure, depending on local prices.

Vaccines are often required before sending your kids to school. The CDC publishes a vaccination price list annually to give you an idea of what to expect. For example, they quote $19-$132 for DTaP, $21 for Hepatitis A, and $13-$65 for Hepatitis B. The COVID-19 vaccine, however, is free of cost, regardless of insurance status.

Urgent Care Visit

If you have an emergency but are stable, urgent care is much cheaper than the emergency room. According to Scripps , most urgent care centers and walk-in clinics can at least treat dehydration, cuts or simple fractures, fever, flu, strep, and UTIs. Note that if you have chest pain, a serious injury, seizures, a stroke, or pregnancy complications, you should go straight to the ER .

For a base exam at an urgent care facility, expect to pay between $100-$150 . That price will go up depending on what else you need. For example, Advanced Urgent Care in Denver quotes $80 for an X-Ray, $50 for an EKG, $135 for stitches, and $5 for a urinalysis. In comparison, expect to pay $1,000-$1,300 for the same procedures in the emergency room.

How to Lower Your Out-of-Pocket Medical Costs

Healthcare expenses may seem overwhelming without insurance. Luckily, there are many resources available to help you cover the costs.

Free & Low-Cost Immunization and Wellness Clinics

For standard vaccines and checkups, look for local free or low-cost clinics. Check out The National Association of Free and Charitable Clinics’ search tool to find a location near you. Your city’s public health department should also offer free or low-cost vaccines and basic medical care services.

Certain large vaccine manufacturers also offer vaccine programs. For example, Merck’s patient assistance program offers 37 vaccines and medicines free to eligible patients. The program includes albuterol inhalers and vaccines for Hepatitis A, Hepatitis B, MMR, and HPV.

Cash Negotiations

Most health systems offer lower rates for patients paying cash. Some even have free programs for low-income families. For example, Heritage UPC in North Carolina has a yearly membership for low-cost preventative care. In Northern California, the Sutter Health medical system offers full coverage for patients earning 400% or less of the Federal Poverty Income Guideline .

As of January 1, 2021, all hospitals in the United States now have to follow the Hospital Price Transparency Rule . That means they have to list procedure prices clearly on their website. You can also call medical billing before your appointment to discuss cash pay options.

Federal Medical Payment Support

If all else fails, there are federal programs to help you cover the cost of medical bills.

Organizations like The United Way and United for Alice offer grants for ALICE (asset-limited, income-constrained, employed) patients. These are people living above the poverty level, making them ineligible for other government programs but below the basic cost-of-living threshold.

Medicaid is available for children, pregnant women, and adults under a certain income threshold. If your income is too high to qualify for Medicaid but you can’t afford private insurance for your children, you may be eligible for the Children’s Health Insurance Program (CHIP) to cover your children’s medical care.

Use Compare.com for the Best Doctors’ Visit Prices

Navigating bills for a doctor’s visit can feel overwhelming, but Compare.com is here to help. With our price comparison tool, you can search all clinic and doctors’ office prices in your area. Compare makes sure you’re prepared for the cost of your checkup long before you schedule your appointment.

Nick Versaw leads Compare.com's editorial department, where he and his team specialize in crafting helpful, easy-to-understand content about car insurance and other related topics. With nearly a decade of experience writing and editing insurance and personal finance articles, his work has helped readers discover substantial savings on necessary expenses, including insurance, transportation, health care, and more.

As an award-winning writer, Nick has seen his work published in countless renowned publications, such as the Washington Post, Los Angeles Times, and U.S. News & World Report. He graduated with Latin honors from Virginia Commonwealth University, where he earned his Bachelor's Degree in Digital Journalism.

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Cost of doctor visit by state

The following estimated costs are based on cash prices that providers have historically charged on average for doctor visit and will vary depending on where the service is done. The prices do not include the anesthesia, imaging, and other doctor visit fees that normally accompany doctor visit.

What happens at a doctor's visit?

People go to the doctor for routine physical exams as well as acute care when they get sick or injured. Visits to the doctor are important for preventing disease and managing any health problems. During your doctor’s visit, the physician checks your blood pressure, temperature, and heart rate. 

Your doctor may listen to your heart, check your ears, nose, and mouth, and perform a physical exam. They may also ask you about your medical history and the medications you take. Your doctor may want you to have blood drawn for laboratory testing during your doctor’s visit.

How long should a doctor’s visit last?

It’s common for your entire visit to the doctor to take a long time. From start to finish, your appointment may take well over an hour . Many patients sit in the waiting room before being called back for examination.

How long you’ll wait depends on your specific doctor’s office and how busy they are. Once you’re in the exam room, the visit with your doctor will go quickly. On average, patients spend about 20 minutes in the exam room with their doctor.

Why are doctor visits so expensive?

Doctor's visits are expensive for several reasons, including their offices’ administrative responsibilities and the cost of medical services. Your doctor’s office has to work with different insurance companies and pay administrative staff trained in medical billing. Your doctor charges for their services, lab work, or imaging they run and may charge facility fees as well.

How much does a doctor visit cost without insurance?

Without insurance, your doctor’s visit can cost hundreds of dollars. On average, people in the U.S. pay just under $400 for their annual physical exam at a doctor’s office if they don’t have insurance. These costs include the provider fee for seeing the doctor and costs for any blood work or imaging that’s needed.

What are the signs of a bad doctor?

Know the warning signs of a bad doctor so you can avoid problems and get better medical care. One sign is if your doctor doesn’t listen to you or take your concerns into account during your visit. Another is if your doctor rushes through your appointment, not giving you the time needed to deal with your concerns.

A third warning sign is if your doctor doesn’t explain why certain tests or treatments are needed in a way you can understand.

What should you not tell your doctor?

Your doctor doesn’t need to know every detail about your life to provide proper care. But they do need you to be truthful about your health. You should never lie about the symptoms you’re experiencing or the medications you’re taking. If you aren’t taking medications as prescribed, your doctor needs to know. You don’t need to tell them health details they already know or give them any of your financial information.

Costs vary by specialty

The cost of a doctor visit could vary depending on the specialty. To see the cash prices for a specialist visit, type is a specialty.

* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.

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Understanding Your Health Insurance: A Guide to Making the Most of Your Coverage

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Health insurance is an essential component of accessing healthcare in the United States.

However, many people find health insurance plans confusing and difficult to navigate. Understanding your health insurance coverage is crucial to making informed decisions about your healthcare and ensuring you get the most out of your plan.

Know Your Health Insurance Terminology

One of the first steps in understanding your health insurance is familiarizing yourself with common terminology . Terms like copay, deductible, coinsurance, and out-of-pocket maximum are essential to understanding how your plan works and what you can expect to pay for healthcare services. Don’t hesitate to reach out to your insurance provider or consult their website for definitions and explanations of these terms.

Understand Your Covered Services

Another important aspect of maximizing your health insurance is knowing which services are covered under your plan. Most health insurance plans cover a range of preventive services, such as annual check-ups , screenings, and vaccinations, at no cost to you. Take advantage of these services to maintain your health and catch potential issues early on.

Choose In-Network Healthcare Providers

When it comes to choosing a healthcare provider, it’s important to understand the difference between in-network and out-of-network providers. In-network providers have contracted with your insurance company to provide services at a discounted rate, while out-of-network providers have not. Seeing an in-network provider typically results in lower out-of-pocket costs for you.

Plan Ahead for Referrals and Authorizations

If you require a specialist or a procedure, you may need a referral or prior authorization from your insurance company. This process can take time, so it’s important to plan ahead and communicate with your primary care doctor and insurance company to ensure you have the necessary approvals in place.

Advocate for Yourself

Finally, don’t be afraid to ask questions and advocate for yourself when it comes to your healthcare. If you receive a bill that you don’t understand or believe to be incorrect, reach out to your healthcare provider and insurance company for clarification. If you’re unsure about a treatment or procedure, ask your doctor about the benefits, risks, and alternatives.

Navigating Your Health Insurance with Confidence

Understanding your health insurance coverage is key to making informed decisions about your healthcare and ensuring you get the most out of your plan. By familiarizing yourself with common terminology, knowing your covered services, choosing in-network providers, planning ahead for referrals and authorizations, and advocating for yourself, you can navigate the healthcare system with confidence.

MEDICAL DISCLAIMER: The content of this Website or Blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this Website or Blog.

  If you think you may have a medical emergency, call 911 immediately, call your doctor, or go to the emergency room/urgent care.

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4 steps to choosing a health insurance plan

Key takeaways

• There are different types of health insurance plans, each with their own pros and cons.
• Choosing a high-deductible health plan (HDHP) may make you eligible for a health savings account (HSA).

Whether you’re getting health insurance from an employer or the public marketplace, finding the right health insurance can be daunting. Here’s a breakdown of some key health insurance vocabulary, the most common plan options you can consider, and how to choose the best health insurance for you and your budget.

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How to pick the best health insurance for you

1. know the terms that affect health insurance costs.

With almost any health insurance plan, you’ll come across the following words and phrases. Understanding what they mean—and how much you’d pay for each one—could get you closer to figuring out which health insurance is best for your needs and finances.

Annual premium: This is the amount that you pay to your health insurance carrier within a year—in other words, the charge to have health insurance coverage. Typically, this cost is broken up into monthly payments, but can sometimes be broken up into payments every other week or twice a month, especially if you’re paying into an employer plan that takes premiums right out of your paychecks.

In 2022, the average annual premium for single coverage for employer-covered workers was $7,911. For family coverage it was $22,463, according to Kaiser Family Foundation, a nonprofit health research organization. 1 Bummer alert: Paying that premium doesn’t mean you have no other health care costs. Likewise, even if your other health care costs are high, you still have to pay your premium.

Deductible: This is the amount you must pay for your covered health care costs each plan year before your insurance starts to kick in. Yes, even though you’re paying premiums, your insurer isn’t necessarily covering your medical costs right away. And your deductible resets at the start of each plan year or when you switch plans. So if your deductible is $7,000, your insurance won’t defray costs for any services until you’ve spent $7,000. (But certain preventative care cost sharing starts before you meet your deductible.) With most plans, the lower your deductible, the higher your premium, and vice versa.

Copay and coinsurance: A copay (or copayment) is the flat fee your insurance company sets as your cost for each covered health care service or prescription. Copays can vary by category—such as prescriptions, lab tests, and specialist and emergency visits—and even within categories. There can be different tiers of copays for prescriptions, for instance. So carefully check out what you’d be responsible for as you consider different insurance plans. Also note: Copays might kick in only after you’ve paid your deductible. So if you've been paying $100 for a drug, but now you have hit your deductible of $1,000, you'll start paying just the copay for that drug, which might be more like $20.

Coinsurance, on the other hand, is the percentage of costs you pay for covered health care services after you’ve met your deductible. So instead of a flat fee for medications, you may have a 20% coinsurance charge for some prescriptions. That would mean you’d pay $20 for a prescription your insurance has approved to cost $100 and $80 for a prescription your insurance has approved to cost $400. Like copays, your coinsurance rate might change based on the category of service or whether the provider is in- or out-of-network.

Out-of-pocket maximum: This is the most you could pay for health care expenses within a plan year. After you reach this amount, your insurance plan pays 100% of covered costs for the rest of the plan year. The Affordable Care Act (ACA) limits 2023 out-of-pocket maximums to $9,100 a year for an individual and $18,200 a year for a family. 2 This means you won’t pay more than that amount (or a lower amount your insurer sets) for the plan year, even if you keep receiving health services. Note that your premiums don’t count toward your out-of-pocket max.

2. Understand the different types of health insurance plans

During enrollment, you usually get a few kinds of health insurance plans to choose from, such as HMOs and PPOs. Here’s what those mean.

Health maintenance organization (HMO): An HMO is a network of health care providers who have agreed to accept certain levels of payment for the services they provide. This allows the HMO to keep costs consistent for you. After enrolling in an HMO, you need to choose a primary care physician (PCP) because HMOs require referrals from your PCP to see specialists.

Preferred provider organization (PPO): This is the most common health insurance plan employers offer. Similar to an HMO, a PPO offers a network of providers, but PPOs tend to be more flexible than HMOs, with a wider pool of in-network providers. Going to an out-of-network provider may cost you more in a PPO plan.

Point of service (POS): Think of this as partway between an HMO and a PPO. It’s similar to an HMO because some POS plans require you to choose a PCP. In fact, the name “point of service” refers to your PCP being your first stop for health care. It resembles a PPO because you can stray from the provider network—you just might pay a lot to go outside. If your PCP referred you to an out-of-network provider though, you might get a discount. POS premiums tend to cost less than PPOs’, but POS plans offer less flexibility than PPOs.

High-deductible health plan (HDHP): An HDHP, also known as an HSA-eligible health plan, is similar to the plan types mentioned above and will generally have a broad network of providers. HDHPs tend to have lower monthly premiums than non-HDHPs. This means that you’ll pay less every month, but you’ll also have a higher deductible. If you enroll in an HDHP and meet other eligibility criteria, you can pair it with a health savings account (HSA).

Tip: Don’t forget about tax-advantaged ways to save on medical expenses. A health savings account (HSA) is considered a triple tax-advantaged account. 3 Because it can be funded with dollars you haven’t paid taxes on yet, HSAs can potentially help you gain tax-free interest and investment returns on funds contributed to the account (provided the money stays in the account), and you don’t have to pay taxes on any funds you withdraw to pay for qualified medical expenses. Your employer might also contribute money to your HSA every year, and the money is yours forever—even if you switch employers or take some time off from work.

That’s not the case for health reimbursement arrangements (HRAs)—which can only be funded by employers—or flexible spending accounts (FSAs), with funds you have to use (or lose) each year. Still, they both allow you to use pre-tax dollars on qualified medical expenses.

3. Review the plans’ networks

As we learned above, health insurance plans have a network of providers that they’ve contracted to offer services at a certain cost. These are your in-network providers; health practitioners outside that network are out-of-network providers, and their services tend to cost more. So make sure you check that doctors you want to visit are in-network before signing up.

Consider, too, the 2 sets of deductibles and out-of-pocket maximums: one for in-network coverage and another for out-of-network coverage. You might be willing to take a smaller set of in-network providers for a lower premium, but factor in the higher deductible and out-of-pocket max for going out of network when you’re crunching numbers if your doctors or health care facilities are not covered.

4. Consider your health needs to estimate your costs

Now that you know plan components, you’re ready to compare costs. Look at premium and copay/coinsurance costs, as well as deductible levels and out-of-pocket maximums. Then, if you’ve had health insurance before, check out how previous health coverage has suited you. Did you meet your deductible? Were some preventive services covered or not before you met the deductible? Did you pay a lot in premiums and barely seek out services? If you didn’t come close to meeting your deductible, and you didn’t need a lot of care, a plan with lower premiums and a higher deductible might be worth considering.

Even if this is your first time choosing health insurance, ask yourself: Does your employer contribute to an HSA if you pick a plan that offers one? That could lead to what’s essentially free money. Or do you want an HSA for its tax advantages? If so, you might want to pick an HDHP that comes with an HSA.

Also ask yourself: Would you rather have a higher premium, and get higher levels of coverage, or a higher deductible? A lower premium and higher deductible might work better if you don’t anticipate getting a lot of care. If, on the other hand, you have a chronic condition or anticipate many health care visits for the plan year, then a lower-deductible health plan might save you money overall. Or if you see your PCP regularly and want a budget-friendly option, an HMO might be for you.

Consult an online health insurance plan calculator to get an idea of costs for each available option and then make your pick. Remember: If you don’t choose the best health insurance plan this time around, you’ll be able to switch in the open enrollment period next year.

Consider a health savings account (HSA)

With an HSA, you can pay for qualified medical expenses in a tax-advantaged way.

How to save for an emergency

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No Insurance? How to See a Doctor Without Insurance

Shop around, ask about cash discounts and consider community health centers and free clinics.

This article is based on reporting that features expert sources.

8 Tips for Getting Medical Care Without Insurance

Millions of people in the U.S. live without health insurance, a circumstance that can cause people to weigh the need to see a doctor against the cost. Unfortunately, many people will put off or do without medical care because they can't afford it, a decision that could jeopardize their health.

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While the Affordable Care Act has boosted the number of Americans with insurance, millions remain uninsured. In 2018, 27.5 million people – more than 8% of the U.S. population – were uninsured, according to the U.S. Census Bureau. Private health insurance covered 67% of Americans. Those without health coverage face the dilemma: Where can I go for medical care without insurance?

The Coverage Gap

In addition to the people who are uninsured, millions are underinsured, according to a survey by the Commonwealth Fund. Among people with health insurance, 29% were underinsured in 2018, compared to 23% in 2014, according to the fund's Biennial Health Insurance Survey: "People who are 'underinsured' have high health plan deductibles and out-of-pocket medical expenses relative to their income and are more likely to struggle paying medical bills or to skip care because of cost."

The survey found that 41% of underinsured adults reported they delayed needed medical care because of cost. By contrast, 23% of people with adequate insurance coverage said they delayed such treatment. Also, 47% of underinsured adults reported medical bill and debt problems.

Tips for Finding Affordable Medical Care

If you're uninsured or underinsured, here are eight strategies for finding affordable medical care:

• Research your eligibility for insurance.
• Shop around.
• Agree to a price in writing.
• Ask about a cash discount.
• Keep good records.
• Be prepared.
• Consider community health clinics.
• Think about urgent care centers.

1. Research your eligibility for insurance.

Depending on your situation, you might be eligible to buy individual health insurance coverage from the ACA marketplace or in the individual market, or you might qualify for Medicaid, Medicare or the Children's Health Insurance Program for your kids, says Kim Buckey, vice president of client services at DirectPath, a company that provides personalized health benefits education and enrollment services to large employers.

2. Shop around.

Prices for health care appointments and procedures vary dramatically, with differences of up to 2,000%, says Bill Kampine, co-founder and senior vice president, analytics and innovation, for Healthcare Bluebook. The company's client base includes municipal and large self-insured employers. It also offers a free online tool that individuals can use to comparison shop for health care services by region.

3. Agree to a price in writing.

4. Ask about a cash discount.

5. Keep good records.

6. Be prepared.

7. Consider community health centers and free clinics.

There are a number of health care providers that provide services at little or no cost to those who are eligible, says April Temple, an associate professor of health sciences at James Madison University in Harrisonburg, Virginia.

8. Also, think about urgent care centers.

Nationwide, there's been a meteoric rise in the use of urgent care centers in recent years. These facilities provide a higher level of care than what's available at some pharmacy retail clinics, but aren't equipped to provide emergent care for things like heart attacks and strokes. Urgent care centers can treat a wide array of maladies, including upper respiratory infections, bronchitis, diverticulitis; high blood pressure, food poisoning, sprains, minor fractures and lacerations. An urgent care visit typically costs around $150, according to Debt.org.

12 Common Medical Emergencies

The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. To learn more about how we keep our content accurate and trustworthy, read our  editorial guidelines .

Buckey is vice president of client services at DirectPath, a company that provides personalized health benefits education and enrollment services to large employers.

Kampine is co-founder and senior vice president, analytics and innovation, for Healthcare Bluebook. The company’s client base includes municipal and large self-insured employers. It also offers a free online tool that individuals can use to comparison shop for health care services by region.

Temple is an associate professor of health sciences at James Madison University in Harrisonburg, Virginia.

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Health insurers cover fewer drugs and make them harder to get.

Sydney Lupkin

Insurance Pinch

Health insurers' lists of covered drugs have gotten tighter. Darwin Brandis/Getty Images/iStockphoto hide caption

Insurance coverage isn’t what it used to be when it comes to prescription drugs.

Insurance companies’ lists of covered drugs, called formularies, are shrinking. In 2010, the average Medicare formulary covered about three-quarters of all drugs approved by the Food and Drug Administration, according to new research by GoodRx , a website that helps patients find discounts on prescription drugs. Now, it’s a little more than half.

The GoodRx report is called “The Big Pinch,” because it illustrates how patients are pinched between the drug companies’ high prices and their health insurance companies’ limited drug coverage. GoodRx is an NPR funder.

“I think far too often people talk way too much about the cost of their prescription and we're screaming about the high cost of prescriptions,” says Tori Marsh, director of research at GoodRx . “But what we're not talking about is the poor coverage.”

What to know about the drug price fight in those TV ads

Commercial plans likely cover even fewer drugs than Medicare plans do because they’re not bound by the same federal coverage mandates as Medicare, Marsh says.

What’s more, according to the report, patients have clear more hurdles to get the drugs that are covered by their insurance than they did 14 years ago.

Half the drugs insurance companies cover require things like prior authorization , in which insurers require doctors to take an additional step of justifying why they’ve written a prescription. This step can cause delays and make it harder for patients to get drugs their doctors prescribe -- or deter people from filling their prescriptions altogether.

Insurers trade patient access to medicines for lower prices

Still, limited formularies and restrictions on access serve a business purpose, says Jeromie Ballreich, a health economist at Johns Hopkins University . They give negotiating leverage to the part of your health insurance that deals with drug coverage — called a pharmacy benefit manager.

“Their way to kind of combating the jump in prices or the jump in spending is to really kind of hardball negotiate with drug companies,” says Ballreich.

For instance, an insurance company will say no to a drugmaker’s offer, but if it lowers the price or increases rebates, the insurer would make the drug a preferred option without prior authorization.

The negotiated prices and rebates don’t typically get passed directly to consumers as lower copays but they can reduce pressure on insurance premiums.

The trade group for pharmacy benefit managers, the Pharmaceutical Care Management Association, took issue with the GoodRx report.

“PBMs make recommendations and assist employers in designing pharmacy benefits that fit their unique patient population needs,” says PCMA spokesman Greg Lopes. “PBMs have a proven track record of creating access to affordable medications for payors and patients.”

Drugmakers have criticized PBMs for not adequately sharing the discounts they receive with patients.

If you’re shopping for insurance, check the coverage for medicines you need

GoodRx says formularies shrank the most before 2020. Lately, they’ve stabilized somewhat.

“It's hopeful to see that things are not getting worse,” GoodRx’s Marsh says. “But I would love to kind of see this chart move in the opposite direction with more drugs covered and fewer of those having restrictions.”

So far, however, she’s never seen drug coverage expand in any of the years of formulary data she’s reviewed.

If consumers want more generous plans, they likely need to shop around and buy them even if it means higher monthly premiums, says Ballreich. But most people just look for a low premium.

“It's incredibly overwhelming,” he says of shopping for health insurance. “And I have a Ph.D. in this.”

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This hospital is the first in the U.S. to do visits via hologram

LANCASTER, Texas (WFAA) - Patients at a hospital in Texas may be in for a shock when they step into an examination room.

Instead of consulting with their doctor in person, they will be talking to them via a hologram.

At first glance, Crescent Regional looks like any other hospital but there is something that sets it apart from others.

Dr. Saad Hussain teleported to this hospital in Lancaster, Texas, from several cities over to meet with a patient via hologram in 3-D, real-time and life-sized.

Crescent Regional’s CEO Raji Kumar said her hospital is the first in the nation to ever do it.

“I’m super excited of being able to bring some of this technology to north Texas,” she said.

It is cool, but you might be wondering: what’s the point?

Well, here is an example: The hospital has a clinic 45 minutes away. Instead of driving back to the hospital for a simple pre-op, post-op or follow-up appointment, providers like Hussain can simply step into the clinic’s studio.

“You just turn it on and they let you know the patient is already there,” Hussain said.

A monitor, microphone and camera teleport them to the hospital.

“And you can do the examination and stuff on the video call,” Hussain said.

Kumar plans to put more studios in doctors’ offices and homes, and more holoboxes in her hospital so doctors can teleport directly into patient rooms and emergency rooms.

“When I see the patient live there in the emergency room, that will give me more sense of what’s going on over there,” Hussain said.

In an interview via the holobox, Hussain said a hologram is as close to in-person as it gets.

“Patient is seeing you and it looks more like closer to reality then definitely patients get more comfortable, you know?” he said.

The hospital said the new technology could change the future of medicine.

Kumar hopes to add the technology to a mobile van and take it to underserved areas.

Copyright 2024 WFAA via CNN Newsource. All rights reserved.

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Amazon folding ‘clinic’ brand telehealth business into one medical.

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Amazon is folding its Amazon Clinic brand telehealth business into its One Medical doctor-staffed ... [+] clinic and virtual care business to simplify its primary care offerings for customers and patients.In this picture is Amazon-owned One Medical's Preston Place. (Latanya Simmons Photo)

Amazon is folding its Amazon Clinic brand telehealth business into its One Medical doctor-staffed clinic and virtual care business to simplify its primary care offerings for customers and patients.

Amazon launched Amazon Clinic a year and a half ago as a “pay-per-visit” telehealth service available on Amazon.com and the Amazon app, allowing patients to access virtual care in all 50 U.S. states following an expansion of the service last year. During that time, Amazon spent nearly $4 billion last year to acquire One Medical, which operates doctor-staffed clinics and its own virtual care business.

The online retail giant said Thursday it is putting the “Amazon Clinic” brand virtual health business under the Amazon One Medical brand. The change, which will eliminate the “Amazon Clinic” name, is effective immediately, Amazon said.

“Today, we are changing the name of the service from Amazon Clinic to Amazon One Medical Pay-per-visit, and we are improving it by making per-visit pricing even more affordable and reducing the number of steps it takes for customers to start a visit on Amazon.com and in the Amazon app,” Amazon said in its announcement regarding Amazon Clinic, a service that links customers to physicians and other clinicians who have contracts with Amazon to provide the virtual care.

“ Customers now have two options when seeking care from Amazon One Medical—Pay-per-visit telehealth for 30+ common conditions (like pink eye, the flu or a sinus infection), or membership where customers pay a monthly or annual fee for on-demand virtual care, easy booking of same and next-day appointments at One Medical offices, and a differentiated primary care experience at 150+ offices across the U.S.,” Amazon said.

Best Short-Term Health Insurance Companies Of 2022

Best health insurance companies of 2022.

In an interview earlier this year, Amazon executives said Amazon One Medical has added more than 15 new offices and will be expanding into two additional U.S. markets by the end of this year. Amazon One Medical, which has nearly 240 primary care offices in more than 20 U.S. markets, is expanding in existing markets in addition to adding new locations later this year in Milwaukee and Hackensack, New Jersey.

An Amazon spokeswoman said the “Amazon Clinic” telehealth business has grown, but wouldn’t disclose the number of virtual visits provided by the service. “Amazon Clinic’s telehealth services will continue and will now operate as the Amazon One Medical Pay-per-visit telehealth offering,” the company’s announcement said.

The announcement comes during a period of trials, errors and successes in the still relatively young retail health care business.

While Amazon is expanding and rebranding its primary care and virtual care offerings, Walmart in April disclosed plans to close its Walmart Health centers and virtual care business, saying it doesn’t see a sustainable business model in primary care.

Meanwhile, Walgreens, which made a multibillion-dollar investment in doctor-staffed clinic operator VillageMD, has struggled somewhat by expanding too fast and being unable to fill patient panels in certain markets it is now exiting. Walgreens in March reported a loss of nearly $6 billion in its second quarter due largely to the loss in value of its VillageMD investment.

And CVS Health, which has for years operated more than 1,000 MinuteClinic brand clinics staffed by nurse practitioners, said earlier this year the healthcare giant is sticking with its expansion strategy for Oak Street Health to open 50 to 60 clinics for seniors next year. CVS last year acquired Oak Street for $10.6 billion in cash, adding a large network of doctor-staffed clinics primarily used by seniors. Oak Street has more than 200 medical centers across 25 states and CVS plans to open dozens more.

In Amazon’s case, the company said it remains committed to making healthcare more affordable, simpler and convenient via the per visit model or the Amazon One Medical membership fee.

“We’re focused on improving both the occasional and ongoing medical care experience,” said Neil Lindsay, senior vice president of Amazon Health Services said in a statement accompanying the announcement. “Amazon One Medical’s Pay-per-visit telehealth service makes it simpler for customers looking for care to see a provider, with fewer clicks and even lower per-visit pricing. With Amazon One Medical, customers can choose the medical care service that best meets their needs—a single visit for occasional, common conditions, or a membership that supports access to ongoing care with an app that makes things like getting on-demand virtual care, appointments and managing prescriptions fast and simple."

Amazon One Medical’s Pay-per-visit telehealth service is $29 for a messaging visit and $49 for a video visit, the company said.

“Amazon One Medical’s Pay-per-visit telehealth service is a great option for customers who do not live near a One Medical office or for those who already have a care provider, but need fast, convenient access to address a one-off condition,” Amazon said. “One Medical Membership enables customers to pay a membership fee for on-demand virtual care, easy booking of same and next day appointments at One Medical offices, and a differentiated primary care experience. It is great for customers who live near a One Medical office and want a primary care physician and care team to help manage their overall health.”

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40 Facts About Elektrostal

Written by Lanette Mayes

Modified & Updated: 01 Jun 2024

Reviewed by Jessica Corbett

Elektrostal is a vibrant city located in the Moscow Oblast region of Russia. With a rich history, stunning architecture, and a thriving community, Elektrostal is a city that has much to offer. Whether you are a history buff, nature enthusiast, or simply curious about different cultures, Elektrostal is sure to captivate you.

This article will provide you with 40 fascinating facts about Elektrostal, giving you a better understanding of why this city is worth exploring. From its origins as an industrial hub to its modern-day charm, we will delve into the various aspects that make Elektrostal a unique and must-visit destination.

So, join us as we uncover the hidden treasures of Elektrostal and discover what makes this city a true gem in the heart of Russia.

Key Takeaways:

• Elektrostal, known as the “Motor City of Russia,” is a vibrant and growing city with a rich industrial history, offering diverse cultural experiences and a strong commitment to environmental sustainability.
• With its convenient location near Moscow, Elektrostal provides a picturesque landscape, vibrant nightlife, and a range of recreational activities, making it an ideal destination for residents and visitors alike.

Known as the “Motor City of Russia.”

Elektrostal, a city located in the Moscow Oblast region of Russia, earned the nickname “Motor City” due to its significant involvement in the automotive industry.

Home to the Elektrostal Metallurgical Plant.

Elektrostal is renowned for its metallurgical plant, which has been producing high-quality steel and alloys since its establishment in 1916.

Boasts a rich industrial heritage.

Elektrostal has a long history of industrial development, contributing to the growth and progress of the region.

Founded in 1916.

The city of Elektrostal was founded in 1916 as a result of the construction of the Elektrostal Metallurgical Plant.

Located approximately 50 kilometers east of Moscow.

Elektrostal is situated in close proximity to the Russian capital, making it easily accessible for both residents and visitors.

Known for its vibrant cultural scene.

Elektrostal is home to several cultural institutions, including museums, theaters, and art galleries that showcase the city’s rich artistic heritage.

A popular destination for nature lovers.

Surrounded by picturesque landscapes and forests, Elektrostal offers ample opportunities for outdoor activities such as hiking, camping, and birdwatching.

Hosts the annual Elektrostal City Day celebrations.

Every year, Elektrostal organizes festive events and activities to celebrate its founding, bringing together residents and visitors in a spirit of unity and joy.

Has a population of approximately 160,000 people.

Elektrostal is home to a diverse and vibrant community of around 160,000 residents, contributing to its dynamic atmosphere.

Boasts excellent education facilities.

The city is known for its well-established educational institutions, providing quality education to students of all ages.

A center for scientific research and innovation.

Elektrostal serves as an important hub for scientific research, particularly in the fields of metallurgy , materials science, and engineering.

Surrounded by picturesque lakes.

The city is blessed with numerous beautiful lakes , offering scenic views and recreational opportunities for locals and visitors alike.

Well-connected transportation system.

Elektrostal benefits from an efficient transportation network, including highways, railways, and public transportation options, ensuring convenient travel within and beyond the city.

Famous for its traditional Russian cuisine.

Food enthusiasts can indulge in authentic Russian dishes at numerous restaurants and cafes scattered throughout Elektrostal.

Home to notable architectural landmarks.

Elektrostal boasts impressive architecture, including the Church of the Transfiguration of the Lord and the Elektrostal Palace of Culture.

Offers a wide range of recreational facilities.

Residents and visitors can enjoy various recreational activities, such as sports complexes, swimming pools, and fitness centers, enhancing the overall quality of life.

Provides a high standard of healthcare.

Elektrostal is equipped with modern medical facilities, ensuring residents have access to quality healthcare services.

Home to the Elektrostal History Museum.

The Elektrostal History Museum showcases the city’s fascinating past through exhibitions and displays.

A hub for sports enthusiasts.

Elektrostal is passionate about sports, with numerous stadiums, arenas, and sports clubs offering opportunities for athletes and spectators.

Celebrates diverse cultural festivals.

Throughout the year, Elektrostal hosts a variety of cultural festivals, celebrating different ethnicities, traditions, and art forms.

Electric power played a significant role in its early development.

Elektrostal owes its name and initial growth to the establishment of electric power stations and the utilization of electricity in the industrial sector.

Boasts a thriving economy.

The city’s strong industrial base, coupled with its strategic location near Moscow, has contributed to Elektrostal’s prosperous economic status.

Houses the Elektrostal Drama Theater.

The Elektrostal Drama Theater is a cultural centerpiece, attracting theater enthusiasts from far and wide.

Popular destination for winter sports.

Elektrostal’s proximity to ski resorts and winter sport facilities makes it a favorite destination for skiing, snowboarding, and other winter activities.

Promotes environmental sustainability.

Elektrostal prioritizes environmental protection and sustainability, implementing initiatives to reduce pollution and preserve natural resources.

Home to renowned educational institutions.

Elektrostal is known for its prestigious schools and universities, offering a wide range of academic programs to students.

Committed to cultural preservation.

The city values its cultural heritage and takes active steps to preserve and promote traditional customs, crafts, and arts.

Hosts an annual International Film Festival.

The Elektrostal International Film Festival attracts filmmakers and cinema enthusiasts from around the world, showcasing a diverse range of films.

Encourages entrepreneurship and innovation.

Elektrostal supports aspiring entrepreneurs and fosters a culture of innovation, providing opportunities for startups and business development .

Offers a range of housing options.

Elektrostal provides diverse housing options, including apartments, houses, and residential complexes, catering to different lifestyles and budgets.

Home to notable sports teams.

Elektrostal is proud of its sports legacy , with several successful sports teams competing at regional and national levels.

Boasts a vibrant nightlife scene.

Residents and visitors can enjoy a lively nightlife in Elektrostal, with numerous bars, clubs, and entertainment venues.

Promotes cultural exchange and international relations.

Elektrostal actively engages in international partnerships, cultural exchanges, and diplomatic collaborations to foster global connections.

Surrounded by beautiful nature reserves.

Nearby nature reserves, such as the Barybino Forest and Luchinskoye Lake, offer opportunities for nature enthusiasts to explore and appreciate the region’s biodiversity.

Commemorates historical events.

The city pays tribute to significant historical events through memorials, monuments, and exhibitions, ensuring the preservation of collective memory.

Promotes sports and youth development.

Elektrostal invests in sports infrastructure and programs to encourage youth participation, health, and physical fitness.

Hosts annual cultural and artistic festivals.

Throughout the year, Elektrostal celebrates its cultural diversity through festivals dedicated to music, dance, art, and theater.

Provides a picturesque landscape for photography enthusiasts.

The city’s scenic beauty, architectural landmarks, and natural surroundings make it a paradise for photographers.

Connects to Moscow via a direct train line.

The convenient train connection between Elektrostal and Moscow makes commuting between the two cities effortless.

A city with a bright future.

Elektrostal continues to grow and develop, aiming to become a model city in terms of infrastructure, sustainability, and quality of life for its residents.

In conclusion, Elektrostal is a fascinating city with a rich history and a vibrant present. From its origins as a center of steel production to its modern-day status as a hub for education and industry, Elektrostal has plenty to offer both residents and visitors. With its beautiful parks, cultural attractions, and proximity to Moscow, there is no shortage of things to see and do in this dynamic city. Whether you’re interested in exploring its historical landmarks, enjoying outdoor activities, or immersing yourself in the local culture, Elektrostal has something for everyone. So, next time you find yourself in the Moscow region, don’t miss the opportunity to discover the hidden gems of Elektrostal.

Q: What is the population of Elektrostal?

A: As of the latest data, the population of Elektrostal is approximately XXXX.

Q: How far is Elektrostal from Moscow?

A: Elektrostal is located approximately XX kilometers away from Moscow.

Q: Are there any famous landmarks in Elektrostal?

A: Yes, Elektrostal is home to several notable landmarks, including XXXX and XXXX.

Q: What industries are prominent in Elektrostal?

A: Elektrostal is known for its steel production industry and is also a center for engineering and manufacturing.

Q: Are there any universities or educational institutions in Elektrostal?

A: Yes, Elektrostal is home to XXXX University and several other educational institutions.

Q: What are some popular outdoor activities in Elektrostal?

A: Elektrostal offers several outdoor activities, such as hiking, cycling, and picnicking in its beautiful parks.

Q: Is Elektrostal well-connected in terms of transportation?

A: Yes, Elektrostal has good transportation links, including trains and buses, making it easily accessible from nearby cities.

Q: Are there any annual events or festivals in Elektrostal?

A: Yes, Elektrostal hosts various events and festivals throughout the year, including XXXX and XXXX.

Elektrostal's fascinating history, vibrant culture, and promising future make it a city worth exploring. For more captivating facts about cities around the world, discover the unique characteristics that define each city . Uncover the hidden gems of Moscow Oblast through our in-depth look at Kolomna. Lastly, dive into the rich industrial heritage of Teesside, a thriving industrial center with its own story to tell.

The Unique Burial of a Child of Early Scythian Time at the Cemetery of Saryg-Bulun (Tuva)

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Pages:  379-406

In 1988, the Tuvan Archaeological Expedition (led by M. E. Kilunovskaya and V. A. Semenov) discovered a unique burial of the early Iron Age at Saryg-Bulun in Central Tuva. There are two burial mounds of the Aldy-Bel culture dated by 7th century BC. Within the barrows, which adjoined one another, forming a figure-of-eight, there were discovered 7 burials, from which a representative collection of artifacts was recovered. Burial 5 was the most unique, it was found in a coffin made of a larch trunk, with a tightly closed lid. Due to the preservative properties of larch and lack of air access, the coffin contained a well-preserved mummy of a child with an accompanying set of grave goods. The interred individual retained the skin on his face and had a leather headdress painted with red pigment and a coat, sewn from jerboa fur. The coat was belted with a leather belt with bronze ornaments and buckles. Besides that, a leather quiver with arrows with the shafts decorated with painted ornaments, fully preserved battle pick and a bow were buried in the coffin. Unexpectedly, the full-genomic analysis, showed that the individual was female. This fact opens a new aspect in the study of the social history of the Scythian society and perhaps brings us back to the myth of the Amazons, discussed by Herodotus. Of course, this discovery is unique in its preservation for the Scythian culture of Tuva and requires careful study and conservation.

Keywords: Tuva, Early Iron Age, early Scythian period, Aldy-Bel culture, barrow, burial in the coffin, mummy, full genome sequencing, aDNA

Information about authors: Marina Kilunovskaya (Saint Petersburg, Russian Federation). Candidate of Historical Sciences. Institute for the History of Material Culture of the Russian Academy of Sciences. Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail: [email protected] Vladimir Semenov (Saint Petersburg, Russian Federation). Candidate of Historical Sciences. Institute for the History of Material Culture of the Russian Academy of Sciences. Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail: [email protected] Varvara Busova  (Moscow, Russian Federation).  (Saint Petersburg, Russian Federation). Institute for the History of Material Culture of the Russian Academy of Sciences.  Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail:  [email protected] Kharis Mustafin  (Moscow, Russian Federation). Candidate of Technical Sciences. Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected] Irina Alborova  (Moscow, Russian Federation). Candidate of Biological Sciences. Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected] Alina Matzvai  (Moscow, Russian Federation). Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected]

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