Self-Pay Pricing and Insurance for Primary Care Services in Carrboro, NC
At Carrboro Family Medicine, we strive to provide transparent and affordable pricing for all primary care services. For self-pay patients, consultations start at $150, with follow-up visits priced at $100. We also accept a wide range of insurance plans to make healthcare more accessible. Whether you’re in need of a routine check-up, preventive care, or chronic disease management, our team is here to ensure that you receive the best care at a fair price. For more details, please contact us or book an appointment online. We are conveniently located at 610 Jones Ferry Rd Suite 102, Carrboro, NC 27510.
Table of Contents:
What is self-pay pricing for primary care services?
What are the typical costs for a primary care visit without insurance?
Which insurance plans are commonly accepted at Carrboro Family Medicine Center?
What’s the difference between self-pay pricing and insurance-covered visits in primary care?
At Carrboro Family Medicine, we believe that your health journey should be stress-free, which is why we provide clear, upfront information about the cost of our primary care services. We understand that healthcare costs can feel overwhelming, and we are committed to offering transparent pricing and accessible treatment options. Whether you’re coming in for pediatric care, diabetes management, chronic disease care, or an annual wellness check, you’ll know what to expect before your visit.
Our team specializes in comprehensive, personalized primary care, including pediatric, geriatric, and women’s health services. We’re here to support you and your family’s well-being through proactive care and management. By combining compassionate healthcare with cost transparency, we help you focus on achieving your health goals without worrying about the financial side of care.
Insurance and Payment Options Made Simple
Navigating insurance can sometimes be confusing, but at Carrboro Family Medicine, we make it straightforward. Our goal is to reduce the time you spend worrying about your coverage and give you more time to focus on your health.
In-Network Benefits
Being in-network with these major carriers helps lower your out-of-pocket expenses. If you have a copay or coinsurance, our staff will explain these costs upfront, ensuring there are no surprises. For services like lab tests, blood work, or chronic disease management, we work closely with your insurance provider to ensure everything is covered before your appointment.
Out-of-Network Coverage
If we are not in-network with your insurance plan, you may still qualify for partial coverage depending on your plan. In these cases, we’ll provide itemized statements to help you submit for out-of-network reimbursement.
Self-Pay and Cash Options
For patients who are uninsured or prefer to pay in cash, we offer competitive self-pay pricing. We believe that cost should never be a barrier to receiving quality care, so we provide affordable options for all our services.
Get Started Today
At Carrboro Family Medicine, we are committed to providing comprehensive primary care services with clear pricing and a focus on your health and well-being. Whether you need pediatric care, diabetes management, or a routine check-up, we’re here to help you every step of the way. Contact us today to learn more about our services, payment options, and how we can support your health goals.
At Carrboro Family Medicine, self-pay pricing refers to the cost of primary care services for patients who do not wish to use insurance or are uninsured. This straightforward pricing structure allows patients to pay for services directly without going through insurance. We offer competitive rates for our services, ensuring that cost does not become a barrier to receiving high-quality care. Self-pay pricing applies to consultations, follow-up visits, lab tests, immunizations, and other primary care services.
Common Self-Pay Pricing for Uninsured Patients
● Initial Consultation (New Patient Evaluation): Starting at $150
○ Includes a comprehensive health assessment, physical exam, and creation of a personalized care plan.
● Follow-Up Visits: Starting at $100
○ Covers ongoing management of chronic conditions, medication adjustments, and treatment progress monitoring.
● Pediatric Care: Starting at $75 per visit
○ Includes routine check-ups, vaccinations, and developmental assessments.
● Sports and School Physicals: Starting at $50
○ Required for school or sports participation, including health history review and physical exam.
● Lab Tests: Starting at $25
○ Common tests for cholesterol, glucose levels, and other routine screenings.
● Chronic Disease Management: Starting at $100 per session
○ Includes personalized care plans for conditions like diabetes, hypertension, and heart disease.
● Immunizations: Starting at $30
○ Covers required and optional vaccines for children and adults.
● Blood Work: Starting at $50
○ Routine blood tests to monitor health and prevent disease.
For patients who choose to pay out-of-pocket, the typical cost for a primary care visit without insurance at Carrboro Family Medicine starts at approximately $150 for a general consultation. This includes a comprehensive health assessment, physical examination, and the development of a personalized treatment plan. Additional costs may apply for specialized services such as lab tests, blood work, or chronic disease management. Our team will provide a clear breakdown of the costs for your specific visit to help you plan.
We are in-network with most major insurance plans. Please contact your insurance directly to confirm eligibility. Some of the common insurance plans we accept include:
● AARP
● Aetna
● Aetna Duke Basic
● Aetna Duke Select
● Aetna NC Connected Care
● Aetna Medicare Advantage
● BCBS NC
● BCBS-Brighton Health
● BCBSNC-Experience Health Medicare Advantage HMO
● Blue Valu/Blue Home
● Blue Medicare
● Cigna
● Cigna Connect
● First Health (Aetna)
● Health Team Advantage
● Humana (Medicare and Commercial)
● MedCost
● Medicare (NC)
● Medicare Railroad (NC)
● Mutual of Omaha
● NC Medicaid
● NC Medicaid Managed Care Plan
● NC Medicaid Direct
● NC Medicaid Managed care Plans
● Amerihealth Caritas of NC
● BCBS Healthy Blue
● Carolina Complete Health
● UHC Community Plan
● WellCare
● State Health Plan (Cleare Pricing Project)
● Surest
● Tailored Health Plans
● Alliance Health
● Partners Health Management
● Sandhills Center
● Trillium
● Vaya Health
● UHC Medicare Advantage
● UMR
● United Healthcare
● United Healthcare Exchange Plans
● Wakemed Employee HMO- Contigo Health
● Wellcare- Medicare
If you don’t see your insurance plan listed, please reach out to our office, and we can confirm if we can work with your carrier.
The primary difference between self-pay pricing and insurance-covered visits at Carrboro Family Medicine lies in how the costs are handled:
● Self-pay pricing means you pay directly for the services rendered without using your insurance. The prices are typically more transparent and straightforward, and you are responsible for paying the full amount for the visit or treatment. Self-pay may be a good option if you are uninsured or have a high-deductible insurance plan.
● Insurance-covered visits involve your insurance company covering part or all of the costs for the visit, based on the terms of your plan. You may still be responsible for a copayment, coinsurance, or deductible, depending on your insurance coverage. The insurance provider will be billed directly, and you will only be responsible for the out-of-pocket expenses as per your policy.
The choice between self-pay and insurance-covered visits often depends on your coverage, deductible, and financial preferences. At Carrboro Family Medicine, we strive to make both options as simple and transparent as possible.
At Carrboro Family Medicine, we are committed to providing you with high-quality primary care services, whether you choose to use insurance or prefer self-pay options. We understand that healthcare is an important investment, and our team is here to ensure that you receive the care you need at a price you can afford. To consult our professionals, please contact us or book an appointment online. We are conveniently located at 610 Jones Ferry Rd Suite 102, Carrboro, NC 27510. We serve patients in Chapel Hill NC, Southern Village NC, Fearrington NC, Blands NC, and surrounding areas.
Additional Services You May Need
▸ Annual Physical Exam
▸ Primary Care
▸ Hypertension Management
▸ Chronic Diseases
▸ Diabetes Management
▸ Immunizations
▸ Lab Testing
▸ Sports Physicals
▸ STD Testing
▸ Allergy Treatment
▸ Acute Illness
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