Insurance & Pricing

Major Insurance Plans Accepted

Grand View Urgent Care participates with most major medical insurances. No primary care referrals or insurance pre-approvals are required (co-pays may apply). If you are not sure if our services are covered by your medical insurance plan, please contact the member services number listed on the back of your insurance card to ensure you get optimized reimbursement.

Participating insurance providers include:

  • Aetna
  • Cigna
  • Independence Blue Cross
  • United Healthcare
  • Medicare
  • Tricare Prime Plan

See below for a complete list of participating insurance providers:

Our Insurers

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  • Aetna, (Choice POS, Choice POS II, Elect Choice, Open Access, Health Network, Health Network Option, HMO, Managed Choice, Open Choice PPO, QPOS, Select, Student Health, Open Access Aetna Select, Traditional Choice, Medicare)
  • AmeriHealth Administrators
  • Blue Cross
    • Blue Cross out of area
    • Blue Shield
    • Capital Blue Cross
    • Independence Blue Cross
    • Northeastern Blue Cross
    • Personal Choice
    • Western Blue Cross
  • Cigna HMO/PPO/OPEN ACCESS
  • Coventry Advantra HMO/PPO (Medicare)
  • Coventry Healthcare (Commercial)
  • GEHA (Government Employee Health Association)
  • Health America
  • Health Assurance
  • Independence Blue Cross (IBC)
  • Independence Blue Cross Medicare Advantage PPO (Medicare)
  • Independence Administrators
  • Keycare 65 (Medicare)
  • Keystone 65 Focus HMO (Medicare)
  • Keystone East HMO
  • Keystone Tiered (ACA Plan)
  • Keystone HMO Proactive (Tier 1)
  • Medicare
  • Meritain Health (Aetna product)
  • PA Health and Wellness –AllWell Medicare HMO  (Medicare Advantage)
  • Personal Choice (IBC)
  • Personal Choice Tiered (ACA Plan)
  • TriCare for Life
  • TriCare North region
  • TriCare Prime
  • TriCare Standard
  • Tricare Retired Reserve (TRR)
  • Tricare Reserve Select (TRS)
  • Tricare Young Adult Prime
  • Tricare Young Adult Prime Remote
  • Tricare Young Adult Standard
  • Tricare Prime Remote
  • United Healthcare HMO & PPO (Commercial)
  • United Healthcare Erickson Advantage Champion (HMO-POS SNP) (Medicare)
  • United Healthcare Erickson Advantage Freedom (HMO-POS-SNP) (Medicare)
  • United Healthcare Erickson Advantage Guardian (HMO-POS-SNP) (Medicare)
  • United Healthcare Erickson Advantage Signature w/ Drugs (HMO-POS) (Medicare)
  • United Healthcare Erickson Advantage Signature w/o Drugs (HMO-POS) (Medicare)
  • University of Pittsburgh Medical Center Health Plans (UPMC)
    • UPMC Health Plan Medicare Advantage HMO (UPMC for Life HMO)
    • UPMC Health Plan Medicare Advantage PPO (UPMC for Life PPO)
    • UPMC for Life Options (Medicare Institutional Special Needs Plan) SNP
    • UPMC for Life Dual (Medicare/Medical Assistance Dual Eligible Plan) D-SNP

 

Other Payment Options

We accept cash, checks and most credit cards for any service not reimbursable by medical insurance. Self-pay options include cash, checks and credit cards at the time of service. See below for self-pay pricing.

 

Self-Pay Program: Convenient Pricing for Patients without Insurance

The following is a partial price list of frequently-used services. There is a maximum charge of $299, which means your charge will never be more than $299 on one visit per patient, no matter how many services are used.

Maximum Charge / patient / visit = $299

 

Physicals

Pre-employment $85
Driver’s Permit $40
Sports Physical $59
DOT Physical (Non-CDL)

Department of Transportation Non-Commercial Driver’s License

$100
DOT Physical (CDL)

Department of Transportation Commercial Driver’s License

$110
DOT Physical (Bus Driver)

Department of Transportation Physical Bus Driver

$110

 

Vaccines

PPD

Tuberculosis Screening

$74

Vaccine $21, Admin $38,  Read $15

TD

Tetanus Shot

$103

Vaccine $65, Admin $38

TDAP $118

Vaccine $80 | Admin $38

 

Other

$185 Office Visit Charge + Add-on Charge Below

Strep Testing $21
Flu Testing $21
STD Testing $37
Throat Culture $14
Urine Culture $16
Wound Culture $15
Stitches*

*Price varies based on severity and size of laceration

$136-$166
Stitch removal $30
X-Ray*

*Price varies based on location of injury

$45-$85
Incision and Drainage of abscess $178
Infusion IV Fluids for hydration $130
Splinting (simple) $99
Splinting (Complex) $110
Ear Wax Removal $75

 

Self-Pay Summary:

  • Office Visit Charge for routine illness or injury is $185
  • Some procedures have an additional charge, but there is a maximum charge of $299 / patient / visit
  • Charge for physicals and vaccines is as noted above