I could set up a cash practice with simple charting and see patients for $30, less without malpractice liability.
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for a follow up visit level 3 we get about $40 from most insurance. they make us bill out at $136.50 so you can see the savings. Any cash pay must pay the 136 price per the insurance contract to be able to be a preferred provider.
new patient bills at $315 for a level 4 visit. We get about $80.
the only reason we do ok is additional charges like:
joint injections $182 = about $80 (lots of liability)
casts $200 = $130 again lots of liability.
x-ray $60 = $50 required in ortho but slows down the office a lot.
Surgery averages at $1200 not including the hospital and anesthesia fees.
before you start adding that all up remember overhead is about $200 an hour.
many patients are no pays we are obligated to see due to taking call at the hospital to cover the uninsured that the hospital is required to see per fed law. So .... we get 3-4 payers an hour.
you can see how primary care without all the procedures gets killed.
I see my last pt at 4:30..... then I chart untill 6pm
yeah I will see you for $30 If I dont have to chart your life story to get billable points for the insurance co or for liability reasons. I spend about $3000 a month on the hated charting alone.
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