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
- 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 HealthSpring HMO (MEDICARE)
- Cigna HealthSpring PPO (MEDICARE)
- Cigna HMO/PPO/OPEN ACCESS
- Coventry Advantra HMO/PPO (Medicare)
- Coventry Healthcare (Commercial)
- Devoted Health Plan (HMO & PPO) (MEDICARE) (starting 1/1/2023)
- GEHA (Government Employee Health Association)
- Health America
- Health Assurance
- Health Partners / Jefferson Health Medicare Plans:
- Medicare Complete (HMO-POS) (MEDICARE)
- Medicare Prime (HMO-POS) (MEDICARE)
- Medicare Special (HMO SNP) (MEDICARE)
- Health Partners ACA Plan (see Jefferson Health Plans – ACA Plan)
- Health Partners Medicaid Plan (MEDICAID)
- Highmark Blue Shield Commercial Plan (SEPA) (effective 1/1/2024)
- Highmark Blue Shield ACA Plans – Board and Direct Plans (effective 1/1/2024)
- Humana Medicare HMO & PPO Plans
- INDECS (Claim Watcher, LLC)
- Independence Blue Cross (IBC)
- Independence Blue Cross Medicare Advantage PPO (Medicare)
- Independence Administrators
- Jefferson Health Plans – ACA Plan – Individuals and Families
- Jefferson Health Plans – Medicare Advantage PPO
- Keycare 65 (Medicare)
- Keystone 65 Focus HMO (Medicare)
- Keystone East HMO
- Keystone First Community HealthChoices (Medicaid)
- Keystone First HealthChoices (Managed Medicaid)
- Keystone First VIP Choice (Medicare Advantage)
- Keystone Tiered (ACA Plan)
- Keystone HMO Proactive (Tier 1)
- Lucent Health (TPA) (effective date 3/1/2022)
- Medicare
- Meritain Health (Aetna product)
- Oscar Health Plan – (Individual Commercial Plan)
- OSCAR Health Plan of PA (Market Exchange)
- PA Health and Wellness – AMBETTER (Commercial Exchange)
- PA Health and Wellness – AllWell Medicare HMO (Medicare Advantage)
- PA Health and Wellness CHC
- PA Medicaid
- Personal Choice (IBC)
- Personal Choice Tiered (ACA Plan)
- Praxis Health Network (Workers Compensation 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 Community Healthcare (Medicaid)
- United Healthcare HMO & PPO (Commercial)
- United Healthcare HMO & PPO Plans (Medicare)
- 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
- WellNet Healthcare Administrators, Inc. (TPA)
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
| COVID-19 Screening | $100 |
| 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