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Self-Pay Pricing and Insurance

Self-Pay Pricing and Insurance for Primary Care Services in Rocky Mount, NC

At Rocky Mount Family Medical, we offer affordable self-pay pricing and a variety of insurance options for primary care services in Rocky Mount, NC. New patient consultations start at $150, and follow-up visits are priced at $100. We accept most major insurance plans to make healthcare accessible to everyone. Whether you need preventive care, routine check-ups, or treatment for chronic conditions, our team is here to provide compassionate and high-quality care. For more information, contact us today or request an appointment. We are conveniently located at 804 English Road, Suite 100, Rocky Mount, NC 27804.

Self-Pay Pricing and Insurance for Primary Care Services in Rocky Mount, NC
Self-Pay Pricing and Insurance for Primary Care Services in Rocky Mount, NC

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 Rocky Mount Family Medical?
What’s the difference between self-pay pricing and insurance-covered visits in primary care?

At Rocky Mount Family Medical, we believe patients deserve clear, upfront information about the cost of their care. Healthcare can feel overwhelming both physically and financially, which is why our team is committed to transparent pricing and accessible treatment options. Whether you’re here for family care, pediatric services, diabetes management, or women’s health, you’ll know what to expect before your visit.

Our physicians provide comprehensive care for patients of all ages, offering services such as chronic disease management, joint injections, laboratory services, and employer health services. By combining compassionate treatment with cost transparency, we make it easier for you and your family to focus on long-term health and wellness.

Insurance and Payment Options Made Simple

Navigating insurance can often feel confusing, but at Rocky Mount Family Medical, we make it straightforward. Our goal is to ensure you spend less time worrying about coverage and more time focusing on your well-being.

Out-of-Network Coverage

Some insurance carriers may fall out of network, including Aetna Duke Select, Alignment, BCBS Blue High Performance, BCBS Blue Local, BCBS Healthy Blue Medicaid Replacement HMO, Bright Health, Cigna Connect, Cigna Medicare, Tricare, and WellCare Commercial. If we are not in-network with your plan, you may still be eligible for partial reimbursement depending on your coverage. We provide itemized statements so you can submit claims for out-of-network benefits.

In-Network Benefits

Being in-network with major carriers helps reduce your out-of-pocket costs. If you have a copay or coinsurance, our staff will explain those costs upfront. For services such as diabetes management, family care, or joint injections, we work closely with your insurance provider to ensure pre-authorizations are completed when required.

Self-Pay and Cash Options

For patients who are uninsured, have high deductibles, or prefer to pay directly, we offer straightforward self-pay pricing. Office visits, laboratory testing, and chronic care management can be paid upfront at competitive rates, ensuring that cost never becomes a barrier to receiving care.

What is self-pay pricing for primary care services?

Self-pay pricing at Rocky Mount Family Medical is designed to keep care affordable for patients without insurance or those who prefer direct payment. We provide clear, upfront costs for common services so you know what to expect before your visit.

Common Self-Pay Pricing for Uninsured Patients

● Initial Consultation (New Patient Evaluation): Starting at $150
Includes a detailed medical history, physical exam, and personalized care plan.

● Follow-Up Office Visits: Starting at $100
Covers ongoing management, chronic condition follow-ups, and wellness monitoring.

● Annual or Employer Physicals: Starting at $120
Comprehensive exams for overall health, employment, or school requirements.

Diabetes or Chronic Care Management Visits: Starting at $125
Focused care for long-term health conditions and treatment planning.

● Laboratory Services: Starting at $50
Covers common diagnostic tests to support ongoing care and prevention.

● Joint Injections (Cortisone): Starting at $150
Used to help relieve pain and inflammation in affected joints.

What are the typical costs for a primary care visit without insurance?

For uninsured patients, Rocky Mount Family Medical offers competitive self-pay rates that cover a wide range of primary care services. A new patient evaluation starts at $150, which includes a detailed history, physical exam, and care plan. Follow-up visits begin at $100, providing ongoing care for chronic conditions, sick visits, or wellness monitoring.

Which insurance plans are commonly accepted at Rocky Mount Family Medical?

Rocky Mount Family Medical accepts a wide range of insurance providers to ensure care is accessible for families across the region.

Insurance Plans We Accept

We proudly accept most major insurance providers, including but not limited to:

• AARP
• Aetna
• Aetna NC Connected Care
• Aetna Medicare Advantage
• BCBSNC
• BCBSNC – Experience Health Medicare Advantage HMO
• Blue Value/Blue Home
• Blue Medicare
• Cigna (not Cigna Connect)
• First Health
• Humana
• Medcost
• Medicare (NC)
• Medicare Railroad (NC)
• MultiPlan (PHCS)
• Mutual of Omaha
• NC Medicaid
• NC Medicaid Managed Care Plans
• Amerihealth Caritas of NC
• BCBS Healthy Blue
• Carolina Complete Health
• UHC Community Plan
• WellCare
• NC Medicaid Direct
• State Health Plan (Clear Pricing Project)
• 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
• Worker’s Comp – USDOL ONLY
• WellCare – Medicare

What’s the difference between self-pay pricing and insurance-covered visits in primary care?

The difference lies in how costs are applied. With insurance-covered visits, part of the cost is handled by your insurance provider, leaving you responsible for a copay, coinsurance, or deductible. Being in-network usually lowers these expenses, and our staff works closely with insurers to ensure necessary authorizations are completed for services like chronic care or laboratory testing. With self-pay pricing, patients pay a clear, upfront rate without the complexity of insurance billing.

At Rocky Mount Family Medical, we are committed to providing clear, affordable, and compassionate care for every patient. Whether you rely on insurance or choose our self-pay options, our team ensures you understand your costs and coverage before your visit. By combining personalized family medicine with transparent pricing, we make it easier for you and your loved ones to focus on staying healthy and thriving at every stage of life. For more information, contact us or request an appointment! We are conveniently located at 804 English Road, Suite 100 Rocky Mount, NC 27804. We serve patients from Rocky Mount NC, Nashville NC, Westry NC, Dortches NC, Red Oak NC, and Sharpsburg NC.