If you do not have insurance, do not present insurance at the time of service, or have out-of-state Medicaid, you will be treated as a Self-Pay patient.

Self-Pay Charges:

• A $125 down payment is required at check-in

• The maximum total charge for your visit is $475

• The $125 down payment is applied toward that cap

  • You may be billed for up to $350 more, depending on the services provided

Important:
This cap only applies to services provided directly by Manchester Medical Center.
✅ Services included in the cap: in-house urgent care, clinical exams, and medical treatments
❌ Services not included in the cap: outside labs, imaging, or referrals — these are the full responsibility of the patient

Example:

You pay $125 at check-in
After your visit, your total is $600

Normally, you’d owe $475 more to cover the $600 balance.
But because of the $475 cap, you only owe $350 more — bringing your total to $475.