There’s a growing movement of surgery centers and specialists that list their prices and don’t take insurance

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When Cheryl Millican found out she needed surgery, her Dallas-based doctor told her it would cost roughly $38,000 out of pocket.

Millican, who doesn’t have insurance, needed a hysterectomy, a procedure that removes all or part of the uterus. It wasn’t an emergency situation, so when a friend told her about a place in Oklahoma that could perform the surgery for $8,000, she decided to look into it. That included the cost of the procedure itself, an overnight stay, a follow-up appointment, and any other meetings ahead of time.

In August 2016, Millican drove the three hours to the Surgery Center of Oklahoma in Oklahoma City to get the procedure for $30,000 less than she might have paid.

In March, Business Insider reported on a new movement happening with primary care doctors. It’s called direct primary care, and it works like this: Instead of accepting insurance for routine visits and drugs, these practices charge a monthly membership fee that covers most of what the average patient needs, including visits and drugs at much lower prices.

It’s happening at a time when high-deductible health plans are on the rise — a survey in September found that 51% of workers had a plan that required them to pay up to $1,000 out of pocket for healthcare until insurance picks up most of the rest.

Read the full article at Business Insider.

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