INOVA, a major for profit hospital corporation in Northern Verginia, runs a number of curbside clinics they call "emergency care centers". From the outside this facility looks just like an urgent care. These facilities have trained ER doctors and nurses but do not have the OR's and other equipment of a full service ER. If you have a serious condition they will perform triage and send you by ambulance to their "real" ER. However, they will charge a $600 "emergency room" fee on top of charges for actual procedures performed (as well as getting a separate bill from the ER doctor) even if all you needed was an aspirin. They do not issue any warning to the unsuspecting drop-in patient about the $600 ER fee. If you have a high-deductable insurance policy this will bite!