Menomonie (WQOW) - Imagine a place where knowing the cost of your health care is as easy as ordering off a menu.

ReforMedicine, in Menomonie, is a family practice that operates on a direct pay basis. The clinic has been open for 18 months and because of a demand for care, it's adding a second doctor and expanding hours. Dr. David usher used to work at a large clinic in Eau Claire, but decided to start his own practice because of changes surrounding the Affordable Care Act, and concerns he's heard from patients about the cost of health care.

"This is a better way to go because people are actually in control of the care that they receive. They have the power of the purse and we as doctors have to be, in this system better at explaining the value of the thing we're recommending. If we want somebody to have a test and to pay for it, we have to be really good at explaining why it is that this is going to help them, " says Dr. Usher.

Here's one example of how the clinic's direct pay system works: for an office visit you'd pay a flat fee of $55. Dr. Usher says it provides an affordable option for people with health savings accounts, high deductible health insurance, or no insurance.

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Health care as easy as ordering off a menu?