Probably depends on your insurance (i.e. if you are with an HMO, you’ll be locked in to the network unless you get a referral). Outside of HMOs, I’m not aware of an insurance that has a copay difference between going to an academic or community hospital. If you go to a community hospital with something complicated, you’ll almost certainly end up transferred to an academic referral center anyway.
Probably depends on your insurance (i.e. if you are with an HMO, you’ll be locked in to the network unless you get a referral). Outside of HMOs, I’m not aware of an insurance that has a copay difference between going to an academic or community hospital. If you go to a community hospital with something complicated, you’ll almost certainly end up transferred to an academic referral center anyway.