 [ Symptoms ] why is my doctor refusing to let me self pay for a few months  i have been seeing my pcp for well over a year now since my last retired i am thinking of switching jobs and will loose my health insurance for a while and asked her what it would cost to pay out of pocket each month to get my pain meds the girl at the front desk tells me the dr will no longer accept out of pocket payments i dont understand why they know im on the pain meds so i can work and not be disabled my girlfriend father also has been seeing same dr out of pocket for months thanks [ Disease ] the diagnosis of inguinal hernia is usually based on your medical history and a physical exam tests such as ultrasound and ct scans are not usually needed to diagnose an inguinal hernia in most cases a doctor can identify an inguinal hernia during a physical exam an examination of urine  urinalysis  may be done to rule out a urinary tract infection a urinary tract infection or kidney stone may cause pain in the groin that can be mistaken for hernia pain further tests may be done to rule out other conditions that could be contributing to the hernia such as colon or prostate cancer or lung diseases that cause chronic coughing if surgery is planned other tests may be needed to evaluate the status of any current health problems such as lung heart or bleeding problems webmd medical reference from healthwise this information is not intended to replace the advice of a doctor healthwise disclaims any liability for the decisions you make based on this information © 1995 2011 healthwise incorporated healthwise healthwise for every health decision and the healthwise logo are trademarks of healthwise incorporated