Online + labs · new or uninsured patients
Heart palpitations
Fluttering, pounding, or skipped beats? A clinician reviews your symptoms and watch readings, and usually asks for an ECG, at one of our clinics or near you.
Chest pain always needs a hands-on check. Any chest pain right now: call 911. Otherwise, book a same-day clinic visit for an exam and ECG.
Not online. Chest pain always needs a hands-on check. Any chest pain right now: call 911. Otherwise, book a same-day clinic visit for an exam and ECG. After a two-minute online safety check, you're booked into a same-day visit at a Passion Health clinic in Dallas–Fort Worth, billed like any clinic visit to your insurance or as a self-pay visit. There's no online fee. Outside Dallas–Fort Worth, please see an urgent care center or your own clinician instead.
Medically reviewed by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health · October 22, 2026
Costochondritis is inflammation of the cartilage that joins your ribs to your breastbone. It causes sharp or aching chest pain that often gets worse when you press on the spot, breathe deeply, cough or twist. It's common in adults and can follow a cold, heavy coughing or strain — but chest pain must be checked for heart causes first.
Also call 911 for chest pain, trouble breathing, stroke signs, a sudden severe headache, fainting, a seizure, severe bleeding, new confusion, throat swelling, an overdose or thoughts of harming someone else — and call or text 988 for thoughts of harming yourself. There's no charge for the online safety check. If it tells you to call 911 or go to an emergency room, do that instead of booking.
Two minutes. Emergencies are sent to 911 right away.
At any Passion Health clinic in Dallas–Fort Worth, or call us. Outside Dallas–Fort Worth, see an urgent care center or your own clinician.
The clinician examines you and does any tests needed that day.
To your insurance, or as a self-pay clinic visit. No online fee.
Your visit is billed as a normal clinic visit — to your insurance with your usual cost-share, or as a self-pay visit. There's no charge for the online safety check.
Labs and imaging, if needed, are billed separately, and medication is paid at your pharmacy. Passion Health doesn't sell, ship or mark up medication.
Your clinician plans follow-up at the visit.
If the exam points to costochondritis, your clinician will plan a check-in and see you again if the pain changes, spreads, or comes on with exertion.
There's no online fee. Your visit is billed as a normal clinic visit — to your insurance with your usual copay or deductible, or as a self-pay clinic visit. Any tests done that day are billed separately — to your insurance, or at the self-pay price shown to you before the test.
Costochondritis needs a hands-on exam — and sometimes a test — to be evaluated safely. Rather than charge for an online visit that would end in "please come in", we screen for emergencies and book you straight into a same-day visit at one of our Dallas–Fort Worth clinics. Outside Dallas–Fort Worth, please see an urgent care center or your own clinician.
Its main symptom is chest pain, and chest pain can also come from the heart, the lungs or a blood clot. A clinician needs to examine you, and usually check an ECG, before calling it costochondritis. Heart disease can also start earlier in some groups, including people of South Asian heritage. That's why this page books a same-day clinic visit instead of an online visit. Not near Dallas–Fort Worth? Go to an urgent care center that can do an ECG, or an emergency room, today — don't wait for a later appointment.
It often settles within a few weeks, though some people have pain on and off for several months. Rest from the activities that trigger it, heat, and an anti-inflammatory medicine if appropriate usually help. If the pain changes, spreads, or comes on with exertion or shortness of breath, get checked again — and call 911 for chest pain that feels severe or new.
This condition needs a hands-on exam to meet the standard of care, so it is booked in person. The standard of care online is the same as in person, and no agency may impose a higher one (Tex. Occ. Code §111.007; 22 TAC §175.2).
Chief Quality Medical Officer, Passion Health · Texas-licensed internal medicine physician
Reviewed for medical accuracy by Dr. Anantha Chentha, MD, Chief Quality Medical Officer, Passion Health, on October 22, 2026. Pages are reviewed again when clinical guidance or our visit rules change, and the date shown here is updated each time.
Book a same-day visit at a Passion Health clinic in Dallas–Fort Worth, or call and we'll point you to the right visit — or, elsewhere in Texas, to the right kind of care near you.