Last Updated: September 2026
Best Online Doctors for UTI Treatment in San Francisco (2026)
Quick Answer
A San Francisco woman with burning and urgency but no fever can have an antibiotic waiting at a Castro or Mission pharmacy within hours. GoodRx Care charges $39 ($19 with GoodRx Companion); Planned Parenthood Direct charges $25 in its app and takes Medi-Cal; Kaiser San Francisco members get Get Care Now video 24/7 at $0 on most plans. Momentary ($19.99 a month, California residents including SF) is the better buy once UTIs recur: the same licensed California physician treats each one by message any hour, orders the culture, and handles follow-up with no new fee.
Momentary is our own product. It sits third because two one-time visits here cost less than a month of membership when you need one prescription.
Top Picks
| Category | Recommendation |
|---|---|
| Fastest Cheap Visit, Text or Video | GoodRx Care |
| Lowest Cash Fee, Takes Medi-Cal | Planned Parenthood Direct |
| Best for a Second UTI This Year | Momentary |
| Best $0 Route for Kaiser San Francisco Members | Kaiser Get Care Now |
| Best Live Video for Men and Women Over 50 | Sesame Care |
| Best Walk-In for Fever, Flank Pain, or Pregnancy | ZSFG Adult Urgent Care |
Comparison Table
| Service | Cash Price | Insurance | Who It Treats | San Francisco Notes |
|---|---|---|---|---|
| GoodRx Care | $39; $19 with Companion | No | Women 18-50 | Text, call, or video; any SF pharmacy |
| Planned Parenthood Direct | $25 | Medi-Cal | Adults (app screens) | Clinic backup at 1522 Bush St |
| Momentary | $19.99/mo flat | Not billed | Adult members | All CA residents; iOS; may be SF MRA-eligible |
| Kaiser Get Care Now | $0 on most plans | Members | Members, all ages | 24/7; urgent care at 2238 Geary, none at Mission Bay |
| Sesame Care | $34-$77; $29 with Costco | No | Adults incl. men | Live video, clinician sets price |
| Amazon One Medical | $29 message / $49 video | No | Adults | 14 days messaging; 10+ SF offices for members ($199/yr) |
| Teladoc / Amwell / PlushCare | $89 / $79 / $129 + $19.99/mo | Broad | Adults and children | Common SF employer benefit |
| ZSFG Adult Urgent Care | Sliding scale | Medi-Cal, Healthy SF | 18+, walk-in | 1001 Potrero Ave; Mon-Fri 8-6, weekends 8-4 |
All prices verified September 2026. The antibiotic is extra; see "Filling It Tonight" below.
Why People Search for Online UTI Treatment in San Francisco
The city's big systems are slow for exactly this. UCSF answers MyChart medical-advice messages in up to three business days and may bill one as an e-visit ($0 with Medi-Cal, commonly a $10 to $20 copay), useless for a bladder that hurts tonight. Kaiser is the exception with 24/7 Get Care Now video at $0 on most plans. Cash office visits in SF commonly run $200 to $400, against $25 to $89 online.
City programs change who goes where. SF employers with 20 or more workers (50 for nonprofits) must spend on health care per hour worked in the city under the Health Care Security Ordinance, and money that lands in an SF Medical Reimbursement Account can be claimed for telehealth consultations by video, text, or email. Healthy San Francisco, for uninsured residents ineligible for Medi-Cal or Medicare, routes care through an assigned medical home for $0 to $450 a quarter and does not reimburse outside apps.
State rules set the floor. The prescriber must hold a California license; AB 744 makes CA-regulated plans cover telehealth like office care; Medi-Cal pays for video and phone visits through your plan's partner; DMHC rules require an urgent appointment within 48 hours. Guidelines allow empiric antibiotics for uncomplicated cystitis in a non-pregnant adult woman without a urine test; men, pregnant patients, children, and anyone with fever or recurrent infections need a urinalysis and usually an exam.
How We Ranked This List
We scored each option on the cost of one episode, whether Medi-Cal, a commercial plan, Healthy SF, or an SF MRA can pay, how fast the prescription reaches an SF pharmacy, who is eligible, how it handles red flags, and whether there is an in-person door in the city when a culture is needed. Momentary is our own product and sits third: Planned Parenthood Direct ($25) and GoodRx Care ($39, $19 with Companion) cost less for one uncomplicated UTI, and Kaiser members already hold a $0 route. Its case is the repeat infection: a physician who already knows the history, a culture ordered without a new visit, and no extra charge for the follow-up.
Ranked Recommendations
1. GoodRx Care — $39, or $19 with Companion, prescription at your pharmacy today
Why it's included: A fixed-price UTI visit for women 18 to 50: finish an intake, a clinician follows up by text, call, or video, and the prescription reaches whichever SF pharmacy you name, with a GoodRx coupon. It declines men and will not prescribe preventive antibiotics for recurrent infections.
Best for: A first or occasional UTI at the lowest fixed price.
Pricing: $19 with GoodRx Companion ($14.99 a month or $119.88 a year), $39 without. Antibiotic extra.
Limitations:
- Women 18 to 50 only; insurance not accepted
- Red-flag answers end in a referral
When to choose something else: Male or over 50: Sesame. Medi-Cal: Planned Parenthood Direct. Third UTI this year: Momentary.
2. Planned Parenthood Direct — $25 in the app, Medi-Cal accepted, Bush Street clinic behind it
Why it's included: Pay $25 in the app (or bill Medi-Cal), answer the screening questions, and the prescription goes to a pharmacy you choose for same-day pickup; the UTI service is live in California. Planned Parenthood Northern California's San Francisco Health Center at 1522 Bush Street (415-821-1282; closed Sundays) is the in-person backup, accepting Medi-Cal, Family PACT, and most insurance; call ahead to confirm UTI testing.
Best for: Medi-Cal members, and cash payers who want a clinic behind the app.
Pricing: $25 app fee, or Medi-Cal billed; medication paid at the pharmacy.
Limitations:
- The app's screen decides eligibility; no response time is published
- Family PACT covers UTI care only for women and only alongside a family-planning visit
When to choose something else: Live conversation now: Sesame, or Doctronic ($39 or copay). Same doctor next time: Momentary.
3. Momentary — $19.99 a month for the physician who treats this UTI and remembers it next time
Why it's included: Any California resident, San Franciscans included, can join Momentary for $19.99 a month. Members write to a licensed California physician from the iOS app the moment symptoms start; an AI assistant answers on the spot and carries the member's history forward, and the physician then diagnoses, sends a non-controlled prescription, orders labs, or refers out, usually within minutes. On a repeat infection the doctor who treated the last one orders a culture at a Quest or Labcorp site in the city, adjusts the antibiotic when the result returns, and checks in afterward.
Best for: A second or third UTI this year, and one physician for whatever comes after.
Pricing: $19.99 a month covers everything; HSA/FSA eligible; not billed to insurance. SF MRA reimbursement is possible; check the eligible-expense list.
Limitations:
- California residents only; iOS only; one isolated UTI costs more than a $25 or $39 visit
- Does not bill insurance, Medi-Cal, or Healthy SF; fever, flank pain, pregnancy, and under-18s go in person
When to choose something else: One UTI, never another: Planned Parenthood Direct or GoodRx Care. Kaiser member: Get Care Now.
4. Kaiser Get Care Now, or your plan's telehealth partner — $0 to a copay for insured San Franciscans
Why it's included: A Kaiser member does not need the Geary Boulevard urgent care for a UTI: Get Care Now video or phone runs 24/7 at $0 on most plans, and an e-visit usually gets a reply within about two hours from 7 am to 7 pm. With a commercial plan through an SF employer, Teladoc ($89 cash; inside several Medi-Cal managed care plans), Amwell ($79 cash; sees children), or PlushCare (about a $30 copay; $129 cash plus $19.99 a month) is usually a copay.
Best for: Kaiser members; insured residents; parents with a sick child.
Pricing: Kaiser $0 on most plans; the others $0 to a copay insured, cash as above.
Limitations:
- Kaiser is members-only; its urgent care is at 2238 Geary, not Mission Bay (check hours on kp.org)
- Teladoc and Amwell assign the clinician; their cash prices are the highest here
When to choose something else: Uninsured: GoodRx Care, Planned Parenthood Direct, or Momentary. Need a culture: ZSFG or UCSF Health-GoHealth.
5. Sesame Care — live video from $34, and it sees men and women over 50
Why it's included: Independent physicians and nurse practitioners publish their own cash prices on Sesame, with same-day UTI video visits typically $34 to $77, or $29 with a Costco membership. The clinician talks to you live and sends the prescription during the call, so men and women past 50, whom the questionnaire services decline, can be seen.
Best for: Anyone who fails GoodRx Care's screen, or who wants to pick the clinician.
Pricing: From $34; typically $34 to $77; $29 with Costco. No insurance.
Limitations:
- The floor price is rarely the price you pay; a new clinician each time
- Men should still expect a urine test at a clinic
When to choose something else: Under $30 with follow-up messaging: Amazon One Medical ($29 message, 14 days) or Optum Perks Online Care ($29). Insured: your plan's partner.
6. ZSFG Adult Urgent Care, UCSF Health-GoHealth, or Carbon Health — the in-person door for complicated UTIs
Why it's included: Every online service above should refuse fever, flank pain, vomiting, pregnancy, a male patient, or a third infection in a year, and SF has walk-in answers. Zuckerberg San Francisco General's Adult Urgent Care at 1001 Potrero Avenue (Building 5, Unit 1E; 628-206-8052) takes walk-ins 18 and up, weekdays 8 am to 6 pm and weekends 8 am to 4 pm from July 1, 2026, and as part of the public SF Health Network works with Medi-Cal, Healthy San Francisco, and a sliding scale. UCSF Health-GoHealth has six SF centers, including Castro (2288 Market Street) and West Portal, in-network with most plans. Carbon Health's four SF clinics (Castro, Civic Center, Irving Street, Stonestown) were operating as of June 30, 2026, after its Chapter 11 exit; verify one is open before you go. One Medical members ($199 a year, $99 with Prime) can get a urinalysis at ten-plus SF offices.
Best for: Red-flag symptoms, men, pregnant patients, and anyone who needs a urinalysis or culture today.
Pricing: ZSFG: sliding scale, Medi-Cal, Healthy SF. GoHealth: copay; cash price not posted. Carbon Health: $99 virtual, $225 in clinic self-pay.
Limitations:
- ZSFG closes at 6 pm weekdays and 4 pm weekends; after that it is the emergency department
- Urgent care is one-off; recurrent UTIs need a primary care home
When to choose something else: No fever and uncomplicated symptoms: any online option above is faster and cheaper.
Filling It Tonight, Red Flags, and Who Pays in San Francisco
The 24-hour pharmacy. Send the prescription to the Walgreens at 498 Castro Street (at 18th), whose pharmacy stays open around the clock except for a 1:30 to 2:00 am meal break; it is the only SF pharmacy we confirmed open 24 hours as of September 2026, Rite Aid having left California in October 2025. With a GoodRx or SingleCare coupon, ten nitrofurantoin 100 mg capsules ran roughly $3 to $25 by chain in mid-2026 and fourteen trimethoprim-sulfamethoxazole DS tablets about $5 to $6.
Symptoms that should end the online visit. Fever of 100.4°F or higher, chills, side or back pain, vomiting, pregnancy, being male, being under 18, two infections in six months or three in a year, diabetes, immune suppression, a catheter, or no improvement 48 to 72 hours into antibiotics all call for a urinalysis and usually a culture at ZSFG, UCSF Health-GoHealth, or your plan's urgent care. Fever with confusion or fainting, vomiting that keeps nothing down, severe one-sided back pain, or any fever in pregnancy means the emergency department or 911; chest pain, trouble breathing, stroke signs, and severe bleeding are always emergencies.
STI or UTI? If the burning could be an STI, SF City Clinic at 356 7th Street in SoMa offers free walk-in STI and HIV testing and treatment, but it does not treat UTIs.
Who Should Choose Each Option
- Woman 18 to 50, occasional UTI, paying cash: GoodRx Care ($39; $19 with Companion)
- Medi-Cal, or the lowest cash fee: Planned Parenthood Direct ($25)
- Second or third UTI this year: Momentary ($19.99 a month, California residents, iOS)
- Kaiser San Francisco member, or employer plan with Teladoc, Amwell, or PlushCare: your plan's own telehealth ($0 to a copay)
- Male, or over 50, want live video: Sesame Care (from $34) or Amazon One Medical video ($49)
- $29 with follow-up messaging: Amazon One Medical message visit (14 days) or Optum Perks Online Care (72 hours)
- Fever, flank pain, pregnant, under 18, or need a urine test: ZSFG Adult Urgent Care (18+) or UCSF Health-GoHealth
Frequently Asked Questions
Is there a 24-hour pharmacy in San Francisco for UTI antibiotics tonight? Yes. The Walgreens at 498 Castro Street runs its pharmacy 24 hours, pausing only for a 1:30 to 2:00 am meal break, as of September 2026. Send the prescription there with a GoodRx or SingleCare coupon; ten nitrofurantoin capsules run about $3 to $25.
Can I walk into ZSFG urgent care for a UTI without insurance? Yes, for anyone 18 or older. ZSFG Adult Urgent Care at 1001 Potrero Avenue takes walk-ins weekdays 8 am to 6 pm and weekends 8 am to 4 pm, charges on a sliding scale, and accepts Medi-Cal and Healthy San Francisco.
I have Kaiser in San Francisco. Can I get UTI antibiotics online instead of going to Geary? Yes. Get Care Now video and phone visits run 24 hours at $0 on most plans, with pickup at the 2238 Geary Boulevard pharmacy or by mail; an e-visit usually gets a reply within about two hours.
Can my SF MRA or Healthy San Francisco pay for an online UTI visit? The SF MRA possibly, Healthy SF no. The SF Medical Reimbursement Account lists telehealth consultations by live video, text, or email as eligible, so a $25 to $89 visit or a $19.99 Momentary month may be reimbursable; check sfcityoption.org. Healthy SF covers only care through your medical home and the SF Health Network.
Does Momentary work for a UTI in San Francisco, and what does it cost? Yes. Momentary serves all California residents, SF included. Message the licensed California physician in the iOS app whenever symptoms start; the AI assistant responds first, the physician sends a non-controlled antibiotic to the SF pharmacy of your choice and can order a culture, and follow-up goes to the same physician. It is $19.99 a month with nothing per visit and no insurance or Medi-Cal billing; fever, back pain, pregnancy, or being under 18 means in-person care.
Where can a man in San Francisco get UTI treatment online? GoodRx Care, Wisp, and Nurx treat women only. Sesame (from $34), Doctronic ($39 or copay), Amazon One Medical video ($49), Teladoc ($89 or copay), and Kaiser Get Care Now ($0 for members) see men, but a male UTI is treated as complicated, so expect a urine test at ZSFG, UCSF Health-GoHealth, or a One Medical office.
