Thanks for replies but I have no fear that I will not get the xray, it is similar situation to sports injury, the doctor can do nothing and I know from speaking to another health professional that an xray is needed to confirm broken or not, either way the doctor is not going to be able to do much. By the way I am not out to dodge a charge, I simply want to keep the cost as low as possible obviously. I actually already went to A&E initially but as my injury was not considered 'serious' I was advised that my wait could be very long as more important cases kept getting seen ahead of me, I waited as long as I could, paid a lot for parking, pain killers had worn off, starving, so I eventually left as I had a commitment I could not miss. They have sent me a bill for the 100 but as I was not treated I have returned it with explanation, another health professional has since told me the correct route would have been through the doctor and it would have saved me money and if there is no improvement within couple of days then I will be heading for doctor.