Luck you. Every time it was a trip to ER and $100 co-pay. Recently, (too recently) we found a clinic that's open later in the venings that can do some of the simple suters and things. If there are future events, we'll go there and avoid the ER visit co-pays.
Yikes!
When one of ours split his scalp open, I took him to our regular doc. It was one of those lacerations where the treatment (sutures vs. triple antibiotic ointment + time) could go either way. The doc pointed out that, if I'd gone to the hospital (our closest one is a teaching hospital), it would definitely have been sutures because they need to give the students some training.
To me, since the wound would be covered by hair anyway, I opted for the doctor's office (a $5 co-pay at that time) as opposed to the ER (a $25 co-pay).
I warn the kids not to do anything that will require a trip to the emergency room, or they'll end up inside doing schoolwork all the time!