Dermatologist...$?

I dont have insurance, so I was wondering if anyone knew that a derm. Would accept me just paying for the visit and medicine in just cash, if anyone knows anything about that let me know, because I know with regular doctors that is possible, but ive never been to a derm., also, if that os possible and I can go, does anyone have any recommendations on acne medication? I have moderate acne, but I dont really want a cream because my skin is also a little sensitive and even with cleansers you can buy anywhere my face gets dry very easily and peels and stuff, making it impossible for me to wear make up, and for anyone who has acne, you understand that without make up it looks much worse (and dont worry about telling me that I need to use certain make ups, I know that, I have skin clearing makeup now) thanks!