An emergency room visit typically is covered by health insurance. For patients covered by health insurance, out-of-pocket cost for an emergency room visit typically consists of a copay, usually $50-$150 or more, which often is waived if the patient is admitted to the hospital. Depending on the plan, costs might include coinsurance of 10% to 50%.
For patients without health insurance, an emergency room visit typically costs from $150-$3,000 or more, depending on the severity of the condition and what diagnostic tests and treatment are performed. In some cases, especially where critical care is required and/or a procedure or surgery is performed, the cost could reach $20,000 or more. For example, at Park Nicollet Methodist Hospital in Minnesota, a low-level emergency room visit, such as for a minor laceration, a skin rash or a minor viral infection, costs about $150; a moderate-level visit, such as for a urinary tract infection with fever or a head injury without neurological symptoms, about $400; and a high-level visit, such as for chest pains that require multiple diagnostic tests or treatments, or severe burns or ingestion of a toxic substance, about $1,000, not including the doctor fees. At Dartmouth-Hitchcock Medical Center[1] , a low-level emergency room visit costs about $220, including hospital charge and doctor fee, with the uninsured discount, while a moderate-level visit costs about $610 and a high-level visit about $1,400.
Services, diagnostic tests and laboratory fees add to the final bill. For example, Wooster Community Hospital, in Ohio, charges about $170 for a simple suture, $200 for a complex suture, about $170 for a minor procedure and about $400 for a major procedure, not including doctor fees, medicine or supplies.
A doctor fee could add hundreds or thousands of dollars to the final cost. For example, at Grand Lake Health System[2] in Ohio, an emergency room doctor charges about $100 for basic care, such as a wound recheck or simple laceration repair; about $300 for mid-level care, such as treatment of a simple fracture; about $870 for advanced-level care, such as frequent monitoring of vital signs and ordering multiple diagnostic tests, administering sedation or a blood transfusion for a seriously injured or ill patient; and about $1,450 for critical care, such as major trauma care or major burn care that could include chest tube insertion and management of IV medications and ventilator for a patient with a complex, life-threatening condition. At the Kettering Health Network, in Ohio, a low-level visit costs about $350, a high-level visit costs about $2,000 and critical care costs almost $1,700 for the first hour and $460 for each additional half hour; ER procedures or surgeries cost $460-$2,300.
According to the U.S. Agency for Healthcare Research and Quality[3] the average emergency room expense in 2008 was $1,265.
According to the U.S. Centers for Disease Control and Prevention, in 2008, about 18%of emergency room patients waited less than 15 minutes to see a doctor, about 37%waited 15 minutes to an hour, about 15% waited one to two hours, about 5% waited two to three hours, about 2% waited three to four hours, and about 1.5% waited four to six hours.
In some cases, the doctor might recommend the patient be admitted to the hospital. The American College of Emergency Physicians Foundation offers a guide[4] on what to expect.
Additional costs:
An ambulance ride typically costs $400-$1,200 or more, depending on the location and services performed.
Discounts:
An urgent care center offers substantial savings for more minor ailments. DukeHealth.org offers a guide[5] on when to seek urgent care. An urgent care visit typically costs between 20% and 50% of the cost of an emergency room visit. MainStreetMedica.com offers a cost-comparison tool for common ailments.
Hospitals often offer discounts of up to 50% or more for self-pay/uninsured emergency room patients. For example, Ventura County Medical Center[6] in California offers ER visits, including the doctor fee and emergency room fee but not including lab tests, X-rays or procedures, for $150 for patients up to 200% of the federal poverty level, for $225 for patients between 200% and 500% of the federal poverty level and $350 for patients from 500% to 700% of the federal poverty level.
Shopping for an emergency room visit:
The American College of Emergency Physicians Foundation offers a primer[7] on when to go to the emergency room.
In most cases, it is recommended to go to the nearest emergency room. The U.S. Department of Health and Human Services offers a hospital-comparison tool[8] that lists hospitals near a chosen zip code.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
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Tests or Treatment Required: Nitrogen pill and a scan
Wow incredible. Without insurance $7k+ with insurance $5k+. Retired, disabled and on a fixed income it will take a decade to pay off. Thanks medical team. I feel victimized by the hospital. Now I have to go into negotiations. $%@&*$ so frustrating. An industry that preys on the sick and scared for financial expoitation isn't good but for only the greedy.
Posted by: Out of town Kidney Stone, 1st Hospital I found in Spotsylvania, VA.
Posted: January 23rd, 2022 09:01AM
Medical Center: Spotsylvania Regional, VA
Condition: Kidney Stone
Tests or Treatment Required: Blood work, CT Scan, meds
Arrived in severe pain. I'm 49 years old,haven't had a period in 3 years, and they did did a pregnancy test for $206.23. 5 different other labs to total approximately $2,200. On top of that I got billed by the doc who referred the labs to the lab for about $200. And then by the lab. CT scan $4,228 and of course billed $300 by radiologist to read it (I understand that). They couldn't get an IV in me. 3 different people and blood all over me. Wouldn't let me go to the bathroom, soiled myself. Finally got iv in and morphine. Let with scripts (more money) I was from out of town, and had to attempt to drive myself and son home the next day still trying to pass the stone. 2.5 hours of horrible pain. Took 2 more days to pass it. Still trying to figure this bill out 4 months later.
Tests or Treatment Required: CT scan w/c, urinalysis, metabolic panel
My daughter thought she was having an appendicitis. Went into out patient ER for less than 2 hours (pop-up hospital in Las Vegas). Told when I was checking out it would be $149. I have a zero deductible - informed him I had no $ on me and needed to be billed. He said ok and the bill is $4,400!! I have compared CT scans and they are charging $13,233, ER level 5 visit $5,523, etc. I am floored. Trying to fight some of the bill as this is unacceptable.
Doctor observed my pain for five minutes and remembered his own condition once No tests, no treatment. Recommended a scan. I already that would have made this visit even more of an outrage. Can't believe the insurance and medical community can get away with this.
I finally broke down and went to the ER,in which we waited for 2.5 hrs to be seen (I knew I should have walked out). I was taken back and questioned by nurses, who ordered meds and brought me to a cubicle with the quick prep drink for the scan. They did some blood and urine and that was it. I never once saw a doctor. They never once googled Gastroparesis, but instead sent me home with an enema and Magnesium Citrate. If things like that worked, I never would have gone to the ER in the first place. I just took them and left-after 8 hrs I felt worse than I did on arrival. I was angry and upset. They failed to do anything, and I was going to be billed for it and then some. Of course the Dr's bill arrived first, which I'm currently disputing. I have no problem paying for services rendered, I'm just tired of being billed for things that never happened. I noticed the cost of the CT scan was $7800, but there's 2 iodine charges $832 & $700 and the doctors fee of $700. $7800 was scan only.WTF?
Tests or Treatment Required: Took some blood tests
I had been bleeding slightly, and was really worried so I went to the emergency room. I had no idea they would charge me so much for an IV (that i didn't even need) and some blood and urine tests. They just confirmed what I already knew (that I'm pregnant) and couldn't explain the bleeding, just told me it was common sometimes. I ended up having a miscarriage two days later. Not helpfull what so ever, and SO expensive!
Posted by: Get out while you can in Midwest City, OK.
Posted: August 14th, 2021 05:08PM
Medical Center: Ssm
Condition: Back injury
Tests or Treatment Required: CT scan pain shot
Was in the waiting room for six hours before actually got into see them they did a CT scan and said that they couldn’t see nothing gave him morphine shot said go home come back in a couple days if it wasn’t better
Tests or Treatment Required: EKG, Blood Tests, Urine Test
I went in twice (one month I between) because I though I was having a heart attack. Turns out my anxiety cost me 2k! First hospital visit the person on the phone about my bill told me I got a discount from ~700 down to 450. I got the latest "bill" and it went back up to ~700! My insurance should make it so that my ER visits are 400, so idk why 300 extra was added for an EKG (already billed to me for 27), blood work (my insurance says that will be around 50), and a urine test (why would this be any more than 10 if the EKG was 27?!) Anyways, I'm going to call to negotiate but why is it is it negotiable?! They really need to be figuring a base level price and not charging the max, super sneaky and disgusting if you ask me...
ER was nearly empty. I was in and out in 1 hour. The DR was in my room for about 15-20 minutes. He used saline and gauze to cleanse, lidocaine and syringe to numb, needle and thread for 5 stitches, gauze to bandage. We paid the copay, and the bill came to $2,657.00, of which insurance paid just over $2,000, leaving me with a bill of over $500 for 5 stitches. I now understand why people use super glue instead of going for medical treatment. I requested an itemized bill, and pointed out the original diagnosis mentioned scalp wound. New itemized bill only showed er visit $419, lidocaine $8.47, and 'ED Proc Cat 2' $2,238.00. If this is correct, our system is more broken than I thought.
Very simple situation. Go in for migraine late at night, given a bag of saline, waited an hour for an MRI- never told costs of anything. Discharged after MRI. Boom $5,000... Well my migraine is back.
Went in told them I have insurance and I am unemployed tried to hand them my medical records the doctor asked me what was wrong I told him a stone I feel it rolling in my intestines he asked how I knew it was a stone told passed at least 13 told there is a non narcotic drug that you have to get the shot for first before you can get the pill he said we will give morphine ! Guy nurse came stuck me in my left arm 3 time to get an ivy in blood spurting over gave bandaid went to the other arm 2 twice blood all over never gave morphine sent home with 200 mg of ibuprofen now this bill WHO MAKES 10000 dollars an hour ???? For shitty work ! Talked to accounting they told the doctors have to pay back their student loans CROCK OF CRAP !!@@
Tests or Treatment Required: cat scan, blood lab, IV
After Lab and IV and cat I was taken to cat scan which was about 1.5 hours then taken back to room. After waiting another 1.5 hours the doctor came in with reviewing results of no surgery necessary and sent me with a prescription which was a strong laxative. was sent I had an expensive insurance plan that only covered $350 of lab and $100 of Emergency Room admission The Dr billed separate and it was $1,454.
Tests or Treatment Required: EKG, Cat Scan, Chest X-Ray
Went to ER for dizziness and nausea. Never saw a DR just the LPN. LPN Charged $3,800 for 30 minutes of telling me she thinks it’s a sinus infection. They gave me A Rocepheren IV and some prescriptions to get filled later. Meds didn’t work. I stayed sick for 3 more weeks.
I was seen in ER for just knee pain no trauma and charged for labs that were never drawn and level 4 visit! Dr charged 1116 and hospital over 5 thousand dollars diagnosis of arthritis. Self pay never advised of what this would cost, if I had known medicare part a would not cover I would have left
lance and drain. Emergency room cost was covered by Medicare & private insurance. PA who did procedure charged $3300. Medicare and my insurance covered $1000 of the bill. I am fortunate that PA did not charge me $10000. It appears that one can be charged whatever the doctor decides to charge, and there appears to be no effective recourse.
Tests or Treatment Required: CT SCAN AND ULTRA SOUND,BLOOD AND URINE
Iv,1 pain shot,Ct Scan and ultra sound...Gallbladder full of stones,but Dr.told me I had a viral infection and would be better in a week...sent me home with script for nausea meds nothing for pain.I spent 2 days in horrific pain passing stones.This is why people refuse to go the the Dr/hospital.
I was there in hospital only for 15 minutes. due to Covid Urgent care was closed near my house. Doctor came and prescribe me anti biotic ear drops and pills. Got a rude shock when they charge me with huge bill. My insurance is not paying anything because of my deductible. Now I have to pay this entire amount. It is very sad in this situation when people like me have lost their JOB.
Tests or Treatment Required: CAT SCAN / X-RAY / ECG
JUST EXTREMELY UPSET FOR GOING THERE, WENT TO THE ER BY MYSELF CLOSE TO FADE OUT AROUND 11:15PM ON NOV 23 2019 FOR NOT BEING ABBLE TO BREATH, WITHOUT ANY PREVIOUS CONDITION WHATSOEVER, YOUNG, HEALTH AND NO DRUGS OF ANY KIND, AFTER CAT SCAN, X-RAY AND ECG AND A COUPLE BLOOD TEST NOTHING WRONG WAS FOUND SO AFTER ROUGH 6 HOURS AT 5:15AM ON NOV 24 THE DOCTOR TOLD THE NURSE TO DISCHARGE ME, AND TOLD ME TO LOOK FOR MY FIRST CARE PHISICIAN! THE MOST AMAZING PART IS THAT I LEFT IN THE SAME CONDITION I GOT IN ?! CAN SOMEONE BELIEVE THIS? EVEN WORST IS THAT I DISCOVERED IN THE DAY AFTER THAT MY ONLY PROBLEM WAS THAT MY COLON WAS FULL OF FECES, BLOATED AND CONSTIPATED PRESSURING ALL MY ORGANS AND MAKING IT EXTREMELY HARD TO BREATH, I DISCOVERED IT FOR SURE HEADING TO THE TRONE, BUT WHAT MAKES ME EVEN MORE STUNNING IS THAT IN THE HOSPITAL AFTER 6 HRS THE "GREAT" DOCTOR AFTER REQUESTING ALL THIS EXAMS COULDN'T REALIZE THE PROBLEM, JUST SENT ME HOME IN THE SAME CONDITION I GOT IN, AND COST ME $4400!
I have used the emergency room service for getting a prescription on diabetes. The technician tested my glucose level. After that, the doctor hardly spent 5 minutes talking to me and another 5 minutes to write the prescription. The doctors fee was 800$ and the hospital fee was 549$. Out of the 1349$, I have to pay 546$, the rest is being paid by my insurance. My question is, can a doctor charge 800$ for diabetes history?
My toddler had diarrhea all day, I took him into the ER and the doctor pressed on his belly to check for obstructions, asked us to sit in the room for a bit, and then advised that summer is stomach virus season for small children and sent us on our way. No blood draw, no stool sample. I won't be paying, and I won't be going back to an ER unless I or someone I love is certainly going to die for not going.
ER visit after a memory loss episode. I explained I was uninsured & wanted minimal testing. I agreed to the tests suggested as I have a family history of heart disease & stroke. Dr spoke to me for maybe 20 mins total at most, as I came in & to tell me the diagnosis & suggested follow up care. He wanted to admit me saying I had a mini stroke so should stay for a neurology exam-carotid ultrasound & brain MRI. I refused & said I said I will go to a neurologist on my own. They had me give a urine sample. It was still on the sink counter as I left the ER. I was charged $400 just for that. I am refusing to pay that portion of the bill. The 6337.50 was after an adjustment of over 2000 from the original total of 8450. The itemized bill did not show the original charge & revised after their adjustment for each item. I think the adjmt was to make me think I got a cash discount. Diagnosis was wrong. no mini stroke, it was dehydration.
Tests or Treatment Required: Rectal Exam/EKG/Urine Test
Went in around 9pm, it was empty, they took 15 min to tend to me, 5 min to register, 5min for vitals, 15 min of waiting in room for doctor. Doctor came in and asked what’s wrong, she performed a urine test and rectal exam, didn’t hear my heart or lungs, told me no blood in stool, BP is normal from what I see in monitor, it’s normal to have anxiety, you are free to go home. I got dressed, got discharge paperwork but nurse stopped me and performed a ekg and then left and told me you can go. I left, and my discharge paperwork said, prescription: Go on diet for heart health!!!! I waited two days and had to go to urgent care and they charged me 129 dollars and did a X-ray, ekg and MRI, they realized my colon was full of feces causing me to be bloated, gassy and constipated and they even did the Covid-19 test just because. They diagnosed me with GERD! All for 129 dollars!!! On top of that the ER didn’t even discuss EKG results!!! They just emailed me a bill for their misdiagnosis!
Walked in to hospital shortness of breath and heart palpitations. After 20 minutes gave me an EKG. And sent me back to waiting room. Waited 4 hours to been called in a room. Hooked me up to heart monitor. Took bloodwork, gave me a IV fluid. And ekg. Took my blood pressure. Which was high. They said I was very dehydrated. Waited an hour between each of the 3 tests to see Dr. So total of 8 hours. At the hospital. They found nothing wrong. Just dehydrated, I have an Arrythmia, and elevated white blood cell count, they said I my be fighting off a virus. So it was $2427.00 with insurance. Without insurance $4854
Tests or Treatment Required: CT scan, no contrast, .05 mg pain med
This became 2 visits as one medicine triggered a seizure and had to return! Then the required Uroligst where I had to get more x-rays which costs $11,000! In 2 months I’m nearly in $100,000 debt! But here is another fun fast! A medicine for depression is on the market for people that showed no improvement on regular antidepressants, and these are people like on the verge! The price for one month treatment, $36,000 and insurance won’t cover it! This is America!
I was charge $766 for the emergency room visit. Not including the doctors fees. I ask for an itemized receipt they told me that is their flat rate cost for emergency room visits to check my vitals. I was not tested for any other diseases The doctor literally looked at me and told me I had anxiety and sent me home. I believe we can make this case law if we put our minds together because this is ridiculous it’s either pay a high hospital bill, go into debt, or die. We have to do something.
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