Do you get charged for going to the emergency room?

Asked by: Clinton Gerhold  |  Last update: February 19, 2025
Score: 4.6/5 (15 votes)

Going to the Hospital Without Insurance The legal obligation for emergency rooms to treat you whether or not you're insured shouldn't be confused with free treatment. You'll be charged afterwards, whether you can pay or not.

How much do most ER visits cost?

Average ER visit cost

An ER visit costs $1,500 to $3,000 on average without insurance, with most people spending about $2,100 for an urgent, non-life-threatening health issue. The cost of an emergency room visit depends on the severity of the condition and the tests, treatments, and medications needed to treat it.

Do you get charged for going to the ER?

Expect to get two bills from your ER visit — one for facility charges, and the other for professional or physician charges. For more information on the different types of hospital bills, see our itemized bill guide.

Can I go to the emergency room without paying?

If you have a serious medical problem, hospitals must treat you regardless of whether you have insurance. This includes situations that meet the definition of an emergency. Some situations may not be considered true emergencies, such as: Going to the ER for non-life-threatening care.

Does the ER charge you up front?

Believe it or not, it can happen, and -- if you're not careful -- it probably will, too. Although the average ER bill costs well over a grand, hospitals all across the U.S. may start tacking on upfront charges (prior to even giving you any treatment or medication!)

Emergency Room 911 or Urgent Care or Doctor Visit | Medical Advice With Doctor ER

22 related questions found

What happens if you go to the ER and have no money?

If you're in the USA, hospitals must by federal law treat all patients with life threatening conditions without regard to the ability to pay.

Does ER charge by the hour?

A common question is whether emergency rooms (ERs) charge by the hour. The short answer is no, emergency rooms do not typically charge by the hour. Instead, they charge based on a variety of factors including the services rendered, the complexity of the case, and the specific treatments administered.

Are ER visits covered by insurance?

According to section 1371.4 of the California Health and Safety Code, coverage of ER visits can only be denied if it is shown the patient “did not require emergency services care and the enrollee reasonably should have known that an emergency did not exist.” The California rule does not rely on a fictitious “prudent ...

How much is a hospital bill without insurance?

The average per-day hospital cost in the U.S. is $2,883, with California ($4,181) the most expensive, and Mississippi ($1,305) the least. The average hospital stay is 4.6 days, at an average cost of $13,262. If surgery is involved, hospital costs soar through the roof.

Is urgent care cheaper than ER?

An urgent care visit is between $100 and $200 – about ten times less than the average ER visit. If you have insurance, it should only be the cost of your co-pay. Most urgent care clinics are open 7 days a week. And, on average, wait times are 30 minutes or less.

Is going to the ER free?

The legal obligation for emergency rooms to treat you whether or not you're insured shouldn't be confused with free treatment. You'll be charged afterwards, whether you can pay or not.

Do you have to pay before leaving ER?

However, you may be asked to provide your medical insurance information again before leaving the hospital. This allows the medical facility to bill your insurance or have you pay any amounts due (patient responsibility) before exiting.

How does ER billing work?

Typically, you have a copay (a set dollar amount) or co-insurance (a percentage of the claim) due for services rendered. You pay a small part of the medical bill and your insurance company covers the rest. Your health insurance plan includes benefits for emergency room visits.

Do you have to pay your copay at the ER?

But the ER copay is really a fee.

The good news, though, is that if you are admitted to the hospital, this “copay” (fee) is waived. To cut to the chase, there is not a more expensive place to receive medical care than in an American hospital emergency room.

Does it cost extra to go to the ER?

Emergency Room (ER) costs can vary greatly depending on what type of medical care you need. How much you pay for the visit depends on your health insurance plan. Most health plans may require you to pay something out-of-pocket for an emergency room visit.

Is it better to go to the ER at night or morning?

ERs generally see a decline in patient visits during the early morning hours. Furthermore, weekends, in contrast to popular belief, also tend to be less crowded. If your condition is not life-threatening but still requires immediate medical attention, considering these off-peak hours might be beneficial.

Do you have to pay hospital right away?

In other situations, including a pre-scheduled surgery, the hospital or other providers can ask for at least some payment upfront. But in most cases, a health plan's network contract with the hospital or other medical provider will allow them to request upfront payment of deductibles, but not to require it.

Can insurance refuse to pay hospital bills?

Reasons your insurance may not approve a request or deny payment: Services are deemed not medically necessary. Services are no longer appropriate in a specific health care setting or level of care. You are not eligible for the benefit requested under your health plan.

Why are ER visits so expensive?

Regardless of other services provided, which are billed separately, the facility fee can be thought of as the cost for walking in the door. For emergency departments, facility fees help ensure a revenue stream to stay open and be able to provide mandated services to the public 24 hours per day, 7 days per week.

Do I have to pay at the ER if I don't have insurance?

Emergency Care Coverage: The EMTALA ensures emergency medical treatment regardless of insurance, but uninsured patients face full bills for all services. Negotiating Bills: Uninsured patients can negotiate hospital bills, seek financial assistance, and often receive discounts from hospitals and doctors.

When should you not go to the emergency room?

When Should You Not Go to the ER? If your condition or injury requires professional care, but will not get worse if not immediately treated, you can hold off on the ER visit and make an appointment to see your primary care physician or visit a walk-in care center.

Do you pay a deductible for an emergency room visit?

For example, you may pay copays or coinsurance for an ER visit and for services you receive while in the ER. Some plans also have deductibles. It's important to check each plan's details for information about coverage for ER visits.

How does the ER cost?

ER visits can cost upwards of over $1,000 a visit, with an average visit costing between $1,200 and $1,300. The cost of care shouldn't be the only consideration. Time is important, too. The average wait time at an emergency room is four hours.

How to lower an ER bill?

  1. Get started early. ...
  2. Make sure there aren't any errors on your medical bill. ...
  3. Ask about any financial assistance programs. ...
  4. Research the insured rate for your service. ...
  5. Request or negotiate your payment plan. ...
  6. Check to see if the expense is HRA-, HSA-, or FSA-eligible. ...
  7. See if your employer offers a health stipend.