Does it cost extra to go to the ER?

Asked by: Noble Nikolaus  |  Last update: January 26, 2026
Score: 5/5 (48 votes)

An ER visit costs $1,500 to $3,000 on average without insurance for non-life-threatening conditions. Costs can reach $20,000+ for critical conditions requiring extensive testing or emergency surgery. Essentially, the more severe your condition or issue, the more you are likely to pay for the ER visit.

Does it cost money to get checked at 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.

How much do most ER visits cost?

Aggregate costs for treat-and-release ED visits totaled $80.3 billion in the United States in 2021, encompassing 107.4 million ED visits with an average cost per visit of $750. The average cost per visit was lowest for children and highest for those in the 65 and older age group.

Can you go to the ER without paying?

Emergency room staff cannot deny care or treatment to people without insurance, but they do charge for their services. The fees of emergency rooms are higher than those of urgent care centers. It may be a good idea to research and consider what situations might warrant a visit to each place.

Do ER charges per 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.

What you need to know about the cost of visiting the ER

17 related questions found

Is urgent care or ER cheaper?

When it's not an emergency, urgent care centers or walk-in clinics are convenient and may cost less. You can get care for things like colds, minor cuts, and sprains or strains. They are usually cheaper than an ER visit. And your wait time to get care may be shorter.

Can you ignore ER bills?

Ignoring Medical Bills Creates Problems: Credit Score Damage, Debt Collectors, Lawsuits. Explore Solutions: Payment Plans, Financial Aid, & Potential Personal Injury Claim.

Does insurance cover ER visits?

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 ...

Why is my ER bill so high?

Is this based on severity? Hospitals will bill you for a line item called “ER Visit Level” that is based on the complexity of your treatment. ER visit levels range from 1-5: ER visit level 1 is the most mild, while ER visit level 5 is the most severe.

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 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!)

What do you say to get seen faster in an emergency room?

Be specific: Describe your symptoms in detail. Instead of saying “I feel sick,” explain the specific symptoms you are experiencing, such as nausea, dizziness, or chest pain. This will help the medical staff understand the urgency of your situation. Use descriptive language: Paint a vivid picture of your symptoms.

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 get charged if you leave the emergency room?

Insurance Companies Refusing Payment for Patients Who Leave the Emergency Department Against Medical Advice is a Myth.

Do hospitals have to give itemized bills?

Getting your itemized bill is the first step in negotiating your hospital bill. Unfortunately, most hospitals won't send your itemized bill unless you ask for it. The good news is that once you do request your itemized bill, your hospital is legally required to send it to you within 30 days.

Can I go to ER without insurance?

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.

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 hospitals charge more if you have insurance?

Results. Compared to those with no insurance, patients with private insurance received hospital bills that were an average of 10.7% higher and patients with Medicare received bills that were an average of 8.9% higher.

What happens if you don't pay an ER visit?

If you do nothing and don't pay, you could be facing late fees and interest, debt collection, lawsuits, garnishments, and lower credit scores.

How do I lower my ER bill?

1. Understand your medical bill.
  1. Request an itemized bill. Like a receipt, an itemized bill breaks down all the charges, including the cost of each procedure, medication, and service. ...
  2. Double-check your medical codes. ...
  3. Compare prices. ...
  4. Offer to pay upfront. ...
  5. Try a payment plan. ...
  6. Negotiate based on comparable rates.

Can I leave the ER without telling anyone?

The guidelines state that EMTALA is not violated if a patient leaves against medical advice (AMA) or leaves without being seen (LWBS), as long as the patient leaves of their own free will, without suggestion or coercion.

How can I pay less for an ER visit?

Asking for a Reduction
  1. Request a lower hospital bill from the billing department. ...
  2. Pay as much of your hospital bill as you can in cash for more leverage. ...
  3. Use confident, personal language during negotiations. ...
  4. Express your emotional state to gain leverage. ...
  5. Always keep records of your communications.

Is going to the ER worth it?

You should call 911 or come right to the emergency room if you're systemically sick. That's when an illness affects your entire body, and you have severe pain or sudden onset of severe symptoms, a fever that won't break, or “something doesn't work,” like you're unable to move an arm or leg or breathe normally.

Is it more expensive to go to ER at night?

Paul Kivela, an emergency physician in Napa, Calif., who is president of the American College of Emergency Physicians. He notes that the cost of staffing an emergency department at night is higher than by day. The surcharge is typically modest (often less than $100), according to billing specialists.