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Emergency Room - Typical Average Cost of Hospital ED Visit

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Average Cost for People with Hospital ER Visit, 2012, MEPS  Editor's Pick

Average expenses for people who had one or more visits to the Emergency Room were $1390 in 2012, according to the Medical Expenditure Panel Survey (MEPS). Median, or typical, cost was $713.For people ages 45 to 64, the cost was substantially higher on average ($1851). Uninsured people under age 65 averaged $1466 in expenses ($600 median), of which they paid almost half (47%) out of pocket. While average cost for those age 65 and up was $1285, Medicare recipients paid only about 5% to 6% out of pocket. Median charges for children under age 18 were $395 to $451

Emergency Dept. Report - Florida 2013 data (pdf)

Summary report shows average cost (charges) for a hospital ER visit based on acuity. Low acuity Pediatric visit was about $800 in 2013; high acuity pediatric ER visit was about $2400. For adult women, low acuity mean charge was $1526; High acuity average 2014 charge for men was $5512. Common symptoms (e.g. $7482 for abdominal pain visit to the ER; $1651 for upper respiratory infection visit; $3058 for a sprain; $4809 for headache including migraine, urinary tract infection averaged $48570 and more. Costs increased with age. See Tables 4 and 5 for average prices for an emergency visit and Insurance status or Self-Pay charges. 21 pages, published by FL Agency for Health Care Admin. Oct. 2014

Florida ER Visit Charges, 2014 (interactive)

Find the average cost of an emergency room (ER / ED) visit at each Florida hospital in 2014. State average ER cost was $4546. North Florida Regional Medical Center in Gainesville had the highest average charge in FL at a whopping $11,413 per ER visit in 2014. Only 3 hospitals had an average charge of $1000 or less. Complexity and seriousness of the visit vary from hospital to hospital. Easy to use tool, but not diagnosis-specific. From FloridaHealthFinder.gov.

Healthcare Expenses for Seniors (MEPS 2011 data)

Special report on Health Care Expenditures for the Elderly Age 65 and over, shows median annual expenditures were $4206. Average expenses for those with expense were $9863 in 2011. Medicare paid over 62% (up considerably from 10 years ago); private insurance paid 16%; out-of-pocket amount declined to 12%. 96% of seniors had some healthcare expense, most often office-based care and prescribed medicines. Medications took up 22% of the total, averaging $76 per purchase. For seniors, the inpatient room rate averaged $3199 per day (sticker shock); ER visit was $884 on average; office visit was $228. MEPS Statistical Brief #429, Jan. 2014

How Much Does an Office Visit cost compared to an ER visit?

An average physician office visit in 2008 cost $199, compared to $922 for an Emergency Room visit (median was $89 for doctor's visit, vs. $422 for ER). Top 5 conditions shown for each ambulatory care visit type. Consumers should expect considerably higher prices since 2008. MEPS data published in Statistical Brief #318, March 2011

Minnesota: How Much Does It Cost? (word doc)  Editor's Pick

Short document from the Minnesota Council of Health Plans, 2005, displays average charges (from 2003) for nearly 50 common medical treatments (including endoscopy, ear tubes, hysterectomy, tonsillectomy, having a baby, and some prescription drugs), using Minnesota data. An interesting comparison is the cost for the same problem (e.g. sore throat or ear ache), depending on whether the patient seeks office care, urgent care or ER care. This report adds together charges from both the hospital and the physician - not commonly seen in reports of charges. In a time when price data are so difficult to get, this report earns an Editor's Pick as a starting point. After all, did you know that stepping on a rusty nail could cost over $1000, or that a colonoscopy could be a $2000 question? (And this was BEFORE 7 years of steady price increases!)

Nevada Hospital Emergency Room Prices - Compare (free)

Compare hospital ER visit prices (2011) in Nevada for common reasons people visit emergency departments. Choose illness and hospital (one hospital at a time). Compare to common charges in the county and NV average. For example, a migraine treated in ER typically cost $2200 in NV (and a headache costs $4162). Consumers should note that physician fees are extra, and NOT shown in the website prices. They may also need to add inflation factor for 2012. Prices are disease-specific. Nevada PricePoint through NV Hospital Assn.

New Hampshire Costs - Outpatient Surgery, Tests and Maternity

Shows typical prices for many outpatient procedures, plus inpatient maternity care. NH Health Cost shows expected average cost for over 30 common tests and ambulatory surgeries including colonoscopy, mammogram, ER visit; chest x-ray or x-ray for spine, shoulder, knee, ankle, or foot; bone density scan, CT scan (3 types), MRI for back, brain, knee, or pelvis; myocardial imaging; arthrocentesis, arthroscopy of knee, breast biopsy, destruction of lesion, outpatient gall bladder surgery, hernia repair, kidney stone removal, tonsillectomy, breast ultrasound, and other maternity ultrasound tests, births. Site uses 2010-2011 costs increased for price inflation, common language instead of requiring codes, and includes physician fees. Must supply zip code and insurance information (or no insurance). Report by The NH Department of Insurance updated 2012

Vermont - Compare Hospital ER Prices (2014)

Compare published prices for hospital Emergency Room visits, for all 14 hospitals in VT. Average is $288 to $1534 per visit, depending on level of complexity. Both facility and physician charges are shown - an amazing show of leadership in price transparency. Prices do NOT include lab tests, imaging tests or procedures during the ER visit. Prices were good from October 2013 to September 2014; still awaiting new prices

Virginia Healthcare Prices (2012)  Editor's Pick

Find average price PAID for 30 common healthcare services, including hospitalizations (maternity), outpatient xray/imaging, CT and MRI tests; colonoscopy, mammogram; inpatient or ambulatory surgery (e.g. hernia, gall bladder, knee replacement, tonsillectomy, kidney stones); and ER or office visits. Shows facility cost PLUS the surgeon or other physician fees. Each service shows the average allowed amount that you or your insurance plan paid in 2012. More comprehensive than most pricing information. From Virginia Health Information (VHI), updated Dec. 2013

Washington Hospital ER Prices and Use (2008-2009)

Find the average charge for a hospital ER visit in Washington (Jan. 2008 to June 2009), by patient age group, or diagnosis. An upper respiratory infection averaged $799, chest pain $4802, headache $2485. Fifty types of emergency visits. Self-pay and uninsured visits shown; average price for a dental disorder ER visit was $489. From the WA state hospital association Oct. 2010

Wisconsin ER Prices (Emergency Department)

Find typical charge for common visits to emergency departments or hospital-based urgent care. Examples: chest pain, asthma or acute upper respiratory infection, wrist sprain. Shows median (middle) price for ER (2014-2015) WITHOUT the physician's fee, and how many cases the hospital treated. If the hospital has on-site urgent care, it will show that price also. Example: UW ER cost for asthma was $1599, but just $131 in UW urgent care. Free-standing community Urgent Care clinics are not included in these prices. WI Hospital Association's PricePoint now makes comparing hospitals possible

Other Helpful Listings

California - Average Inpatient and Outpatient Hospital Prices, 2014

Find prices for CA hospitals including Kaiser and Shriners. Inpatient prices are listed in the complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. MRI and CT tests should be included. More useful are the outpatient files (look for Common25 in the filename), which list the average cost (charge) for top 25 types of outpatient procedures or surgery with CPT code). Hospital Outpatient reports may show prices for Emergency Dept. visit, lab tests, CT, MRI, Mammo, x-ray, ultrasound, PT visit, Arthroscopy, colonoscopy, hernia repair, gall bladder removal, etc., depending on their highest volume. Files are in Excel file format. Prices are from June 2014. Consumers can see one hospital at a time

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