How Much Does Emergency Department Visit (Straightforward Medical Decision Making) Cost?
This code is for an emergency department visit where a patient receives evaluation and management services for a problem requiring straightforward medical decision-making. The total time spent on the encounter is typically 15 minutes.
Step 1 · The average price
Average hospital price
$1,129
Based on 100 hospitals across 75 cities
💡 The doctor's Medicare fee is $11 — that's what the physician receives. Hospital/facility charges are separate.
Step 2 · Your city
What does ER Visit (Straightforward) cost where you live?
Prices vary by location. Pick your city to see local hospital prices.
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Prices from the Hospital Price Transparency Act. Median = middle price across insurers at that hospital.
Common Questions
How much does ER Visit (Straightforward) cost?
The average Average hospital price for Emergency Department Visit (Straightforward Medical Decision Making) is $1,129. Across 100 hospitals, prices range from $116 to $11,088.
Does Medicare cover ER Visit (Straightforward)?
Yes. Medicare pays physicians $11 on average. Under Original Medicare (Part B), you typically pay 20% after your deductible (~$2).
How much does it cost without insurance?
Uninsured patients often face the chargemaster rate (3-10x higher than cash price). Always ask the hospital for their self-pay or cash-pay rate — often 40-80% off the list price.
Why is the price so different between hospitals?
Hospital prices for the same procedure vary by insurance contract, facility overhead, and regional cost of living. In some cities, the highest-priced hospital charges 3-5× what the lowest-priced hospital charges for the same service.
What should I ask before scheduling?
Ask for the total estimated bill (including facility + anesthesia + supplies), whether the service is covered by your insurance, if the procedure can be done at an ambulatory surgery center (typically 30-60% cheaper), and what the cash-pay rate is.
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