救急外来受診の費用はいくら？
An emergency room visit covers the facility fee and physician charges for evaluation and treatment of urgent medical conditions. Costs vary widely based on severity and treatments required. This represents an average moderate-severity visit.
保険なし
$2,200
保険あり
$700
メディケア
$500
全国平均
$1,600
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards 概要
An emergency room visit covers the facility, physician, and ancillary services used to evaluate and treat an acute medical problem. Every ER visit generates at least two charges: a facility (hospital) fee billed at one of five acuity levels and a physician professional fee for the ER doctor. On top of that, imaging, labs, IV fluids, medications, specialty consults, procedures (lacerations repaired, dislocations reduced, IV antibiotics), and observation status can each add their own line items. The average moderate-severity visit reflected in price data is the most common billing level, but a severe visit with CT imaging, cardiac workup, or admission review can run several times higher. ER pricing is also notoriously opaque — facility fees vary widely between hospital systems even in the same city. Freestanding emergency departments (not attached to a hospital) often bill like full ERs. Urgent care is almost always cheaper for non-life-threatening conditions.
費用に影響する要素
- Facility (hospital) fee level: ERs bill one of five E&M levels; each step up substantially increases the charge even before any procedures are added.
- Imaging ordered: CT scans are especially expensive and commonly drive 30-50% of a moderate visit's total cost.
- Lab panels: chemistry, CBC, troponin, coagulation, and specialty panels each carry their own CPT codes.
- Procedures performed: laceration repair, splinting, IV medications, and cardiac monitoring each add charges.
- Specialty consults: cardiology, neurology, or surgery consults in the ED trigger separate professional fees.
- Observation vs admission: being placed under observation status (rather than admitted) has different cost-sharing implications, especially under Medicare.
節約方法
- Use urgent care or a retail clinic for non-life-threatening issues — sore throat, mild burns, sprains, simple UTIs — where costs are a fraction of ER pricing.
- Avoid freestanding emergency departments for minor issues; they bill at hospital ER rates despite looking like urgent care centers.
- Ask for an itemized bill; duplicate charges, mispriced supplies, and erroneous codes are common in ER billing.
- Apply for hospital financial assistance (charity care) — nonprofit hospitals must offer it, and many discount aggressively for uninsured patients.
- Negotiate the facility fee with billing before it goes to collections; prompt-pay discounts of 20-40% are routine.
- If you have insurance, the No Surprises Act protects you from balance billing by out-of-network ER physicians at in-network facilities.
保険とカバレッジに関する注意事項
ACA-compliant plans and Medicare treat emergency services as covered regardless of network status for the ER visit itself; the No Surprises Act limits balance billing by out-of-network ER physicians and ancillary providers. That said, the facility fee, deductible, and coinsurance still apply. Medicare Part B covers ER physician services (20% coinsurance after deductible); Medicare Part A kicks in if the visit results in inpatient admission. Commercial plans typically have an ER copay (often $150-$500) plus deductible and coinsurance; some plans waive the copay if the patient is admitted. Observation status is billed under outpatient rules even if it feels like admission — a nuance that matters for Medicare.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $1,610 to $3,040 · 50 states shown
州別費用
| 州 | 保険なし | 保険あり | メディケア |
|---|---|---|---|
| Mississippi | $1,610 | $515 | $370 |
| Arkansas | $1,650 | $528 | $379 |
| West Virginia | $1,650 | $528 | $379 |
| Oklahoma | $1,680 | $538 | $386 |
| Alabama | $1,700 | $544 | $390 |
| Kentucky | $1,860 | $595 | $428 |
| Louisiana | $1,900 | $608 | $437 |
| Iowa | $1,930 | $618 | $444 |
| New Mexico | $1,930 | $618 | $444 |
| South Carolina | $1,930 | $618 | $444 |
| South Dakota | $1,930 | $618 | $444 |
| Kansas | $1,960 | $627 | $451 |
| North Dakota | $1,960 | $627 | $451 |
| Idaho | $1,980 | $634 | $455 |
| Nebraska | $1,980 | $634 | $455 |
| Tennessee | $1,980 | $634 | $455 |
| Indiana | $2,050 | $656 | $471 |
| Missouri | $2,050 | $656 | $471 |
| Utah | $2,050 | $656 | $471 |
| Wyoming | $2,050 | $656 | $471 |
| Georgia | $2,070 | $662 | $476 |
| North Carolina | $2,070 | $662 | $476 |
| Michigan | $2,090 | $669 | $481 |
| Montana | $2,090 | $669 | $481 |
| Arizona | $2,150 | $688 | $494 |
| Ohio | $2,160 | $691 | $497 |
| Wisconsin | $2,160 | $691 | $497 |
| Maine | $2,180 | $698 | $501 |
| Texas | $2,200 | $704 | $506 |
| Florida | $2,240 | $717 | $515 |
| Minnesota | $2,240 | $717 | $515 |
| Illinois | $2,260 | $723 | $519 |
| Pennsylvania | $2,260 | $723 | $519 |
| Delaware | $2,290 | $733 | $527 |
| Nevada | $2,290 | $733 | $527 |
| Vermont | $2,290 | $733 | $527 |
| Virginia | $2,290 | $733 | $527 |
| Colorado | $2,340 | $749 | $538 |
| New Hampshire | $2,340 | $749 | $538 |
| Oregon | $2,360 | $755 | $543 |
| Maryland | $2,420 | $774 | $556 |
| Rhode Island | $2,460 | $787 | $566 |
| Washington | $2,460 | $787 | $566 |
| Connecticut | $2,640 | $845 | $607 |
| New Jersey | $2,640 | $845 | $607 |
| California | $2,900 | $928 | $667 |
| Massachusetts | $2,930 | $938 | $674 |
| Alaska | $2,970 | $950 | $682 |
| New York | $2,990 | $957 | $687 |
| Hawaii | $3,040 | $973 | $699 |
よくある質問
保険なしで救急外来受診はいくらかかりますか？
米国での救急外来受診の保険なし平均費用は$2,200です。州によって費用は大きく異なります。
保険は救急外来受診をカバーしますか？
ほとんどの医療保険は、医学的に必要な場合に救急外来受診をカバーします。保険適用時の平均自己負担額は$700です。
メディケアは救急外来受診をカバーしますか？
メディケアパートBは通常、医師の処方がある場合に救急外来受診をカバーします。メディケア承認の平均額は$500です。
Elena Bellini による確認 · 最終確認日：2026-04-21
データ出典：CMS Medicare Provider Utilization and Payment Data 2025。最終更新：2026-03-01。この情報は教育目的のみであり、医療アドバイスではありません。 本ウェブサイトは情報提供のみを目的としており、医療アドバイスではありません。必ず資格のある医療専門家にご相談ください。