緊急外来受診の費用はいくら？
An urgent care visit provides immediate medical attention for non-life-threatening conditions such as minor injuries, infections, allergic reactions, and flu symptoms. Urgent care centers offer extended hours and walk-in appointments as a more affordable alternative to emergency rooms.
保険なし
$200
保険あり
$35
メディケア
$25
全国平均
$87
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 urgent care visit covers evaluation and treatment of non-life-threatening medical problems at a walk-in clinic — ear infections, minor lacerations, sprains, rashes, UTIs, simple respiratory infections, and similar acute concerns. Most centers are open evenings and weekends, staff physicians or advanced practice providers, and are substantially cheaper than emergency departments for the same complaint. A typical visit runs 30 to 60 minutes end to end. The base visit charge is one evaluation-and-management (E&M) code, usually level 2-4, but many services — X-rays, lab tests (strep, flu, COVID, UA), splinting, laceration repair, IV fluids, nebulized albuterol, injections — are billed separately on top. Freestanding emergency departments that look like urgent care but bill at ER rates are a notable pricing trap; confirm the facility is a licensed urgent care, not a freestanding ED, before you check in.
費用に影響する要素
- Visit complexity level: urgent care visits are billed at E&M levels 2-4; a quick recheck is cheaper than a full evaluation with significant workup.
- On-site testing: rapid strep, flu, COVID, urinalysis, and pregnancy tests each add a separate CPT charge.
- Imaging: an X-ray for a suspected fracture or chest imaging for pneumonia adds significant cost on top of the visit.
- Procedures performed: laceration repair, splinting, IV fluids, injections, or nebulizer treatments each add CPT charges.
- Facility type: licensed urgent care is cheaper than freestanding emergency departments that look similar but bill at ER rates.
- In-network vs out-of-network: commercial plans often have distinct copays for in-network urgent care; out-of-network visits can cost much more.
節約方法
- Verify the facility is a licensed urgent care, not a freestanding emergency department — the billing difference can be several-fold.
- Use your insurer's urgent care finder to confirm in-network status and copay before you go.
- Choose urgent care over the ER for non-emergent issues — the cost difference is dramatic.
- Retail clinics (inside pharmacies) are cheaper than urgent care for the simplest issues (strep test, simple cold, UTI in uncomplicated women).
- Telehealth urgent care is often the cheapest option for issues that don't require a physical exam.
- Use your HSA or FSA to pay copays and coinsurance with pre-tax dollars.
保険とカバレッジに関する注意事項
Commercial plans cover urgent care visits with a copay (often lower than ER copay) plus coinsurance after deductible for any ancillary services like imaging, labs, or procedures. Medicare Part B covers urgent care as an outpatient visit (20% coinsurance after deductible). The ACA requires urgent care as an essential health benefit. Telehealth urgent care is covered by most plans and Medicare. Freestanding emergency departments are billed under emergency-service rules regardless of the acuity of the visit — a major reason to confirm facility type in advance. HSA and FSA dollars can be used for cost-sharing.
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: $146 to $276 · 50 states shown
州別費用
| 州 | 保険なし | 保険あり | メディケア |
|---|---|---|---|
| Mississippi | $146 | $26 | $18 |
| Arkansas | $150 | $26 | $19 |
| West Virginia | $150 | $26 | $19 |
| Alabama | $156 | $27 | $20 |
| Oklahoma | $156 | $27 | $20 |
| Kentucky | $170 | $30 | $21 |
| Louisiana | $172 | $30 | $22 |
| Iowa | $176 | $31 | $22 |
| New Mexico | $176 | $31 | $22 |
| South Carolina | $176 | $31 | $22 |
| South Dakota | $176 | $31 | $22 |
| Kansas | $178 | $31 | $22 |
| North Dakota | $178 | $31 | $22 |
| Idaho | $180 | $32 | $22 |
| Nebraska | $180 | $32 | $22 |
| Tennessee | $180 | $32 | $22 |
| Indiana | $186 | $33 | $23 |
| Missouri | $186 | $33 | $23 |
| Utah | $186 | $33 | $23 |
| Wyoming | $186 | $33 | $23 |
| Georgia | $188 | $33 | $24 |
| North Carolina | $188 | $33 | $24 |
| Michigan | $190 | $33 | $24 |
| Montana | $190 | $33 | $24 |
| Arizona | $196 | $34 | $24 |
| Ohio | $196 | $34 | $24 |
| Wisconsin | $196 | $34 | $24 |
| Maine | $198 | $35 | $25 |
| Texas | $198 | $35 | $25 |
| Florida | $202 | $35 | $25 |
| Minnesota | $202 | $35 | $25 |
| Illinois | $206 | $36 | $26 |
| Pennsylvania | $206 | $36 | $26 |
| Delaware | $208 | $36 | $26 |
| Nevada | $208 | $36 | $26 |
| Vermont | $208 | $36 | $26 |
| Virginia | $208 | $36 | $26 |
| Colorado | $212 | $37 | $26 |
| New Hampshire | $212 | $37 | $26 |
| Oregon | $212 | $37 | $26 |
| Maryland | $220 | $38 | $28 |
| Rhode Island | $222 | $39 | $28 |
| Washington | $222 | $39 | $28 |
| Connecticut | $240 | $42 | $30 |
| New Jersey | $240 | $42 | $30 |
| California | $262 | $46 | $33 |
| Massachusetts | $266 | $47 | $33 |
| Alaska | $270 | $47 | $34 |
| New York | $270 | $47 | $34 |
| Hawaii | $276 | $48 | $34 |
よくある質問
保険なしで緊急外来受診はいくらかかりますか？
米国での緊急外来受診の保険なし平均費用は$200です。州によって費用は大きく異なります。
保険は緊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緊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$35です。
メディケアは緊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緊急外来受診をカバーします。メディケア承認の平均額は$25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。