1. How Much Does It Costto Go to the ER?
LINDSAY ABRAMS
FEB 28, 2015
HEALT H
Treating a UTI costs $2,598, on average -- and we needed a study to tell us this.
Fox tongue/Flickr
"The health care market is not a market at all. It's a crapshoot." That's where, over 30
pages later, Time magazine's longest-ever article ended. It asked, in the course of its
investigation into the industry, "Why should a trip to the emergency room for chest
pains that turn out to be indigestion bring a bill that can exceed the cost of a semester
of college?"
Such astronomical prices are indeed seen, according to a NIH-funded study published
today in PLOS ONE: The median ER visit costs 40 percent more than what the average
American pays in monthly rent. But the discrepancy in ER charges is so great,
according to the study's authors, that patients have no way of knowing how much they
can expect to be billed.
The average cost of a visit to the ER for over 8,000 patients across the U.S. was
$2,168. But the interquartile range (IQR), which represents the difference between the
25th and 75th percentile of charges, was $1,957 -- meaning many patients were
paying a lot more or a lot less than that. Of the top ten most common reasons for ER
visits, treating kidney stones was most expensive, on average. But it was also the most
variable. All of the charges -- which represent the total bill for adults 18 to 64 years
2. old who, for simplicity's sake, came in with a single outpatient diagnosis -- followed
similar patterns:
These numbers don't represent how much of the charges were ultimately covered by
insurers. The researchers, did, however, also find that uninsured patients are typically
charged the least, followed by privately insured patients, and finally by those on
Medicaid, who saw the highest bills.