The Cost Of An Emergency Room Visit At Kaiser With Insurance?

The cost of emergency room visits with Kaiser Permanente health insurance can be overwhelming, but understanding your coverage and practical strategies can help manage the financial aspect of these critical services. As a Kaiser member, you are covered for emergency and urgent care, with a typical co-pay of $50 for an ER visit. An ER visit costs $1,500 to $3,000 on average without insurance, with most people spending about $2,100 for an urgent, non-life-threatening health issue.

The average cost for an ER visit by an individual is $2,200, which does not include procedures or other costs. Most Kaiser Permanente locations offer multiple services under one plan, with emergency room care at $150/visit, emergency medical transportation at $300/trip, and emergency medical transportation at $75/trip. Copayments are waived if admitted to the hospital as an inpatient.

In the United States, an average emergency room visit cost $2715 on average in 2024, according to an analysis of 2.5B claims adjusted for inflation. Emergency room services have a $500 copay after deductible, and copayment is waived if admitted. Copayments do not apply if admitted directly to the hospital as an inpatient for covered services.

Kopley Permanente members must notify KP within 48 hours if admitted to a non-plan provider, and the cost sharing does not apply if admitted directly to the hospital as an inpatient for covered services.