What does an emergency room visit cost with TRICARE?

Direct answer: It depends on your plan: active-duty service members generally pay nothing; TRICARE Prime non-active-duty beneficiaries pay about $30 per visit; TRICARE Standard/Select beneficiaries pay 20-25% after their deductible, or a set copay at a network facility.

Applies to: All TRICARE plans · All regions

Details

Network emergency room copays commonly range from roughly $50-$139 depending on your specific plan, while out-of-network care is billed as a percentage (20-25%) rather than a flat copay. The copay is frequently waived if you’re admitted to the hospital directly from the ER. Use TRICARE’s official Compare Costs tool for the exact number for your plan and status — these figures change and vary by category.

What to do next

Confirm this with your Primary Care Manager or regional contractor before scheduling — rules can vary by region and by service.