Why are ER bills so crazy? (with Sarah Kliff of Vox.com

August 13, 2025

ER Door with Danger SignEmergency rooms often bill you a “cover charge” just for walking in the door, and it can be thousands of dollars.

That’s in addition to the huge markup on everything that happens there: seven bucks for a band-aid. Twenty dollars for a couple of pills.

Reporter Sarah Kliff has collected more than a thousand ER bills from her readers at Vox.

She was an expert on health care before starting this project , she covered it for years at the Washington Post before moving to Vox , but even she found plenty of surprises.


 

Find Us Online

About Us

Image adapted from a drawing posted to flickr by Wellness Corporate Solutions.

Looking for an answer?

For topic-specific deep dives and recommended reading, start here or use the search bar below to explore our site.

Follow the Podcast

More News



Logo for Arm & A Leg

First Aid Kit

A show about why health care costs so freaking much, and what we can (maybe) do about it.
December 5, 2025

I’m getting (cautiously) AI-curious

Hey there, Last year, we talked with tech worker Holden Karau, who had built an AI-powered tool to fight denials by insurance companies with the slogan “Make your insurance company cry, too!” Since then, more tools have cropped up. A few months ago, an episode of The Nocturnists (a podcast made by and for health care workers) looked at a company called Claimable. So
November 26, 2025

We love the notes you send us

Hey there, Dan started An Arm and a Leg with the idea that we’re better equipped to face America’s broken health care system together. And this newsletter builds on that idea, sharing the most-useful nuggets, winning strategies, and useful resources we cover on the show. And we couldn’t have asked for better company on that journey. Since we brought this newsletter weekly,
November 20, 2025

Choosing insurance in the worst year ever

Hey there, In a way, every year is the worst year yet to buy insurance, because rates go up every year. So each year is always cruddier than any year before. But this year is especially awful. The rate hikes on employer-based plans are the highest in 15 years, and on the Obamacare side it’s even worse. Price hikes there
November 13, 2025

Review your drug plan now, and potentially save thousands

Hey there, Back when we reported our Prescription Drug Playbook series about how to avoid sticker shock at the pharmacy counter, one piece of advice came up again and again: If you rely on specific meds, you need to do some homework when it’s time to pick next year’s insurance plan. And that time has come, friends — whether you’re
November 6, 2025

New episode: What DIDN’T suck in 2025

Hey there — So much to share this week, including a new podcast episode out today, but let’s start with a story that reminded me of this year’s Prescription Drug Playbook. This one’s from a listener — my friend Tim. Tim’s doc prescribed a basic antibiotic — and the pharmacist said the charge would be $100. Tim was like, WTF? A basic antibiotic, not

See the Episode Archive

One of the most enraging, terrifying, depressing parts of American life made entertaining, empowering, and useful.
Explore All