Hospital, ER and Ambulance Costs in Canada
Without Insurance (2026)
- What an Emergency Costs a Visitor, Province by Province
- What a Four-Day Admission Actually Adds Up To
- Why Visitors Pay More Than Canadians Do
- What the Hospital Rate Does Not Include
- Ambulance Bills Visitors Do Not Expect
- How Visitors Insurance Handles These Bills
- Where These Numbers Come From
- Frequently Asked Questions
1 What an Emergency Costs a Visitor, Province by Province
Canadian residents with a provincial health card pay nothing at the hospital. Anyone without that coverage, a visiting parent, a tourist, a newly arrived family member, is billed directly, and non-residents of Canada are billed at a separate, higher rate. These are the published 2026 rates from three provinces, read at the source in September 2026.
| Service | Ontario (Scarborough Health Network, Toronto) | British Columbia (same rate province-wide) | Quebec (Montreal region) |
|---|---|---|---|
| Emergency room visit | $794 facility fee | $1,015, basic tests included | $1,635 minimum |
| Hospital ward, per day | $3,058 | $4,690 | $7,293 (single daily rate) |
| Intensive care, per day | $7,814 | $13,110 | Not listed separately |
| Ground ambulance | $240 per trip | $848 per trip | Not in this source |
| Doctors' fees | Billed separately | Billed separately | Billed separately |
| Rates in effect | Current published rates | Since April 1, 2026 | Since April 1, 2026 |
2 What a Four-Day Admission Actually Adds Up To
Take a common scenario for a visiting parent: chest pain, an ambulance to the nearest hospital, an emergency assessment, one night in intensive care and three more days on a ward. Using only the published rates above:
| Ontario | British Columbia | Quebec | |
|---|---|---|---|
| Ambulance | $240 | $848 | Not included |
| Emergency visit | $794 | $1,015 | $1,635 |
| 1 day intensive care | $7,814 | $13,110 | $7,293 (daily rate) |
| 3 days on a ward | $9,174 | $14,070 | $21,879 |
| Total before doctors' bills | $18,022 | $29,043 | $30,807 |
It is also why coverage amounts matter. At BC's non-resident rate, seven days in intensive care cost $91,770 before a single doctor's bill, which is nearly all of the $100,000 minimum a Super Visa policy has to carry.
3 Why Visitors Pay More Than Canadians Do
Provinces charge three different groups three different ways: residents with a provincial card pay nothing, uninsured Canadians pay one rate, and non-residents of Canada pay the highest. BC's 2026 schedule shows the gap clearly:
| Uninsured Canadian resident | Non-resident of Canada | |
|---|---|---|
| Hospital ward, per day | $2,134 at most BC hospitals | $4,690 |
| Emergency visit | $484 | $1,015 |
| CT scan | $844 | $2,215 |
No provincial plan pays anything toward a non-resident's care, so the hospital recovers the full cost from the patient, and it usually wants that money before or at the time of treatment. Scarborough Health Network requires prepayment from uninsured and out-of-country patients, and Quebec hospitals ask non-residents for a deposit.
Canadians travelling from another province are a separate case: their home plan normally pays the hospital, but not the ambulance. Our travel insurance within Canada guide covers that. Newly arrived permanent residents waiting for their provincial card are covered in our provincial health waiting period guide.
4 What the Hospital Rate Does Not Include
- Doctors' fees. Every hospital above bills physician care separately. Our doctor visit cost guide shows what an uninsured assessment costs on its own.
- Imaging and tests. BC's emergency rate includes the basic diagnostics but not CT or MRI; Scarborough's emergency rate is a facility fee only, with diagnostics extra.
- Surgery. Quebec lists day surgery at $7,743.63 for non-residents; BC charges $3,030 for the first two hours of inpatient surgery.
- Medication and supplies. Take-home supplies and prescriptions are charged in addition to the visit.
5 Ambulance Bills Visitors Do Not Expect
Ambulance fees are set by each province and are separate from the hospital bill.
- Ontario: $240 per trip. The province charges $240 when the patient does not have a valid OHIP card or is not a resident of Ontario or Canada. Ontario residents with OHIP pay a $45 co-payment for a medically necessary trip.
- British Columbia: $848 per ground trip. Anyone outside BC's Medical Services Plan, including visitors from other countries, pays $848. Air ambulance is billed at $4,394 per hour by helicopter or $6.94 per kilometre by plane.
- Air ambulance adds up fastest. A two-hour helicopter transfer in BC is $8,788 before the hospital bill begins.
6 How Visitors Insurance Handles These Bills
Visitors insurance exists to take these exact costs off the family. An emergency medical plan pays the hospital, the doctors and the ambulance for a covered emergency, up to the policy limit you choose.
- Call the insurer's assistance line first when you can. Many plans can arrange payment with the hospital directly, and some reduce what they pay if you do not call before treatment when it was possible to.
- Choose a limit that fits these numbers. A few days in intensive care can use most of $100,000, which is why many families choose more than the minimum.
- Understand what is excluded. Pre-existing conditions that are not stable, and anything in a waiting period, may not be covered; see our visitors insurance and pre-existing conditions guide.
- Know what kind of plan you bought. Our emergency-only vs comprehensive visitors insurance guide explains the difference.
For plan options, prices and how coverage works in practice, see our visitors to Canada insurance guide, or compare plans from 15+ Canadian insurers on our quote form.
7 Where These Numbers Come From
Every figure on this page was read at the official source in September 2026. Rates change, usually every April, so check the source before relying on a number.
- Scarborough Health Network, Hospital Fees: rates for uninsured and out-of-country patients.
- Humber River Health, Ambulance Fees: Ontario ambulance fees, revised June 2026.
- Interior Health, Acute Care Billing schedule: BC non-resident rates, effective April 1, 2026.
- BC Emergency Health Services, Ambulance Fees: BC ambulance fees for people outside BC's Medical Services Plan.
- Sante Quebec, Centre-Sud-de-l'Ile-de-Montreal: fees for people not insured by RAMQ, effective April 1, 2026.
Summary: Hospital and ER Costs
- An ER visit costs a visitor $794 to $1,635 in the provinces checked, before doctors
- A hospital ward costs $3,058 to $7,293 a day for non-residents
- Intensive care reaches $13,110 a day at BC's non-resident rate
- Ambulance: $240 in Ontario, $848 in BC for non-residents
- Doctors bill separately, and hospitals usually want payment or a deposit up front
- Seven ICU days in BC cost $91,770, close to a $100,000 policy limit
- Non-residents pay roughly double the rate uninsured Canadians pay in BC
8 Frequently Asked Questions
How much does an emergency room visit cost in Canada without insurance?
How much does a hospital stay cost per day in Canada for a visitor?
How much does intensive care cost in Canada for non-residents?
How much does an ambulance cost in Canada for visitors?
Are doctors' fees included in the hospital bill in Canada?
Do visitors have to pay upfront at a Canadian hospital?
Why are hospital rates higher for non-residents of Canada?
Is $100,000 of visitors insurance enough in Canada?
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