I was recently playing intramurals and took a pretty good shot to my ring finger. There was a pretty obvious joint deformity, and there was a laceration on the pad of the same finger. A couple of guys that had matched into Ortho looked at it and all thought it was an open fracture, and that I needed to get it looked at pronto. I went to the Emergency Department, and the doc came in, looked at it, and said he wouldn't do anything until he saw X-Rays, that took about 1 minute of his time. After X-rays, he, as well as everyone else that saw my finger were surprised to say that it was just a dislocation with a small avulsion fracture. He gave me a digital block and reduced the subluxation, probably took 5-7 minutes, allowing the lidocaine to take effect. After cleaning up the laceration, it was about 1.5 cm, and pretty clean. He said no need for sutures, so essentially superglued it back together with Dermabond Skin Adhesive. That took maybe 1 minute. All in all, including paperwork, I could not have taken up more than 20-25 minutes of his time. My bills have come in, the radiologists charged $76 for reading 4 hand films, considering it took no effort, pretty pricey but I can live with it. The hospital bill, which only includes the use of the facilities, and the non-physician employees came out to $966. I found that pretty ridiculous and was about to throw a fit, until I got the Emergency Physicians bill, $887! I was charged $265 for his time, which was less than 30 minutes. Plus, he charged me $307 for the digital block, and $315 for super glueing my finger together, which I honestly could have gotten away with just using a band-aid. I find this incredibly embarrassing as a future physician (two weeks away), and think it is nothing other than unethical to charge this much. Is this common charges in the emergency medicine world? He works for an emergency medicine group that contracts to this hospital, so the bill is in no way associated with the hospital, the money all goes to him and his group. Someone please tell me that this is a rare event or an error, otherwise I just lost a lot of respect for the Emergency Medicine field.