ER Staffing Calculator
Inspire Medical Staffing
What one unfilled ER shift costs you
Change the inputs to match your hospital. The ledger recalculates as you type. Defaults describe a 25-bed critical access hospital with a 30-visit day.
Diversion and lost care
$10,706- 9.0 visits rerouted or walked$5,400
- 1.2 admissions foregone$5,306
Patients who don't come back
$16,200- 1.8 patients lost to another hospital$3,240 / yr
- Counted over 5 years$16,200
Staff who absorb the gap
$5,944- Crisis-rate premium, 12 hrs$936
- Turnover, this shift's share$5,008
Unfilled versus staffed on purpose
The unfilled shift costs 9.1x what it would have cost to staff it. It just bills in installments, to three different departments, over several years.
Where the fixed assumptions come from. The 13.1% ED admission rate is HFMA, 2025. The $60,090 RN replacement cost is 2026 NSI data reported by Becker's. Physician hourly rates are from the 2026 Barton Associates emergency medicine salary report.
Every input above is editable because these numbers are hospital-specific. This tool estimates exposure for planning conversations; it is not an audited financial projection.
Local relationships. Straightforward staffing. Focus on patient care.
Reach out today and partner with us to grow your impact.