Most freestanding ERs are billed a flat monthly per-site or per-user fee that covers 24/7 monitoring, help desk, security, and backup — typically a few thousand dollars a month per location depending on bed count and imaging footprint. Because your ED runs around the clock, pricing reflects true 24/7 coverage rather than business-hours support. We scope every quote to your actual EHR, imaging, and number of treatment rooms so there are no surprise per-incident charges.