Rural hospitals may not save money when they treat an emergency-room patient via tele-medicine instead of transferring them to a larger facility, but patients do, according a new report. Previous studies haven’t reached a clear conclusion about whether avoiding transfer of an ER patient saves the hospital money. But by expanding the focus to include consumer spending related to transport, researchers found that significant savings do occur, the study says.The study tracked not just the cost of treatment but the financial burden caused by transportation expenses, loss of work time for family and friends, and similar indirect expenses. Using tele-medicine added an average of $1,700 per patient to treatment costs. But consumers saved about $5,600 in direct and indirect expenses, the study states. The net “societal gain” is about $3,800 per patient who is not transferred.