Yes, it has gone up considerably. And this is probably NOT what you want to hear, but that is actually a very good cost if you have any type of a very serious medical condition that requires care in the USA. First thing the EK medical coordinator will ask you if you have a serious medical condition is "what type of other insurance do you have". If you aren't covered by other insurance, you very well could be confined to care the UAE...or your other choice is spending a HUGE amount of your own money to receive the PROPER medical care for extreme medical situations. Unfortunately, I know this all to well. And no...we had no forewarning of the impending medical mess-up/situation that occurred in Dubai. You never think it will happen to you...until it does.