My voip line has a charge for (e)911. I can pay $1.50 per month or $75 per call.

Since my local police department has no direct dial number, non-emergency calls are routed through 911; that's pretty unusual, but I don't want to pay $75 to call police non-emergency, so I pay the $1.50.

I've never seen emergency calling broken out on my bill from an ILEC though.