ER Visit (level 4) cost at US hospitals
Emergency department visit, high severity · CPT 99284
$136.50
lowest cash price
$1,291.00
national median
$12,811.59
highest cash price
869
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $136.50–$12,811.59 — the variation is the story.
Median cash price over time
Sep 1, 2025 ($917.80) → Sep 1, 2026 ($2,160.95)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $997.92 | $2,324.40 | $3,245.58 |
| Arizona | 22 | $738.99 | $1,286.40 | $2,573.71 |
| Arkansas | 11 | $208.62 | $1,515.15 | $2,337.40 |
| California | 89 | $337.00 | $1,953.12 | $11,340.58 |
| Colorado | 17 | $1,435.49 | $7,833.18 | $8,147.60 |
| Florida | 80 | $1,327.56 | $2,387.45 | $12,811.59 |
| Georgia | 25 | $529.25 | $2,018.00 | $2,401.00 |
| Hawaii | 2 | $2,025.00 | $2,025.00 | $7,305.60 |
| Illinois | 51 | $695.00 | $1,129.80 | $4,782.60 |
| Indiana | 25 | $853.50 | $2,072.50 | $2,568.00 |
| Iowa | 31 | $564.48 | $1,318.40 | $6,038.00 |
| Kansas | 11 | $412.80 | $3,096.96 | $4,714.58 |
| Kentucky | 21 | $352.93 | $1,761.60 | $2,160.95 |
| Louisiana | 2 | $381.94 | $381.94 | $381.94 |
| Maine | 7 | $770.70 | $920.70 | $1,754.55 |
| Maryland | 2 | $489.60 | $489.60 | $489.60 |
| Michigan | 27 | $573.75 | $1,626.00 | $2,338.00 |
| Minnesota | 19 | $616.70 | $880.00 | $1,411.20 |
| Mississippi | 11 | $211.20 | $291.20 | $998.40 |
| Missouri | 21 | $136.50 | $1,313.00 | $4,370.12 |
| Montana | 2 | $787.20 | $787.20 | $1,062.40 |
| Nebraska | 12 | $632.00 | $1,009.55 | $2,004.83 |
| Nevada | 4 | $858.13 | $950.23 | $2,097.47 |
| New Hampshire | 1 | $1,360.50 | $1,360.50 | $1,360.50 |
| New Jersey | 21 | $405.70 | $515.46 | $736.63 |
| New Mexico | 2 | $1,030.26 | $1,030.26 | $1,030.26 |
| New York | 23 | $415.20 | $503.90 | $9,394.00 |
| North Carolina | 15 | $809.50 | $1,590.63 | $2,017.00 |
| North Dakota | 4 | $957.60 | $957.60 | $1,360.00 |
| Ohio | 56 | $567.00 | $1,334.25 | $2,216.40 |
| Oklahoma | 18 | $140.00 | $1,111.50 | $3,917.77 |
| Oregon | 13 | $402.30 | $1,956.75 | $2,499.00 |
| Pennsylvania | 33 | $312.60 | $1,248.60 | $2,678.40 |
| South Carolina | 11 | $975.50 | $1,385.50 | $1,511.50 |
| South Dakota | 7 | $984.80 | $1,204.00 | $1,384.00 |
| Tennessee | 30 | $280.00 | $320.00 | $945.00 |
| Texas | 99 | $481.35 | $1,273.68 | $4,451.42 |
| Virginia | 32 | $294.63 | $909.50 | $2,848.20 |
| Washington | 32 | $554.40 | $1,329.12 | $1,888.80 |
| West Virginia | 18 | $331.00 | $787.00 | $1,917.00 |
| Wisconsin | 33 | $538.56 | $1,012.90 | $2,075.99 |
| Wyoming | 4 | $1,029.00 | $2,142.59 | $2,393.16 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Primary Care - Bernie | Bernie, MO | $136.50 | $86.20 – $182.00 |
| Mercy Health Love County Rural Health Clinic | MARIETTA, OK | $140.00 | $139.40 – $140.00 |
| 26-1214372 NEA Baptist | Jonesboro, AR | $208.62 | $51.00 – $784.76 |
| 64-0663760 BMH Booneville | Booneville, MS | $211.20 | $364.12 – $1,062.01 |
| 64-0772726 BMH North Mississippi | Oxford, MS | $224.02 | $371.89 – $1,084.69 |
| 64-0844470 MBMC Yazoo | Yazoo City, MS | $269.78 | $372.63 – $380.08 |
| 62-1519754 BMH Golden Triangle | Columbus, MS | $274.50 | $373.91 – $1,090.57 |
| Claiborne Medical Center | Tazewell, TN | $280.00 | $405.45 – $900.00 |
| 81-3257997 BMH Calhoun | Calhoun City, MS | $284.44 | $425.82 – $434.34 |
| LeConte Medical Center | Sevierville, TN | $290.00 | $405.45 – $900.00 |
| 64-0682111 BMH DeSoto | Southaven, MS | $291.20 | $374.32 – $1,091.78 |
| Dickenson Community Hospital | CLINTWOOD, VA | $294.63 | $1,281.00 – $1,281.00 |
| Hancock County Hospital | SNEEDVILLE, TN | $294.63 | $869.96 – $1,281.00 |
| Johnson County Community Hospital | MOUNTAIN CITY, TN | $294.63 | $1,281.00 – $1,281.00 |
| Lee County Community Hospital | PENNINGTON GAP, VA | $294.63 | $1,281.00 – $1,281.00 |
| 45-2896080 MBMC Leake | Carthage, MS | $296.10 | $372.63 – $380.08 |
| Parkwest Medical Center | Knoxville, TN | $300.00 | $131.78 – $900.00 |
| Morristown-Hamblen Hospital Association | Morristown, TN | $300.00 | $378.57 – $900.00 |
| Greeneville Community Hospital | GREENEVILLE, TN | $300.30 | $302.00 – $848.82 |
| Smyth County Community Hospital | MARION, VA | $300.30 | $407.12 – $887.51 |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $300.30 | $378.85 – $825.90 |
| Johnson City Medical Center | JOHNSON CITY, TN | $300.30 | $389.37 – $848.82 |
| Bristol Regional Medical Center | BRISTOL, TN | $300.30 | $395.84 – $950.01 |
| Indian Path Community Hospital | KINGSPORT, TN | $300.30 | $378.57 – $908.57 |
| Holston Valley Medical Center | KINGSPORT, TN | $300.30 | $395.84 – $950.01 |
| Hawkins County Memorial Hospital | ROGERSVILLE, TN | $300.30 | $378.57 – $825.29 |
| Sycamore Shoals Hospital | ELIZABETHTON, TN | $300.30 | $378.57 – $825.29 |
| Johnston Memorial Hospital | ABINGDON, VA | $300.30 | $407.12 – $887.51 |
| Lonesome Pine Hospital | BIG STONE GAP, VA | $300.30 | $407.12 – $977.08 |
| Russell County Hospital | LEBANON, VA | $300.30 | $407.12 – $887.51 |
| UPMC Kane | Kane, PA | $312.60 | $104.86 – $514.29 |
| Cumberland Medical Center, Inc. | Crossville, TN | $320.00 | $405.45 – $900.00 |
| Roane County Medical Center | Harriman, TN | $330.00 | $378.57 – $900.00 |
| Fort Loudoun Medical Center | Lenoir City, TN | $330.00 | $378.57 – $900.00 |
| Fort Sanders Regional Medical Center | Knoxville, TN | $330.00 | $378.57 – $900.00 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | $330.00 | $378.57 – $900.00 |
| Braxton County Memorial Hospital | Gassaway, WV | $331.00 | not published |
| ADVENTIST HEALTH DELANO | Delano, CA | $337.00 | $98.04 – $1,207.51 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | Mt. Sterling, KY | $352.93 | $201.56 – $876.33 |
| UPMC Cole | Coudersport, PA | $357.00 | $56.38 – $432.27 |
| CHRISTUS St. Francis Cabrini Hospital | Alexandria, LA | $381.94 | $396.95 – $1,913.00 |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $402.30 | $114.71 – $253.50 |
| Robert Wood Johnson University Hospital Rahway | Rahway, NJ | $405.70 | $465.37 – $1,476.00 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $406.30 | $53.83 – $208.19 |
| Potomac Valley Hospital | Keyser, WV | $406.50 | not published |
| Wamego Health Center (Wamego Hospital Association) | Wamego, KS | $412.80 | $16.71 – $961.17 |
| UPMC Chautauqua | Jamestown, NY | $415.20 | $119.16 – $830.00 |
| St. Joseph's Hospital | Buckhannon, WV | $427.50 | not published |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $439.95 | $68.35 – $304.00 |
| 64-0881013 MBMC Jackson | Jackson, MS | $444.15 | $386.58 – $1,082.42 |