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 |
|---|---|---|---|
| Sanford Sheldon Medical Center | Sheldon, IA | $1,318.40 | $469.68 – $1,483.20 |
| UPMC Memorial | York, PA | $1,320.00 | $104.86 – $653.31 |
| UPMC Somerset | Somerset, PA | $1,320.00 | $104.86 – $405.97 |
| UPMC Community Osteopathic | Harrisburg, PA | $1,320.00 | $65.00 – $448.50 |
| UPMC Hanover | Hanover, PA | $1,320.00 | $104.86 – $650.86 |
| UPMC Lititz | Lititz, PA | $1,320.00 | $104.86 – $654.37 |
| UPMC Carlisle | Carlisle, PA | $1,320.00 | $65.00 – $1,870.00 |
| Mercy Hospital Waldron | Waldron, AR | $1,320.15 | $113.00 – $806.16 |
| St. Joseph Medical Center | Tacoma, WA | $1,320.49 | $1,110.41 – $2,990.25 |
| Defiance Hospital | Defiance, OH | $1,323.00 | not published |
| Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) | Middleburg, FL | $1,327.56 | $299.30 – $876.23 |
| Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) | Saint Johns, FL | $1,327.56 | $299.30 – $876.23 |
| Providence Regional Medical Center Everett - Colby Campus | Everett, WA | $1,329.12 | $475.18 – $1,477.52 |
| Advocate Illinois Masonic Medical Center | Chicago, IL | $1,330.00 | $643.63 – $3,426.00 |
| Banner Thunderbird Medical Center | Glendale, AZ | $1,330.12 | $72.99 – $1,631.25 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $1,334.25 | $394.76 – $1,601.10 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $1,334.25 | $426.30 – $767.34 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $1,334.25 | $394.76 – $710.57 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $1,334.25 | $393.16 – $1,601.10 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $1,334.25 | $394.76 – $710.57 |
| University Hospitals Elyria Medical Center | Elyria, OH | $1,334.25 | $394.76 – $710.57 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $1,334.25 | $394.76 – $710.57 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $1,334.25 | $426.30 – $767.34 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | $1,345.74 | $399.84 – $2,313.00 |
| Adventhealth Manchester | Manchester, KY | $1,347.19 | $391.51 – $391.51 |
| St. Luke's Health - Patients Medical Center | Pasadena, TX | $1,351.35 | $256.76 – $2,895.75 |
| Boca Raton Regional Hospital | BOCA RATON, FL | $1,359.15 | $427.91 – $1,896.00 |
| Sanford Fargo Medical Center | Fargo, ND | $1,360.00 | $119.50 – $1,530.00 |
| MaineHealth - Memorial Hospital | North Conway, NH | $1,360.50 | $113.44 – $243.33 |
| Sanford Vermillion Hospital | Vermillion, SD | $1,360.80 | $501.80 – $1,530.90 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | $1,368.80 | $447.15 – $456.09 |
| Baylor St Luke's Medical Center | Houston, TX | $1,372.00 | $415.11 – $3,920.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land, TX | $1,372.00 | $313.60 – $3,920.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands, TX | $1,372.00 | $313.60 – $3,920.00 |
| St. Luke's Health - The Vintage Hospital | Houston, TX | $1,372.00 | $313.60 – $3,920.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring, TX | $1,372.00 | $392.00 – $3,920.00 |
| Providence Holy Family Hospital | Spokane, WA | $1,376.20 | $464.97 – $1,220.56 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | $1,378.40 | $477.23 – $1,865.50 |
| MultiCare Auburn Medical Center | Auburn, WA | $1,378.40 | $474.85 – $1,865.50 |
| MultiCare Capital Medical Center | Olympia, WA | $1,378.40 | $473.52 – $2,268.32 |
| MultiCare Covington Medical Center | Covington, WA | $1,378.40 | $474.85 – $1,865.50 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $1,378.40 | $491.55 – $3,001.36 |
| MultiCare Allenmore Hospital | Tacoma, WA | $1,378.40 | $477.23 – $1,865.50 |
| Banner Desert Medical Center | Mesa, AZ | $1,383.68 | $221.18 – $1,631.25 |
| Sanford USD Medical Center | Sioux Falls, SD | $1,384.00 | $119.50 – $1,557.00 |
| Urbana Hospital | Urbana, OH | $1,385.40 | not published |
| MUSC Health Chester Medical Center | Chester, SC | $1,385.50 | $403.33 – $443.66 |
| MUSC Health Florence Medical Center | Florence, SC | $1,385.50 | $388.09 – $426.90 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | $1,385.50 | $405.48 – $446.03 |
| Providence Centralia Hospital | Centralia, WA | $1,394.32 | $483.19 – $2,191.65 |