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 |
|---|---|---|---|
| Providence St Peter Hospital | Olympia, WA | $1,394.32 | $407.90 – $1,970.02 |
| Mercy Hospital Watonga | Watonga, OK | $1,396.15 | $112.41 – $639.45 |
| Mercy Hospital Logan County | Guthrie, OK | $1,398.67 | $112.41 – $694.08 |
| St. Elizabeth Hospital | Enumclaw, WA | $1,408.87 | $677.79 – $3,588.30 |
| Sanford Bagley Medical Center | Bagley, MN | $1,411.20 | $427.06 – $1,587.60 |
| Sanford Bemidji Medical Center | Bemidji, MN | $1,411.20 | $319.53 – $1,587.60 |
| St. Bernardine Medical Center | San Bernardino, CA | $1,420.25 | $98.04 – $2,159.88 |
| Sterling Regional Medical Center | Sterling, CO | $1,435.49 | $280.39 – $974.85 |
| SSM Health St. Mary's Hospital - Madison | Madison, WI | $1,441.00 | $303.98 – $405.30 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon, IL | $1,451.45 | $447.15 – $469.50 |
| SSM Health St. Mary's Hospital - Centralia | Centralia, IL | $1,451.45 | $447.15 – $469.50 |
| Inova Loudoun Hospital | Leesburg, VA | $1,458.50 | $425.82 – $4,045.00 |
| Inova Alexandria Hospital | Alexandria, VA | $1,458.50 | $425.82 – $4,045.00 |
| Inova Fairfax Hospital | Falls Church, VA | $1,458.50 | $425.82 – $4,114.00 |
| Inova Mount Vernon Hospital | Alexandria, VA | $1,458.50 | $425.82 – $4,045.00 |
| Inova Fair Oaks Hospital | VA 22033-1709, VA | $1,458.50 | $425.82 – $4,045.00 |
| Banner University Medical Center Phoenix | Phoenix, AZ | $1,461.69 | $221.18 – $1,631.25 |
| SSM Health Cardinal Glennon Children's Hospital | Saint Louis, MO | $1,485.06 | $121.41 – $121.41 |
| Northridge Hospital Medical Center | Northridge, CA | $1,489.31 | $98.04 – $3,594.00 |
| Ascension Seton Highland Lakes (Ascension Seton) | Burnet, TX | $1,498.23 | $566.38 – $1,710.00 |
| UPMC Wellsboro | Wellsboro, PA | $1,504.00 | $104.86 – $168.00 |
| Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) | Vernon, IN | $1,507.80 | $20.44 – $174.23 |
| MUSC Health Main Campus - Charleston | Charleston, SC | $1,511.50 | $353.06 – $426.90 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | $1,511.50 | $388.09 – $426.90 |
| Berger Hospital | Circleville, OH | $1,515.15 | $252.88 – $252.88 |
| Mercy Hospital Boonville | Booneville, AR | $1,515.15 | $113.33 – $806.16 |
| O'Bleness Hospital | Athens, OH | $1,521.65 | $398.42 – $402.40 |
| Banner Estrella Medical Center | Phoenix, AZ | $1,523.05 | $221.18 – $1,631.25 |
| Southern Virginia Medical Center | Emporia, VA | $1,534.20 | not published |
| Providence Seaside Hospital | Seaside, OR | $1,553.25 | not published |
| Banner Gateway Medical Center | Gilbert, AZ | $1,563.48 | $221.18 – $1,631.25 |
| Mercy Hospital Carthage | Carthage, MO | $1,579.50 | $105.00 – $639.45 |
| UPMC Hamot | Erie, PA | $1,581.00 | $104.86 – $506.02 |
| Providence Saint Joseph Medical Center | Burbank, CA | $1,585.50 | $536.67 – $992.84 |
| Baptist Hospital | MIAMI, FL | $1,588.60 | $173.17 – $2,199.60 |
| Bethesda Hospital East | BOYNTON BEACH, FL | $1,588.60 | $435.74 – $2,199.60 |
| Doctors Hospital | CORAL GABLES, FL | $1,588.60 | $427.70 – $2,199.60 |
| Baptist Health Hospital Doral | SOUTH MIAMI, FL | $1,588.60 | $425.26 – $2,199.60 |
| Fishermens Community Hospital | MARATHON, FL | $1,588.60 | $408.15 – $2,199.60 |
| Homestead Hospital | HOMESTEAD, FL | $1,588.60 | $167.89 – $2,199.60 |
| Mariners Hospital | TAVERNIER, FL | $1,588.60 | $422.81 – $2,199.60 |
| West Kendall Baptist Hospital | MIAMI, FL | $1,588.60 | $417.92 – $2,199.60 |
| Atrium Health Anson | Wadesboro, NC | $1,590.63 | $104.11 – $3,022.19 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | $1,590.63 | $97.92 – $2,799.50 |
| Atrium Health Cleveland | Shelby, NC | $1,590.63 | $104.11 – $3,022.19 |
| Atrium Health Cabarrus | Concord, NC | $1,590.63 | $104.11 – $3,022.19 |
| Atrium Health Lincoln | Lincolnton, NC | $1,590.63 | $104.11 – $3,022.19 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | $1,590.63 | $105.15 – $2,926.75 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | $1,590.63 | $75.38 – $2,863.13 |
| Atrium Health Mercy | Charlotte, NC | $1,590.63 | $75.38 – $2,926.75 |