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 |
|---|---|---|---|
| Atrium Health Pineville | Charlotte, NC | $1,590.63 | $104.11 – $2,926.75 |
| Atrium Health Stanly | Albermarle, NC | $1,590.63 | $104.11 – $3,054.00 |
| Atrium Health Union | Monroe, NC | $1,590.63 | $104.11 – $3,022.19 |
| Atrium Health University City | Charlotte, NC | $1,590.63 | $104.11 – $2,926.75 |
| WellSpan Evangelical Community Hospital | Lewisburg, PA | $1,600.60 | $112.49 – $1,487.73 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple, TX | $1,601.69 | $827.54 – $3,780.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco, TX | $1,601.69 | $320.34 – $4,008.00 |
| BAYLOR SCOTT & WHITE MCLANE CHILDREN'S MEDICAL CENTER | Temple, TX | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station, TX | $1,601.69 | $398.20 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham, TX | $1,601.69 | $329.68 – $4,008.00 |
| Providence St Mary Medical Center | Walla Walla, WA | $1,612.10 | $392.46 – $860.20 |
| Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) | Brazil, IN | $1,615.80 | $19.14 – $174.23 |
| Banner Ironwood Medical Center | San Tan Valley, AZ | $1,618.05 | $221.18 – $1,631.25 |
| Southampton Medical Center | Franklin, VA | $1,619.40 | not published |
| SSM Health St. Anthony Hospital - Oklahoma City | Oklahoma City, OK | $1,624.15 | $186.88 – $858.80 |
| St. Joseph's Medical Center Stockton | Stockton, CA | $1,624.35 | $98.04 – $4,530.50 |
| Corewell Health Lakeland St. Joseph | St Joseph, MI | $1,626.00 | $415.76 – $779.38 |
| Corewell Health Lakeland Watervliet | Watervliet, MI | $1,626.00 | $420.26 – $630.40 |
| Mercy Hospital Ozark | River Ozark, AR | $1,636.35 | $111.00 – $806.16 |
| Allen Hospital | Oberlin, OH | $1,638.00 | not published |
| Banner Ocotillo Medical Center | Chandler, AZ | $1,641.60 | $221.18 – $1,631.25 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $1,652.49 | $112.41 – $639.45 |
| Kadlec Regional Medical Center | Richland, WA | $1,662.50 | $202.48 – $1,375.50 |
| East Morgan County Hospital | Brush, CO | $1,665.19 | $226.29 – $520.89 |
| Ascension St. Vincent Anderson (St. Vincent Anderson Regional Hospital, Inc.) | Anderson, IN | $1,667.40 | $19.14 – $174.23 |
| Community Hospital San Bernardino | San Bernardino, CA | $1,672.31 | $98.04 – $2,609.00 |
| Ascension St. Vincent Randolph (St. Vincent Randolph Hospital, Inc.) | Winchester, IN | $1,674.00 | $19.14 – $174.23 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110, TX | $1,676.36 | $335.27 – $4,008.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PFLUGERVILLE | Suite 100, TX | $1,676.36 | $307.33 – $4,008.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park, TX | $1,676.36 | $398.20 – $3,780.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - TAYLOR | Taylor, TX | $1,676.36 | $530.85 – $4,008.00 |
| SSM Health Saint Louis University Hospital | Saint Louis, MO | $1,676.40 | $142.72 – $501.52 |
| Mercy Hospital Aurora | Aurora, MO | $1,678.30 | $73.00 – $559.02 |
| Providence Medford Medical Center | Medford, OR | $1,678.50 | $422.87 – $1,057.17 |
| Banner North Colorado Medical Center - Loveland Campus | Loveland, CO | $1,698.91 | $415.63 – $4,750.00 |
| Covenant Specialty Hospital | Lubbock, TX | $1,706.04 | not published |
| Covenant Children's Hospital | Lubbock, TX | $1,706.04 | $1,199.60 – $1,199.60 |
| Covenant Medical Center | Lubbock, TX | $1,706.04 | $419.16 – $1,199.60 |
| AdventHealth Polk | Columbus, NC | $1,712.55 | not published |
| Mercy Hospital Paris | Academy Paris, AR | $1,734.36 | $113.00 – $806.16 |
| Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.) | Williamsport, IN | $1,734.60 | $19.14 – $174.23 |
| Whitesburg ARH Hospital | Whitesburg, KY | $1,745.40 | $226.10 – $226.10 |
| Ascension Columbia St. Mary's Hospital - Ozaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Mequon, WI | $1,749.00 | $193.92 – $911.97 |
| Ascension Columbia St. Mary's Hospital - Milwaukee Campus (Columbia St. Mary's Hospital Milwaukee, Inc.) | Milwaukee, WI | $1,749.00 | $193.92 – $911.97 |
| Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) | Elwood, IN | $1,751.40 | $20.44 – $174.23 |
| Mid Coast Hospital | Brunswick, ME | $1,754.55 | $113.44 – $244.01 |
| Pen Bay Medical Center | Rockport, ME | $1,754.55 | $114.57 – $291.55 |
| St. Michael Medical Center | Silverdale, WA | $1,759.66 | $1,798.53 – $3,588.30 |
| Tug Valley ARH Regional Medical Center | Williamson, KY | $1,761.60 | $191.80 – $246.19 |
| Rochester General Hospital | Rochester, NY | $1,763.01 | not published |