ER Visit (level 4) cost at US hospitals

Emergency department visit, high severity · CPT 99284

What is ER Visit (level 4)? Read the full explainer →

ER Visit (level 4)

Level 4 is the second-highest of the five emergency department visit codes. It describes a problem serious enough that something dangerous had to be actively ruled out, usually with imaging or repeated testing, even though the patient was not unstable. It is the level at which emergency bills start to get large.

$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.

Cheapest published cash price

$136.50

Mercy Primary Care - Bernie — Bernie, MO

Most expensive published cash price

$12,811.59

HCA FLORIDA ST. PETERSBURG HOSPITAL — NORTH, FL

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
Newark Wayne Community Hospital Newark, NY $1,763.01 $114.02 – $237.58
Ascension SE Wisconsin Hospital - St. Joseph Campus Milwaukee, WI $1,767.02 $313.78 – $1,790.00
Ascension St. Francis Hospital, Inc. Milwaukee, WI $1,767.02 $313.78 – $1,790.00
Providence St Joseph Hospital Orange Orange, CA $1,784.16 $456.17 – $992.84
Providence Valdez Medical Center Valdez, AK $1,784.64 not published
Grady Memorial Hospital Delaware, OH $1,787.50 $402.33 – $418.43
WellSpan Waynesboro Hospital Waynesboro, PA $1,796.80 $83.13 – $2,351.30
WellSpan Chambersburg Hospital Chambersburg, PA $1,796.80 $153.75 – $2,639.00
WellSpan Good Samaritan Hospital Lebanon, PA $1,810.40 $153.75 – $736.10
Middlesboro ARH Hospital Middlesboro, KY $1,811.40 $291.89 – $291.89
St. Mary Medical Center Long Beach, CA $1,815.46 $88.24 – $4,031.00
Hardin Memorial Hospital Kenton, OH $1,818.70 not published
Paintsville ARH Hospital Paintsville, KY $1,847.40 $268.07 – $268.07
Harlan ARH Hospital KY 40831, KY $1,847.40 $391.07 – $391.07
Yavapai Regional Medical Center (East) Prescott, AZ $1,849.07 $105.34 – $268.18
Ascension St. Vincent Kokomo (St. Joseph Hospital & Health Center, Inc.) Kokomo, IN $1,855.80 $19.14 – $174.23
Riverside Methodist Hospital Columbus, OH $1,879.15 $402.33 – $402.33
Grant Medical Center Columbus, OH $1,879.15 $402.33 – $402.33
Dublin Methodist Hospital Dublin, OH $1,879.15 $402.33 – $402.33
Doctors Hospital Columbus, OH $1,879.15 $411.13 – $411.13
Central Medical Center Seattle, WA $1,888.80 $809.00 – $809.00
Mercy Hospital Pittsburg Pittsburg, KS $1,892.92 $105.00 – $815.69
Houston Methodist Hospital Houston, TX $1,908.00 $419.16 – $1,676.65
hillcrest hospital Mayfield Heights, OH $1,909.70 $58.67 – $2,644.20
lodi hospital Lodi, OH $1,909.70 $91.53 – $2,644.20
marymount hospital Garfield Heights, OH $1,909.70 $52.93 – $2,644.20
medina hospital Medina, OH $1,909.70 $54.91 – $2,644.20
mercy hospital Canton, OH $1,909.70 $1.10 – $2,644.20
south pointe hospital Warrensville Heights, OH $1,909.70 $62.46 – $2,644.20
fairview hospital Cleveland, OH $1,909.70 $56.32 – $2,644.20
cleveland clinic main campus Cleveland, OH $1,909.70 $1.10 – $2,644.20
akron general Akron, OH $1,909.70 $1.10 – $2,644.20
lutheran hospital Cleveland, OH $1,909.70 $53.61 – $2,644.20
avon hospital Avon, OH $1,909.70 $58.51 – $2,644.20
euclid hospital Euclid, OH $1,909.70 $59.95 – $2,644.20
Mercy Hospital Berryville Berryville, AR $1,915.72 $114.09 – $806.16
Beckley ARH Hospital Beckley, WV $1,917.00 $93.17 – $1,835.67
Hazard ARH Regional Medical Center Hazard, KY $1,917.00 $346.06 – $346.06
Richmond Community Hospital Richmond, VA $1,929.60 not published
UnityPoint Health - Iowa Lutheran Hospital Des Moines, IA $1,944.94 $14.41 – $410.25
Adventhealth Palm Coast Palm Coast, FL $1,946.01 $413.95 – $930.69
Adventhealth Palm Coast Parkway Palm Coast, FL $1,946.01 $413.95 – $930.69
Houston Methodist Cypress Hospital Cypress, TX $1,951.00 $419.16 – $817.37
Houston Methodist West Hospital Houston, TX $1,951.00 $419.16 – $1,676.65
Houston Methodist Sugar Land Hospital Sugar Land, TX $1,951.00 $419.16 – $817.37
Houston Methodist Willowbrook Hospital Houston, TX $1,951.00 $419.16 – $817.37
Houston Methodist Baytown Hospital Baytown, TX $1,951.00 $419.16 – $817.37
Houston Methodist Clear Lake Hospital Nassau Bay, TX $1,951.00 $419.16 – $817.37
Houston Methodist The Woodlands Hospital The Woodlands, TX $1,951.00 $419.16 – $838.33
Houston Methodist Continuing Care Hospital Katy, TX $1,951.00 not published

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