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
Orange County Anaheim Medical Center Anaheim, CA $1,953.12 not published
Baldwin Park Medical Center BALDWIN PARK, CA $1,953.12 not published
Downey Medical Center Downey, CA $1,953.12 not published
San Bernardino - Fontana Medical Center FONTANA, CA $1,953.12 not published
Riverside Medical Center RIVERSIDE, CA $1,953.12 not published
South Bay Medical Center HARBOR CITY, CA $1,953.12 not published
West Los Angeles Medical Center LOS ANGELES, CA $1,953.12 not published
San Marcos Medical Center SAN MARCOS, CA $1,953.12 not published
Woodland Hills Medical Center WOODLAND HILLS, CA $1,953.12 not published
Los Angeles Sunset Medical Center LOS ANGELES, CA $1,953.12 not published
San Diego Clairemont Mesa Medical Center SAN DIEGO, CA $1,953.12 not published
Panorama Medical Center PANORAMA CITY, CA $1,953.12 not published
Moreno Valley Medical Center MORENO VALLEY, CA $1,953.12 not published
UPMC Presbyterian Pittsburgh, PA $1,954.20 $104.86 – $446.57
Providence Portland Medical Center Portland, OR $1,956.75 $456.38 – $1,857.60
Providence Newberg Medical Center Newberg, OR $1,956.75 $456.38 – $848.75
Providence Willamette Falls Medical Center Oregon City, OR $1,956.75 $456.38 – $1,857.60
Providence St Vincent Medical Center Portland, OR $1,956.75 $456.38 – $1,857.60
Providence Milwaukie Hospital Milwaukie, OR $1,956.75 $456.38 – $1,857.60
AdventHealth Deland Deland, FL $1,962.66 $413.95 – $868.99
MercyOne Dyersville Medical Center Dyersville, IA $1,987.05 $0.35 – $319.67
Adventhealth Lake Wales Lake Wales, FL $1,991.01 $435.74 – $967.34
Mercy Hospital Southeast Cape Girardeau, MO $1,993.22 $113.66 – $2,681.46
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg, CA $1,995.18 $68.35 – $178.09
Ogallala Community Hospital Ogallala, NE $2,004.83 $236.28 – $520.89
Adventhealth Hendersonville Hendersonville, NC $2,017.00 $398.83 – $995.88
Emory Decatur Hospital Decatur, GA $2,018.00 $418.52 – $887.27
Emory Long-Term Acute Care Hospital Decatur, GA $2,018.00 not published
Emory Johns Creek Hospital Johns Creek, GA $2,018.00 $423.82 – $898.50
Emory Rehabilitation Hospital Atlanta, GA $2,018.00 not published
Emory Hillandale Hospital Lithonia, GA $2,018.00 $418.52 – $887.27
Emory Saint Joseph's Hospital Atlanta, GA $2,018.00 $423.82 – $898.50
Emory University Hospital Midtown Atlanta, GA $2,018.00 $423.82 – $898.50
Emory University Hospital Ne, GA $2,018.00 $418.52 – $887.27
Moanalua Medical Center HONOLULU, HI $2,025.00 not published
Mary Immaculate Hospital Newport News, VA $2,041.80 not published
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City, IN $2,072.50 $441.47 – $662.20
Parkview Huntington Hospital Huntington, IN $2,074.50 $441.47 – $662.20
UnityPoint Health - Meriter Hospital Madison, WI $2,075.99 $12.65 – $114.85
Parkview LaGrange Hospital Lagrange, IN $2,085.50 not published
Banner Churchill Community Hospital Fallon, NV $2,097.47 $253.50 – $936.00
Parkview DeKalb Hospital Auburn, IN $2,105.00 $441.47 – $662.20
Parkview Noble Hospital Kendallville, IN $2,111.50 $441.47 – $662.20
Mercy Gilbert Medical Center Gilbert, AZ $2,122.49 $38.50 – $275.00
Banner Fort Collins Medical Center Fort Collins, CO $2,127.47 $415.10 – $4,750.00
CHI St. Vincent Hospital Hot Springs Hot Springs, AR $2,133.00 $27.24 – $1,706.40
Parkview Wabash Hospital Wabash, IN $2,135.50 not published
Community Hospital Torrington, WY $2,142.59 $236.28 – $520.89
Baptist Health Floyd New Albany, IN $2,160.95 $75.80 – $4,321.91
Baptist Health Hardin Elizabethtown, KY $2,160.95 $2,881.27 – $5,762.54

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