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
Baptist Health Corbin Corbin, KY $2,160.95 $2,881.27 – $5,762.54
Baptist Health La Grange La Grange, KY $2,160.95 $2,715.00 – $5,762.54
Baptist Health Lexington Lexington, KY $2,160.95 $1,320.00 – $5,857.62
Baptist Health Louisville Louisville, KY $2,160.95 $1,834.00 – $5,762.54
Baptist Health Paducah Paducah, KY $2,160.95 $2,881.27 – $5,762.54
Adventhealth Fish Memorial Orange City, FL $2,164.93 $413.95 – $829.30
Sierra Nevada Memorial Hospital Grass Valley, CA $2,165.29 $98.04 – $3,893.54
SSM Health St. Anthony Hospital - Midwest Midwest City, OK $2,173.19 $186.88 – $858.80
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne, IN $2,177.00 $441.47 – $662.20
Corewell Health Pennock Hastings, MI $2,185.00 not published
Corewell Health Gerber Fremont, MI $2,185.00 not published
Corewell Health Reed City Po Box 75, MI $2,185.00 not published
Corewell Health Big Rapids Big Rapids, MI $2,185.00 $415.76 – $748.37
Corewell Health Greenville Greenville, MI $2,185.00 $415.76 – $748.37
Corewell Health Zeeland Zeeland, MI $2,185.00 $415.76 – $748.37
Kings Mills Hospital Mason, OH $2,216.40 not published
Adventhealth Daytona Beach Daytona Beach, FL $2,233.14 $413.95 – $727.25
California Hospital Medical Center Los Angeles, CA $2,233.43 $84.37 – $3,370.14
Corewell Health Gross Pointe Grosse Pointe, MI $2,235.00 $163.69 – $561.52
Corewell Health Troy Troy, MI $2,235.00 $162.90 – $561.28
Corewell Health Taylor Taylor, MI $2,235.00 $235.01 – $561.52
Corewell Health Trenton Trenton, MI $2,235.00 $227.51 – $561.52
Corewell Health Wayne Wayne, MI $2,235.00 $227.88 – $561.52
Dell Children's Medical Center (Ascension Seton) Austin, TX $2,275.00 $354.53 – $1,710.00
Emory Hospital Perry Perry, GA $2,300.00 not published
Emory Hospital Warner Robins Warner Robins, GA $2,300.00 not published
Adventhealth Murray Po Box 1406, GA $2,305.97 $388.50 – $770.00
Adventhealth Gordon Calhoun, GA $2,305.97 $415.34 – $840.01
Chandler Regional Medical Center Chandler, AZ $2,312.31 $38.50 – $231.00
Providence Seward Hospital Seward, AK $2,324.40 not published
Mercy Orthopedic Hospital Fort Smith Fort Smith, AR $2,337.40 $108.89 – $1,093.90
Texas Health Hospital Mansfield Mansfield, TX $2,337.45 $419.16 – $838.33
Texas Health Huguley Hospital Fort Worth South Burleson, TX $2,337.45 $419.85 – $839.71
Corewell Health Butterworth Hospital Grand Rapids, MI $2,338.00 $325.92 – $748.37
Corewell Health Blodgett Hospital East Grand Rapids, MI $2,338.00 $325.92 – $748.37
Adventhealth Wauchula Wauchula, FL $2,343.25 not published
Sequoia Hospital Redwood City, CA $2,374.38 $98.04 – $5,348.86
WellSpan Ephrata Community Hospital Ephrata, PA $2,381.60 $153.75 – $719.71
Adventhealth Central Texas Killeen, TX $2,386.19 $419.16 – $1,354.39
Adventhealth Rollins Brook Lampasas, TX $2,386.19 $1,354.39 – $1,354.39
indian river hospital Vero Beach, FL $2,387.45 $59.76 – $2,938.40
cleveland clinic florida weston hospital Weston, FL $2,387.45 $59.76 – $3,122.05
martin north hospital Stuart, FL $2,387.45 $88.36 – $1,836.50
Washakie Medical Center Worland, WY $2,390.17 $257.76 – $520.89
Platte County Hospital Wheatland, WY $2,393.16 $257.76 – $520.89
Adventhealth Redmond Rome, GA $2,401.00 $433.67 – $1,205.59
Ascension St. Vincent Heart Center (St. Vincent Heart Center of Indiana, LLC) Carmel, IN $2,448.00 $20.44 – $174.23
MercyOne New Hampton Medical Center New Hampton, IA $2,448.55 $1.92 – $284.00
Providence Mission Hospital - Mission Viejo Mission Viejo, CA $2,459.04 $456.17 – $992.84
AdventHealth New Smyrna Beach New Smyrna Beach, FL $2,469.48 $413.95 – $951.87

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