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 |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy, MO | $2,483.55 | $508.20 – $559.02 |
| Sunnyside Medical Center | CLACKAMAS, OR | $2,499.00 | not published |
| Westside Medical Center | HILLSBORO, OR | $2,499.00 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton, IL | $2,524.90 | not published |
| St Jude Medical Center | Fullerton, CA | $2,534.40 | $456.17 – $992.84 |
| Redwood Memorial Hospital | Fortuna, CA | $2,566.32 | not published |
| Ascension St. Vincent Carmel Ambulatory Surgery Center | Carmel, IN | $2,568.00 | $19.14 – $174.23 |
| Ascension St. Vincent Naab Surgery Center | Indianapolis, IN | $2,568.00 | $19.14 – $174.23 |
| Ascension St. Vincent Carmel (St. Vincent Carmel Hospital, Inc.) | Carmel, IN | $2,568.00 | $20.44 – $174.23 |
| Ascension St. Vincent Fishers (St. Vincent Fishers Hospital, Inc.) | Fishers, IN | $2,568.00 | $20.44 – $174.23 |
| Banner Page Hospital | Page, AZ | $2,573.71 | $103.46 – $575.05 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | $2,574.98 | $105.00 – $109.20 |
| Adventhealth Ocala | Ocala, FL | $2,585.90 | $435.74 – $967.34 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $2,673.93 | $64.38 – $790.71 |
| WellSpan Gettysburg Hospital | Gettysburg, PA | $2,678.40 | $153.75 – $763.12 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403, PA | $2,678.40 | $119.16 – $721.40 |
| Adventhealth Sebring | Sebring, FL | $2,694.74 | $446.63 – $990.26 |
| Redwood City Medical Center | Redwood City, CA | $2,712.64 | not published |
| Oakland Medical Center | Oakland, CA | $2,712.64 | not published |
| Sacramento Medical Center | SACRAMENTO, CA | $2,712.64 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $2,712.64 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $2,712.64 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $2,712.64 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $2,712.64 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $2,712.64 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $2,712.64 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $2,712.64 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $2,712.64 | not published |
| Vallejo Medical Center | VALLEJO, CA | $2,712.64 | not published |
| Antioch Medical Center | ANTIOCH, CA | $2,712.64 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $2,712.64 | not published |
| Fremont Medical Center | FREMONT, CA | $2,712.64 | not published |
| Fresno Medical Center | FRESNO, CA | $2,712.64 | not published |
| San Jose Medical Center | SAN JOSE, CA | $2,712.64 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $2,712.64 | not published |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $2,726.10 | $62.00 – $948.70 |
| Healdsburg Hospital | Healdsburg, CA | $2,726.46 | $562.20 – $562.20 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $2,763.69 | $536.67 – $536.67 |
| MercyOne Clinton Medical Center | Clinton, IA | $2,785.31 | $9.09 – $1,558.00 |
| Dominican Hospital | Santa Cruz, CA | $2,791.80 | $98.04 – $5,273.40 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | $2,822.34 | $580.61 – $592.45 |
| Banner Lassen Medical Center | Susanville, CA | $2,826.36 | $85.16 – $1,742.12 |
| St Mary's Hospital | Richmond, VA | $2,848.20 | not published |
| Memorial Regional Hospital | Mechanicsville, VA | $2,848.20 | not published |
| St Francis Medical Center | Midlothian, VA | $2,848.20 | not published |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $2,924.00 | $478.68 – $1,762.00 |
| Adventhealth Riverview | Riverview, FL | $2,959.97 | not published |
| Adventhealth Tampa | Tampa, FL | $2,959.97 | $435.74 – $967.34 |
| Adventhealth Wesley Chapel | Wesley Chapel, FL | $2,959.97 | $435.74 – $967.34 |
| Adventhealth Zephyrhills | Zephyrhills, FL | $2,959.97 | $435.74 – $1,010.52 |