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 |
|---|---|---|---|
| Adventhealth Carrollwood | Tampa, FL | $2,959.97 | $435.74 – $967.34 |
| Love County Health Center | Marietta, OK | $2,986.39 | $112.41 – $639.45 |
| Providence Alaska Medical Center | Anchorage, AK | $2,999.10 | $953.41 – $953.41 |
| Adventhealth Shawnee Mission | Shawnee Mission, KS | $3,096.96 | $395.04 – $1,145.63 |
| Adventhealth South Overland Park | Overland Park, KS | $3,096.96 | $395.04 – $1,145.63 |
| Adventhealth Ottawa | Ottawa, KS | $3,096.96 | $392.38 – $667.05 |
| Mercy Medical Center Merced | Merced, CA | $3,113.69 | $98.04 – $5,683.24 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $3,125.00 | $51.31 – $284.00 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $3,187.00 | $478.68 – $629.84 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | $3,227.29 | $544.91 – $544.91 |
| Providence Kodiak Island Medical Center | Kodiak, AK | $3,245.58 | not published |
| Petaluma Valley Hospital | Petaluma, CA | $3,274.71 | $562.31 – $573.78 |
| MercyOne Centerville Medical Center | Centerville, IA | $3,303.00 | $3.40 – $284.00 |
| AdventHealth Orlando | Orlando, FL | $3,392.00 | $435.74 – $1,154.71 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $3,491.30 | $9.09 – $1,656.53 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $3,524.95 | $4.56 – $1,436.00 |
| MercyOne Elkader Medical Center | Elkader, IA | $3,580.10 | $1.92 – $296.84 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $3,586.63 | $545.81 – $545.81 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $3,627.00 | $9.09 – $1,656.53 |
| MercyOne Newton Medical Center | Newton, IA | $3,661.00 | $9.09 – $1,280.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $3,710.00 | $9.09 – $1,969.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta, CA | $3,763.97 | $133.33 – $4,741.24 |
| Adventhealth Dade City | Dade City, FL | $3,818.91 | $435.74 – $987.69 |
| Queen of The Valley Medical Center | Napa, CA | $3,861.72 | $592.45 – $592.45 |
| Mercy Hospital Oklahoma City | Oklahoma City, OK | $3,917.77 | $115.85 – $868.10 |
| Adventhealth Waterman | Tavares, FL | $3,993.56 | $435.74 – $879.23 |
| Northwestern Memorial Hospital | Chicago, IL | $4,049.15 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $4,054.05 | not published |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | $4,058.00 | $132.89 – $132.89 |
| Northwestern Medicine Valley West Hospital | Sandwich, IL | $4,134.37 | $44.00 – $44.00 |
| Northwestern Medicine Kishwaukee Hospital | DeKalb, IL | $4,197.90 | not published |
| Northwestern Medicine McHenry Hospital | McHenry, IL | $4,245.85 | not published |
| Adventhealth North Pinellas | Tarpon Springs, FL | $4,248.37 | $435.74 – $967.34 |
| Northwestern Lake Forest Hospital DBA Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital | Lake Forest, IL | $4,274.02 | not published |
| Northwestern Medicine Central DuPage Hospital | IL 60190, IL | $4,365.20 | not published |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | $4,370.12 | $105.00 – $109.20 |
| Mercy General Hospital | Sacramento, CA | $4,380.28 | $98.04 – $3,412.80 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | $4,451.42 | $544.91 – $544.91 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $4,509.20 | $53.83 – $574.77 |
| Northwestern Medicine Delnor Hospital | Geneva, IL | $4,706.10 | not published |
| MENORAH MEDICAL CENTER | Overland Park, KS | $4,714.58 | $105.00 – $381.15 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $4,782.60 | $407.60 – $570.64 |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $4,782.60 | $346.84 – $977.19 |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | $4,832.29 | $130.15 – $132.89 |
| RIDEOUT MEMORIAL HOSPITAL | Marysville, CA | $4,968.70 | $98.04 – $5,987.85 |
| MercyOne Des Moines Medical Center | Des Moines, IA | $5,171.60 | $9.09 – $2,603.00 |
| WILLITS HOSPITAL INC | Willits, CA | $5,418.90 | $53.83 – $208.19 |
| Adventhealth Port Charlotte | Port Charlotte, FL | $5,468.64 | $435.74 – $795.66 |
| Woodland Memorial Hospital | Woodland, CA | $5,505.49 | $98.04 – $4,266.00 |
| Mercy San Juan Medical Center | Carmichael, CA | $5,505.49 | $98.04 – $3,540.78 |