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 |
|---|---|---|---|
| Methodist Hospital of Sacramento | Sacramento, CA | $5,786.79 | $98.04 – $3,540.78 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $6,038.00 | $9.09 – $2,853.00 |
| HCA FLORIDA BAYONET POINT HOSPITAL | HUDSON, FL | $6,442.79 | $130.15 – $132.89 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | $6,841.50 | $135.85 – $138.71 |
| ADVENTIST HEALTH CLEARLAKE HOSPITAL | Clearlake, CA | $6,872.76 | $98.04 – $6,753.45 |
| CASTLE MEDICAL CENTER | Kailua, HI | $7,305.60 | $29.27 – $1,457.68 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | $7,707.75 | $130.15 – $137.00 |
| Mercy Hospital of Folsom | Folsom, CA | $7,816.18 | $98.04 – $3,498.12 |
| HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION | Denver, CO | $7,833.18 | $681.53 – $710.23 |
| AdventHealth Porter | Denver, CO | $8,147.60 | $210.42 – $814.30 |
| AdventHealth Avista | Louisville, CO | $8,147.60 | $210.42 – $823.34 |
| AdventHealth Castle Rock | Castle Rock, CO | $8,147.60 | $210.42 – $814.30 |
| AdventHealth Littleton | Littleton, CO | $8,147.60 | $210.42 – $814.30 |
| AdventHealth Parker | Parker, CO | $8,147.60 | $210.42 – $814.30 |
| NewYork-Presbyterian Queens | Flushing, NY | $9,394.00 | $478.68 – $529.06 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | $9,748.19 | $130.15 – $132.89 |
| Mercy Medical Center Redding | Redding, CA | $11,340.58 | $155.88 – $5,398.82 |
| HCA FLORIDA PASADENA HOSPITAL | South Pasadena, FL | $11,646.90 | $130.15 – $132.89 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | $12,811.59 | $130.15 – $132.89 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $107.10 – $109.20 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $105.00 – $109.20 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $105.00 – $381.15 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $105.00 – $109.20 |
| HCA FLORIDA SOUTH TAMPA HOSPITAL | Tampa, FL | not published | $130.15 – $132.89 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $138.71 – $138.71 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $135.85 – $138.71 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $130.15 – $132.89 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $130.15 – $132.89 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $135.85 – $138.71 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $132.89 – $132.89 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA OAK HILL HOSPITAL | BROOKSVILLE, FL | not published | $130.15 – $132.89 |
| HCA FLORIDA NORTHWEST HOSPITAL | MARGATE, FL | not published | $135.85 – $138.71 |
| HCA FLORIDA NORTH FLORIDA HOSPITAL | NEWBERRY, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI, FL | not published | $144.40 – $147.44 |
| HCA FLORIDA MEMORIAL HOSPITAL | JACKSONVILLE, FL | not published | $130.15 – $132.89 |
| HCA HealthONE SOUTH PARKER ER, A PART OF SKY RIDGE | PARKER, CO | not published | $135.85 – $710.23 |
| HCA FLORIDA LAKE MONROE HOSPITAL | SANFORD, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA LAKE CITY HOSPITAL | LIVE OAK, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA KENDALL HOSPITAL | DORAL, FL | not published | $144.40 – $147.44 |
| HCA FLORIDA JFK HOSPITAL | PALM BEACH GARDENS, FL | not published | $135.85 – $138.71 |
| HCA FLORIDA GULF COAST HOSPITAL | PANAMA CITY, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL | NAVARRE, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA FAWCETT HOSPITAL | FORT MYERS, FL | not published | $130.15 – $132.89 |
| HCA FLORIDA ENGLEWOOD HOSPITAL | ENGLEWOOD, FL | not published | $130.15 – $132.89 |
| HCA FLORIDA CITRUS HOSPITAL | Inverness, FL | not published | $820.80 – $838.08 |
| HCA FLORIDA CAPITAL HOSPITAL | TALLAHASSEE, FL | not published | $130.15 – $137.00 |
| HCA FLORIDA BRANDON HOSPITAL | TAMPA, FL | not published | $130.15 – $132.89 |