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 |
|---|---|---|---|
| HCA FLORIDA AVENTURA HOSPITAL | HIALEAH, FL | not published | $144.40 – $147.44 |
| HCA HealthONE BELMAR ER, A PART OF SWEDISH | LAKEWOOD, CO | not published | $681.53 – $710.23 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | not published | $130.15 – $132.89 |
| HCA HealthONE SKY RIDGE | Lone Tree, CO | not published | $681.53 – $710.23 |
| CENTRAL PARK ER, A PART OF ROSE | DENVER, CO | not published | $681.53 – $710.23 |
| HCA HealthONE MOUNTAIN RIDGE | Thornton, CO | not published | $681.53 – $710.23 |
| HCA HealthONE Rocky Mountain Children's at Presbyterian St. Luke's | Denver, CO | not published | $681.53 – $710.23 |
| HCA HealthONE AURORA | Aurora, CO | not published | $681.53 – $710.23 |
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $702.29 – $876.19 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $702.29 – $915.62 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $545.81 – $545.81 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $544.91 – $544.91 |
| WellSpan Newberry Hospital | Etters, PA | not published | not published |
| Virginia Mason Medical Center | Seattle, WA | not published | $3.55 – $1,024.29 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $544.91 – $544.91 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $545.81 – $545.81 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $223.17 – $649.56 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $544.91 – $544.91 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $5.69 – $1,044.03 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $130.15 – $132.89 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | not published | $410.33 – $876.23 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe, FL | not published | $457.78 – $846.89 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola, FL | not published | $427.43 – $790.75 |
| cleveland clinic childrens hospital for rehabilitation | Cleveland, OH | not published | $95.52 – $110.61 |
| Providence St Luke's Rehabilitation Medical Center | Spokane, WA | not published | $464.97 – $511.47 |
| Ascension Via Christi Hospital St. Teresa, Inc. | Wichita, KS | not published | $393.81 – $2,534.00 |
| Ascension Alexian Brothers Rehabilitation Hospital (Alexian Brothers Medical Center) | Elk Grove Village, IL | not published | $359.26 – $719.09 |
| Garrett Regional Medical Center | Oakland, MD | not published | not published |
| MEDICAL CITY ARLINGTON HOSPITAL | RED OAK, TX | not published | $545.81 – $545.81 |
| MEDICAL CITY WEATHERFORD HOSPITAL | Weatherford, TX | not published | $544.91 – $544.91 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $130.15 – $132.89 |
| MEDICAL CITY MCKINNEY HOSPITAL | McKinney, TX | not published | $544.91 – $544.91 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $130.15 – $137.00 |
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | not published | $415.26 – $427.47 |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | not published | $414.61 – $876.23 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | not published | $427.43 – $790.75 |
| Swedish Edmonds Hospital | Edmonds, WA | not published | $475.18 – $1,702.66 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $135.85 – $138.71 |
| Spring Harbor Hospital | Westbrook, ME | not published | $113.44 – $243.33 |
| Ascension Via Christi St. Francis (Ascension Via Christi Hospitals Wichita, Inc.) | Wichita, KS | not published | $393.81 – $2,534.00 |
| HCA FLORIDA LARGO HOSPITAL | LARGO, FL | not published | $130.15 – $132.89 |
| CHRISTUS Louisiana Surgical Hospital | Alexandria, LA | not published | $269.67 – $951.87 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | not published | $313.78 – $1,790.00 |
| Ascension Saint Thomas Hickman | Centerville, TN | not published | $107.34 – $3,788.00 |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Wichita, KS | not published | $353.72 – $2,043.00 |
| Henry J. Carter Specialty Hospital | New York, NY | not published | $1,200.11 – $2,266.00 |
| Ascension St. Vincent Seton (St. Vincent Seton Specialty Hospital, Inc.) | Indianapolis, IN | not published | $20.44 – $174.23 |
| Ascension Saint Alexius Women And Children's Hospital (Ascension St. Alexius Medical Center) | Hoffman Estates, IL | not published | $359.26 – $719.09 |
| Ascension Alexian Brothers Behavioral Health Hospital | Hoffman Estates, IL | not published | $138.97 – $394.74 |