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
Jefferson Medical Center Ranson, WV $446.00 not published
82-3844150 BMH Crittenden West Memphis, AR $450.75 $52.53 – $779.84
Southern Ocean Medical Center Manahawkin, NJ $465.37 $140.00 – $1,522.00
Ocean University Medical Center Brick, NJ $465.37 $140.00 – $1,789.00
Bayshore Medical Center Holmdel, NJ $471.32 $471.32 – $1,787.00
Jersey Shore University Medical Center Neptune City, NJ $471.32 $196.20 – $1,897.00
Riverview Medical Center Red Bank, NJ $471.32 $140.00 – $1,836.00
Raritan Bay Medical Center Perth Amboy, NJ $471.73 $140.00 – $1,699.00
JFK Johnson Rehabilitation Institute (JRI) Edison, NJ $471.73 $200.68 – $3,800.00
Berkeley Medical Center Martinsburg, WV $480.00 $201.39 – $702.76
St. Luke's Health Memorial Lufkin Lufkin, TX $481.35 $481.35 – $3,623.00
St. Luke's Health Memorial Livingston Livingston, TX $481.35 $481.35 – $3,623.00
St. Luke's Health Memorial San Augustine San Augustine, TX $481.35 $577.62 – $3,623.00
UPMC Western Maryland Cumberland, MD $489.60 $653.00 – $653.00
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA $489.75 $68.35 – $923.07
Hackensack University Medical Center Hackensack, NJ $501.47 $200.68 – $1,944.00
Palisades Medical Center North Bergen, NJ $501.47 $200.68 – $1,522.00
Bellevue Hospital Center NY 10016, NY $503.90 $0.01 – $781.29
Kings County Hospital Center Brooklyn, NY $503.90 $0.01 – $781.29
Metropolitan Hospital Center New York, NY $503.90 $0.01 – $781.00
Harlem Hospital Center New York, NY $503.90 $0.01 – $781.00
Jacobi Medical Center Bronx, NY $503.90 $0.01 – $781.29
Lincoln Medical Center Bronx, NY $503.90 $0.01 – $781.00
South Brooklyn Health Brooklyn, NY $503.90 $0.01 – $781.00
Woodhull Medical Center Brooklyn, NY $503.90 $0.01 – $781.29
Queens Hospital Center Jamaica, NY $503.90 $0.01 – $781.29
North Central Bronx Bronx, NY $503.90 $0.01 – $781.29
Elmhurst Hospital Center NY 11373, NY $503.90 $0.01 – $781.00
Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ $515.46 $465.37 – $2,115.00
CHI Memorial Hospital Hixson Hixson, TN $529.25 $171.17 – $1,222.00
CHI Memorial Hospital - Georgia Ringgold, GA $529.25 $268.20 – $1,448.28
Robert Wood Johnson University Hospital Somerset Somerville, NJ $531.50 $66.11 – $1,935.00
MID-COLUMBIA MEDICAL CENTER The Dalles, OR $534.24 $114.71 – $923.92
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $538.56 $426.30 – $426.30
64-0362400 Anderson Regional Main Campus Meridian, MS $549.12 $385.60 – $876.35
Clara Maass Medical Center Belleville, NJ $551.94 $477.74 – $1,465.00
Summers County ARH Hospital Hinton, WV $552.00 $191.80 – $191.80
Providence Mount Carmel Hospital Colville, WA $554.40 not published
CHI St. Vincent North Sherwood, AR $560.52 $115.77 – $962.66
CHI Saint Joseph Health - Saint Joseph Berea Berea, KY $561.12 $321.15 – $1,059.24
CHI St. Vincent Morrilton Morrilton, AR $561.62 $96.32 – $745.00
CHI Health Mercy Corning Corning, IA $564.48 $85.50 – $335.16
University Hospitals Samaritan Medical Center Ashland, OH $567.00 $404.66 – $728.39
TWIN CITIES COMMUNITY HOSPITAL Templeton, CA $569.03 $535.72 – $9,434.10
UPMC Northwest Seneca, PA $570.00 $104.86 – $426.27
UPMC Horizon-Greenville Greenville, PA $570.00 $104.86 – $441.57
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr., MI $573.75 $75.40 – $1,463.47
Henry Ford West Bloomfield Hospital West Bloomfield, MI $573.75 $75.40 – $1,159.77
Henry Ford Wyandotte Hospital: Wyandotte, MI $573.75 $75.40 – $1,159.77
Henry Ford Macomb Hospital Clinton Twp, MI $573.75 $75.40 – $1,223.82

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