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 |
|---|---|---|---|
| CHI Health Missouri Valley | Missouri Valley, IA | $576.24 | $85.50 – $335.16 |
| 62-1138045 BMH Union City | Union City, TN | $577.80 | $373.27 – $777.64 |
| Trinitas Regional Medical Center | Elizabeth, NJ | $581.68 | $62.43 – $1,862.00 |
| Barnesville Hospital | Barnesville, OH | $588.50 | not published |
| Aurora Medical Center Burlington | Burlington, WI | $595.00 | not published |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $595.20 | $407.60 – $570.64 |
| SIERRA VISTA HOSPITAL, INC. | San Luis Obispo, CA | $598.68 | $535.72 – $8,647.60 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $603.52 | $152.50 – $858.65 |
| UPMC Jameson | New Castle, PA | $605.40 | $104.86 – $507.46 |
| SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES | Simi Valley, CA | $607.68 | $120.59 – $1,207.51 |
| Aurora Medical Center Kenosha | Kenosha, WI | $610.00 | not published |
| Abbott Northwestern Hospital | MN 55407, MN | $616.70 | $262.88 – $1,066.02 |
| Mercy Hospital | MN 55443 | 550 Osborne Road NE. Fridley, MN | $616.70 | $262.88 – $496.94 |
| United Hospital | MN | 1175 Nininger Road. Hastings, MN | $616.70 | $262.88 – $685.95 |
| Providence St Joseph Hospital | Chewelah, WA | $620.90 | not published |
| Uniontown Hospital | Uniontown, PA | $622.00 | $104.86 – $840.02 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $631.00 | $415.26 – $427.47 |
| Sentara RMH Medical Center | Harrisonburg, VA | $631.00 | $415.26 – $427.47 |
| 62-0123940 BMH Collierville | Collierville, TN | $631.05 | $374.32 – $779.84 |
| CHI Health St. Elizabeth | Lincoln, NE | $632.00 | $229.78 – $1,011.20 |
| Community Medical Center | Toms River, NJ | $642.73 | $465.37 – $1,976.00 |
| Jersey City Medical Center | Jersey City, NJ | $643.97 | $80.80 – $1,605.00 |
| Sentara Halifax Regional Hospital | South Boston, VA | $644.50 | $418.55 – $430.86 |
| UPMC Bedford | Everett, PA | $645.60 | $100.10 – $968.40 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa, IA | $648.43 | $19.97 – $48.79 |
| UnityPoint Health - St. Lukes Downtown | Sioux City, IA | $648.43 | $14.30 – $377.11 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge, IA | $648.43 | $25.47 – $362.93 |
| UnityPoint Health - Finley Hospital | Dubuque, IA | $648.43 | $20.24 – $374.39 |
| Newark Beth Israel Medical Center | Newark, NJ | $652.60 | $64.27 – $1,485.00 |
| Summersville Regional Medical Center | Summersville, WV | $654.00 | not published |
| Morrow County Hospital | Mount Gilead, OH | $657.41 | $84.46 – $139.35 |
| Gouverneur Hospital | Gouverneur, NY | $663.54 | $144.32 – $144.32 |
| Cooperman Barnabas Medical Center | Livingston, NJ | $663.88 | $477.74 – $2,179.00 |
| Massena Hospital | Massena, NY | $667.04 | $144.32 – $144.32 |
| Robert Wood Johnson University Hospital | New Brunswick, NJ | $668.26 | $123.65 – $2,179.00 |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $675.45 | $125.71 – $2,562.78 |
| Monmouth Medical Center | Long Branch, NJ | $678.06 | $471.32 – $1,715.00 |
| Reynolds Memorial Hospital | Glen Dale, WV | $682.00 | $104.86 – $697.02 |
| New Ulm Medical Center | MN 56073, MN | $685.10 | $337.06 – $1,110.18 |
| 62-1166050 BMH Carroll County | Huntingdon, TN | $691.15 | $93.67 – $777.64 |
| Advocate Sherman Hospital | Elgin, IL | $695.00 | $547.66 – $3,263.00 |
| UPMC McKeesport | Mckeesport, PA | $705.60 | $104.86 – $446.57 |
| HSHS Good Shepherd Hospital | Shelbyville, IL | $714.24 | not published |
| Uchicago Medicine Adventhealth Glenoaks | Glendale Heights, IL | $715.00 | $447.15 – $724.38 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale, IL | $715.00 | $437.76 – $724.38 |
| Uchicago Medicine Adventhealth La Grange | La Grange, IL | $715.00 | $437.76 – $724.38 |
| Uchicago Medicine Adventhealth Bolingbrook | Bolingbrook, IL | $715.00 | $447.15 – $724.38 |
| MercyOne Genesis DeWitt Medical Center | DeWitt, IA | $719.40 | $275.21 – $407.66 |
| MercyOne Genesis Aledo Medical Center | Aledo, IL | $719.40 | $209.00 – $563.53 |
| Marion General Hospital | Marion, OH | $720.85 | $398.42 – $414.36 |