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
Southeastern Medical Center Cambridge, OH $724.75 $394.76 – $410.55
Monmouth Medical Center Southern Campus Lakewood, NJ $736.63 $465.37 – $1,572.00
Allina Health Faribault Medical Center Faribualt, MN $736.85 $304.92 – $970.93
Buffalo Hospital Buffalo, MN $736.85 $304.92 – $970.93
Cambridge Medical Center Cambridge, MN $736.85 $304.92 – $970.93
Owatonna Hospital Owatonna, MN $736.85 $304.92 – $970.93
River Falls Area Hospital River Falls, MN $736.85 $331.10 – $1,576.33
Arizona General Hospital Laveen Phoenix, AZ $738.99 $105.34 – $2,636.46
Aurora Medical Center Bay Area Marinette, WI $750.00 not published
Covenant Hospital Levelland Levelland, TX $755.16 $406.59 – $723.69
CHI Memorial Hospital Chattanooga Chattanooga, TN $756.33 $171.17 – $1,222.00
Ascension St. John Medical Center (St. John Medical Center, Inc.) Tulsa, OK $757.95 $131.75 – $1,620.20
Ascension St. John Jane Phillips (Jane Phillips Memorial Medical Center, Inc.) Bartlesville, OK $757.95 $131.75 – $976.07
Ascension St. John Sapulpa (St. John Sapulpa, Inc.) Sapulpa, OK $757.95 $131.75 – $200.34
Ascension St. John Broken Arrow (St. John Broken Arrow, Inc.) Jenks, OK $757.95 $131.75 – $131.75
Ascension St. John Owasso (Owasso Medical Facility, Inc.) Owasso, OK $757.95 $131.75 – $911.36
Ascension St. John Nowata (Jane Phillips Nowata Hospital, Inc.) Nowata, OK $757.95 $131.75 – $200.34
Stephens Memorial Hospital Norway, ME $770.70 $118.62 – $385.35
Ascension Providence Waco, TX $777.60 $174.17 – $2,000.00
Aurora Medical Center Summit Summit, WI $780.00 not published
Mansfield Hospital Mansfield, OH $781.30 $398.42 – $414.36
Shelby Hospital Shelby, OH $781.30 not published
Canton-Potsdam Hospital Potsdam, NY $786.76 $102.62 – $119.72
United Hospital Center Bridgeport, WV $787.00 $201.39 – $752.76
Providence St Joseph Medical Center Polson, MT $787.20 $1,245.22 – $1,245.22
Parkview Bryan Hospital Bryan, OH $790.00 $415.12 – $1,245.37
Parkview Montpelier Hospital Montpelier, OH $790.00 not published
Arizona General Hospital Mesa Mesa, AZ $797.07 $105.34 – $2,636.46
Aurora Baycare Medical Center Green Bay, WI $805.00 not published
Sentara Albemarle Regional Medical Center Elizabeth City, NC $809.50 $398.83 – $406.81
Advocate Childrens Hospital - Park Ridge Park Ridge, IL $810.00 $638.28 – $3,426.00
CHI Saint Joseph Health - Flaget Memorial Hospital Bardstown, KY $822.26 $341.87 – $1,763.58
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX $845.10 not published
Texas Health Center for Diagnostics and Surgery Plano Plano, TX $845.10 not published
Texas Health Arlington Memorial Hospital Arlington, TX $845.10 not published
Texas Health Presbyterian Hospital Allen Allen, TX $845.10 not published
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX $845.10 not published
Texas Health Harris Methodist Hospital Azle Azle, TX $845.10 not published
Texas Health Heart & Vascular Hospital Arlington Arlington, TX $845.10 not published
Texas Health Presbyterian Hospital Denton Denton, TX $845.10 not published
Texas Health Hospital Frisco Frisco, TX $845.10 not published
Texas Health Presbyterian Hospital Dallas Dallas, TX $845.10 not published
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $845.10 not published
Texas Health Presbyterian Hospital Kaufman Kaufman, TX $845.10 not published
Texas Health Presbyterian Hospital Plano Plano, TX $845.10 not published
Texas Health Hospital Rockwall Rockwall, TX $845.10 not published
Texas Health Harris Methodist Hospital Southlake Southlake, TX $845.10 not published
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $845.10 not published
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $845.10 not published
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $845.10 not published

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