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
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $845.10 not published
CHI Health St. Mary's Nebraska City, NE $848.26 $73.26 – $328.32
HSHS St. Francis Hospital LITCHFIELD, IL $849.60 $1,180.00 – $1,180.00
Aurora Medical Center Grafton Grafton, WI $850.00 not published
Parkview Logansport Hospital Logansport, IN $853.50 $441.47 – $882.94
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS $855.60 $16.71 – $1,102.67
PORTLAND ADVENTIST MEDICAL CENTER Portland, OR $856.00 $371.04 – $4,815.00
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL $857.34 $252.45 – $719.09
Rappahannock General Hospital Kilmarnock, VA $857.40 not published
San Martin Hospital Las Vegas, NV $858.13 $108.14 – $5,971.00
Aurora Medical Center Fond du Lac Fond Du Lac, WI $860.00 not published
SSM Health St. Anthony Hospital - Shawnee Shawnee, OK $860.20 $186.88 – $782.56
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $862.65 $53.83 – $523.31
Wellstar Douglas Hospital Douglasville, GA $875.16 $420.01 – $777.01
Wellstar Paulding Hospital Hiram, GA $875.16 $423.82 – $784.07
Wellstar Sylvan Grove Hospital Jackson, GA $875.16 $1,250.18 – $1,250.18
Wellstar West Georgia Medical Center Lagrange, GA $875.16 $410.60 – $804.77
Wellstar Windy Hill Hospital Marietta, GA $875.16 not published
Wellstar Cobb Hospital Austell, GA $875.16 $423.82 – $784.07
Wellstar Kennestone Hospital Marietta, GA $875.16 $423.82 – $784.07
Wellstar MCG Health Augusta, GA $875.16 $365.65 – $716.68
Wellstar North Fulton Hospital Roswell, GA $875.16 $423.82 – $784.07
Wellstar Roosevelt Long Term Acute Care at Warm Springs P O Box 280, GA $875.16 not published
Wellstar Spalding Regional Hospital Griffin, GA $875.16 $418.52 – $820.31
Aurora Medical Center Washington County Hartford, WI $880.00 not published
Sanford Worthington Medical Center Worthington, MN $880.00 $326.43 – $990.00
Henry Ford Genesys Hospital Grand Blanc Twp, MI $885.36 $149.09 – $906.05
CHI Saint Joseph Health - Saint Joseph London London, KY $885.67 $354.43 – $2,258.62
HANFORD COMMUNITY HOSPITAL Selma, CA $888.82 $68.35 – $842.57
REEDLEY COMMUNITY HOSPITAL Reedley, CA $888.82 $3.38 – $619.49
ADVENTIST HEALTH TULARE Tulare, CA $888.82 $53.83 – $2,557.00
HSHS Holy Family Hospital GREENVILLE, IL $892.80 $447.15 – $1,117.87
Clifton Springs Hospital and Clinic Clifton Springs, NY $893.34 $98.06 – $165.00
Maryview Hospital Portsmouth, VA $898.80 not published
Harbour View Medical Center Suffolk, VA $898.80 not published
Aurora Medical Center Sheboygan County Sheboygan, WI $905.00 not published
Swedish Medical Center Cherry Hill Seattle, WA $909.12 $483.19 – $1,649.90
Swedish Issaquah Issaquah, WA $909.12 $484.54 – $1,713.22
Swedish Medical Center - First Hill Campus Seattle, WA $909.12 $483.19 – $1,713.22
Sentara Princess Anne Hospital Virginia Beach, VA $909.50 $415.26 – $427.47
Sentara Leigh Hospital Norfolk, VA $909.50 $415.26 – $427.47
Sentara Virginia Beach General Hospital Virginia Beach, VA $909.50 $415.26 – $427.47
Sentara CarePlex Hospital Hampton, VA $909.50 $415.26 – $427.47
Sentara Obici Hospital Suffolk, VA $909.50 $415.26 – $427.47
Sentara Northern Virginia Medical Center Woodbridge, VA $909.50 $415.26 – $427.47
Sentara Norfolk General Hospital Norfolk, VA $909.50 $415.26 – $427.47
Covenant Hospital Plainview Plainview, TX $911.40 $406.59 – $723.69
Waldo County General Hospital Belfast, ME $917.80 $118.62 – $244.01
SSM Health Monroe Hospital Monroe, WI $920.15 $405.30 – $405.30
Franklin Memorial Hospital Farmington, ME $920.70 $118.62 – $244.01

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