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 Saint Joseph Health - Saint Joseph East | Lexington, KY | $923.05 | $561.64 – $2,091.18 |
| Grant Memorial Hospital | Petersburg, WV | $925.60 | not published |
| Aurora Medical Center Manitowoc | Two Rivers, WI | $930.00 | not published |
| Henry Ford River District Hospital | China Township, MI | $938.00 | $132.58 – $1,206.00 |
| Ascension Saint Thomas DeKalb | Smithville, TN | $945.00 | $107.34 – $3,788.00 |
| Ascension Saint Thomas Midtown | Nashville, TN | $945.00 | $107.34 – $3,788.00 |
| Ascension Saint Thomas Rutherford | Murfreesboro, TN | $945.00 | $107.34 – $3,788.00 |
| Ascension Saint Thomas Highlands | Sparta, TN | $945.00 | $107.34 – $3,788.00 |
| Ascension Saint Thomas River Park | McMinnville, TN | $945.00 | $107.34 – $3,788.00 |
| Weirton Medical Center | Weirton, WV | $948.50 | $95.33 – $2,027.11 |
| Siena Hospital | Henderson, NV | $950.23 | $108.14 – $5,971.00 |
| MultiCare Valley Hospital | Spokane Valley, WA | $950.40 | $469.34 – $1,698.16 |
| MultiCare Deaconess Hospital | Spokane, WA | $950.40 | $455.67 – $1,701.98 |
| Sanford Wheaton | Wheaton, MN | $957.60 | $289.79 – $1,077.30 |
| Sanford Medical Center Hillsboro | Hillsboro, ND | $957.60 | $289.79 – $1,077.30 |
| Sanford Medical Center Mayville | Mayville, ND | $957.60 | $289.79 – $1,077.30 |
| Thomas Hospitals | South Charleston, WV | $960.50 | $201.39 – $2,015.76 |
| UnityPoint Health - Allen Hospital | Waterloo, IA | $966.68 | $25.91 – $352.95 |
| UnityPoint Health - Marshalltown | Marshalltown, IA | $966.68 | $19.25 – $414.36 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $969.66 | $68.35 – $805.00 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | $971.60 | $447.15 – $447.15 |
| MUSC Health Black River Medical Center | Cades, SC | $975.50 | $388.09 – $430.77 |
| MUSC Health Kershaw Medical Center | Camden, SC | $975.50 | $355.33 – $443.66 |
| Trinity Medical Center East | Steubenville, OH | $980.46 | $785.50 – $1,449.91 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $981.60 | $497.79 – $1,378.50 |
| Sanford Aberdeen Medical Center | Aberdeen, SD | $984.80 | $404.53 – $1,107.90 |
| Willard Hospital | Willard, OH | $985.20 | not published |
| CHI Health Plainview | Plainview, NE | $987.84 | $85.50 – $335.16 |
| CHI Health St. Francis | Grand Island, NE | $990.61 | $229.78 – $1,578.26 |
| French Hospital | San Luis Obispo, CA | $992.55 | $98.04 – $2,299.08 |
| St Elias Specialty Hospital | Anchorage, AK | $997.92 | $406.59 – $534.08 |
| Henry Ford St John Hospital | Detroit, MI | $997.92 | $132.58 – $1,166.40 |
| 64-0362400 Anderson Regional South Campus | Meridian, MS | $998.40 | $383.08 – $853.40 |
| CHI Health Schuyler | Schuyler, NE | $999.60 | $73.26 – $335.16 |
| Tiffin Hospital | Tiffin, OH | $1,002.00 | not published |
| Glendale Memorial Hospital Health Center | Glendale, CA | $1,004.41 | $98.04 – $2,464.80 |
| CHI Health Good Samaritan | Kearney, NE | $1,009.55 | $229.78 – $1,539.15 |
| UPMC Altoona | Altoona, PA | $1,012.20 | $123.00 – $1,349.60 |
| SSM Health Waupun Memorial Hospital | Waupun, WI | $1,012.90 | not published |
| SSM Health Ripon Community Hospital | Ripon, WI | $1,012.90 | not published |
| SSM Health St. Agnes Hospital - Fond du Lac | Fond Du Lac, WI | $1,012.90 | $309.54 – $796.55 |
| Aurora West Allis Medical Center | West Allis, WI | $1,020.00 | not published |
| Advocate Condell Medical Center | Libertyville, IL | $1,020.00 | $643.63 – $3,263.00 |
| Jackson General Hospital | Ripley, WV | $1,023.00 | not published |
| OSF Holy Family Medical Center | Monmouth, IL | $1,026.40 | not published |
| OSF Saint Clare Medical Center | Princeton, IL | $1,026.40 | not published |
| OSF Saint Paul Medical Center | Mendota, IL | $1,026.40 | not published |
| OSF Sacred Heart Medical Center – Urbana | Danville, IL | $1,026.60 | $447.15 – $456.09 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | $1,026.60 | $447.15 – $456.09 |
| OSF Saint Anthony's Health Center | Alton, IL | $1,026.60 | $336.40 – $456.09 |