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 |
|---|---|---|---|
| OSF St Joseph Medical Center | Bloomington, IL | $1,026.60 | $447.15 – $456.09 |
| OSF St Mary Medical Center | Galesburg, IL | $1,026.60 | $447.15 – $456.09 |
| Henry Ford Madison Heights Hospital | Madison Heights, MI | $1,027.04 | $172.00 – $1,767.00 |
| Henry Ford Warren Hospital | Warren, MI | $1,027.04 | $172.00 – $1,767.00 |
| Wetzel County Hospital | New Martinsville, WV | $1,027.50 | $104.86 – $746.51 |
| Banner Wyoming Medical Center | Casper, WY | $1,029.00 | $425.82 – $2,352.00 |
| Providence Saint John's Health Center | Santa Monica, CA | $1,030.05 | $536.67 – $992.84 |
| Covenant Health Hobbs Hospital | Hobbs, NM | $1,030.26 | $413.89 – $579.45 |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $1,031.25 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $1,031.25 | not published |
| UnityPoint Health - Trinity Bettendorf | Bettendorf, IA | $1,036.96 | $19.25 – $366.42 |
| UnityPoint Health - Trinity Moline | Rock Island, IL | $1,036.96 | $21.67 – $331.27 |
| UnityPoint Health - Trinity Muscatine | Muscatine, IA | $1,036.96 | $12.65 – $367.75 |
| CHI Health Mercy Council Bluffs | Council Bluffs, IA | $1,038.24 | $229.78 – $2,101.20 |
| CHI Health Lakeside | Omaha, NE | $1,038.24 | $229.78 – $2,101.20 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha, NE | $1,038.24 | $229.78 – $2,101.20 |
| Lasting Hope Recovery Center | Omaha, NE | $1,038.24 | $420.24 – $2,101.20 |
| CHI Health Immanuel | Omaha, NE | $1,038.24 | $229.78 – $2,101.20 |
| CHI Health Midlands | Papillion, NE | $1,038.24 | $229.78 – $2,101.20 |
| St Francis Downtown | Greenville, SC | $1,043.40 | not published |
| Banner University Medical Center South | Tucson, AZ | $1,044.44 | $221.18 – $1,655.20 |
| SSM Health St. Clare Hospital - Baraboo | Baraboo, WI | $1,046.10 | $303.98 – $405.30 |
| Sanford Thief River Falls Medical Center | Thief River Falls, MN | $1,048.00 | $447.11 – $1,179.00 |
| Sanford Behavioral Health Thief River Falls | Thief River Falls, MN | $1,048.00 | $447.11 – $1,179.00 |
| Sanford Medical Center Bismarck | Bismarck, ND | $1,048.80 | $119.50 – $1,179.90 |
| Henry Ford Rochester Hospital | Rochester, MI | $1,057.50 | $225.29 – $792.70 |
| Camden Clark Medical Center | Parkersburg, WV | $1,058.00 | $201.39 – $697.02 |
| ST HELENA HOSPITAL | Vallejo, CA | $1,058.85 | $53.83 – $554.32 |
| Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) | Salem, IN | $1,060.80 | $20.44 – $174.23 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | $1,062.40 | $430.56 – $1,245.22 |
| SSM Health St. Mary's Hospital - Janesville | Janesville, WI | $1,063.15 | $315.22 – $420.29 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | $1,064.58 | $426.51 – $1,592.00 |
| Sanford Hospital Webster | Webster, SD | $1,078.40 | $423.27 – $1,213.20 |
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane, WA | $1,078.70 | $464.97 – $1,183.36 |
| Banner Goldfield Medical Center | Apache Junction, AZ | $1,081.35 | $221.18 – $1,631.25 |
| CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $1,082.55 | $448.19 – $1,736.28 |
| Princeton Community Hospital | Princeton, WV | $1,091.00 | $104.86 – $2,484.66 |
| Adventhealth Durand | Durand, WI | $1,092.42 | not published |
| St. Joseph’s Hospital and Medical Center | Phoenix, AZ | $1,094.05 | $105.34 – $2,262.56 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $1,096.50 | $394.76 – $710.57 |
| Providence Hood River Memorial Hospital | Hood River, OR | $1,100.25 | not published |
| Sanford Clear Lake Medical Center | Clear Lake, SD | $1,103.20 | $707.43 – $1,241.10 |
| Advocate Christ Medical Center | Oak Lawn, IL | $1,110.00 | $643.63 – $3,426.00 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $1,111.50 | $112.41 – $639.45 |
| St. John's Camarillo Hospital | Camarillo, CA | $1,112.96 | $148.33 – $1,735.94 |
| Banner Boswell Medical Center | Sun City, AZ | $1,119.48 | $221.18 – $1,740.00 |
| UPMC East | Monroeville, PA | $1,120.20 | $104.86 – $1,493.60 |
| Ascension Seton Edgar B. Davis (Ascension Seton) | Luling, TX | $1,120.23 | $311.18 – $1,710.00 |
| OSF Little Company of Mary Medical Center | Evergreen Park, IL | $1,129.80 | $447.15 – $831.69 |
| Arroyo Grande Hospital | Santa Maria, CA | $1,131.21 | $98.04 – $2,255.96 |