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 |
|---|---|---|---|
| Banner Casa Grande Medical Center | Casa Grande, AZ | $1,134.40 | $221.18 – $1,631.25 |
| The Unity Hospital of Rochester | Rochester, NY | $1,136.42 | not published |
| UPMC St. Margaret | Pittsburgh, PA | $1,138.20 | $104.86 – $446.57 |
| Banner Baywood Medical Center | Mesa, AZ | $1,139.29 | $221.18 – $2,083.00 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $1,140.00 | not published |
| HSHS St. Anthony's Memorial Hospital | Mattoon, IL | $1,144.08 | $478.89 – $1,589.00 |
| UPMC Passavant-McCandless | Pittsburgh, PA | $1,146.00 | $104.86 – $446.57 |
| St. Clare Hospital | Lakewood, WA | $1,149.22 | $1,110.41 – $2,990.25 |
| HSHS St. Joseph's Hospital | HIGHLAND, IL | $1,163.52 | $1,616.00 – $1,616.00 |
| OSF St Francis Hospital | Escanaba, MI | $1,164.00 | not published |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell, IA | $1,168.48 | $17.38 – $423.67 |
| Providence Little Company of Mary Med Center Torrance | Torrance, CA | $1,169.35 | $536.67 – $992.84 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro, CA | $1,169.35 | $536.67 – $992.84 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $1,170.00 | $172.84 – $1,710.00 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $1,170.00 | $216.43 – $1,710.00 |
| Ascension Seton Smithville (Ascension Seton) | Smithville, TX | $1,170.00 | $211.98 – $1,710.00 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $1,170.00 | $303.00 – $1,710.00 |
| Bakersfield Memorial Hospital | Bakersfield, CA | $1,172.20 | $98.04 – $2,619.08 |
| Banner Del Webb Medical Center | Sun City West, AZ | $1,172.49 | $221.18 – $1,740.00 |
| OSF Saint Francis Medical Center | Peoria, IL | $1,180.80 | $128.21 – $1,520.13 |
| OSF Saint Anthony Medical Center | Rockford, IL | $1,180.80 | $128.21 – $1,565.01 |
| Mercy Hospitals – Bakersfield | Bakersfield, CA | $1,184.98 | $98.04 – $2,619.08 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St., IL | $1,185.84 | $447.15 – $1,647.00 |
| Sanford Luverne Medical Center | Luverne, MN | $1,190.40 | $360.24 – $1,339.20 |
| Banner Payson Medical Center | Payson, AZ | $1,191.40 | $231.65 – $508.50 |
| Rose de Lima Hospital | Henderson, NV | $1,197.20 | $108.14 – $6,081.00 |
| Sanford Chamberlain Medical Center | Chamberlain, SD | $1,204.00 | $514.71 – $1,354.50 |
| Lincoln Health | Damariscotta, ME | $1,210.65 | $118.62 – $244.01 |
| St. Anthony Hospital | Gig Harbor, WA | $1,212.65 | $1,110.41 – $2,990.25 |
| St. Anne Hospital | Burien, WA | $1,217.46 | $1,266.91 – $3,588.30 |
| St Francis Eastside | Greenville, SC | $1,219.80 | not published |
| HSHS St. Mary's Hospital | DECATUR, IL | $1,221.12 | $447.15 – $1,696.00 |
| Providence Holy Cross Medical Center | Mission Hills, CA | $1,221.85 | $536.67 – $992.84 |
| UPMC Magee | Pittsburgh, PA | $1,223.40 | $104.86 – $438.45 |
| Sanford Canby Medical Center | Canby, MN | $1,224.00 | $370.41 – $1,377.00 |
| West Virginia University Hospitals | Morgantown, WV | $1,224.50 | $95.33 – $1,701.51 |
| Henry Ford Providence Novi Hospital | Novi, MI | $1,235.92 | $132.58 – $830.16 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids, IA | $1,238.90 | $18.37 – $374.53 |
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City, MO | $1,239.18 | $415.64 – $752.28 |
| UPMC Muncy | Muncy, PA | $1,243.80 | $104.86 – $186.09 |
| UPMC Williamsport | Williamsport, PA | $1,243.80 | $104.86 – $434.39 |
| Van Wert Hospital | Van Wert, OH | $1,244.75 | $428.47 – $437.04 |
| UPMC Mercy | Pittsburgh, PA | $1,248.60 | $104.86 – $446.57 |
| St. Francis Hospital | Federal Way, WA | $1,251.22 | $1,110.41 – $2,990.25 |
| Kettering Health Greene Memorial | Xenia, OH | $1,252.00 | not published |
| Kettering Health Main Campus (Kettering) | Kettering, OH | $1,252.00 | not published |
| Kettering Health Miamisburg (Sycamore) | Miamisburg, OH | $1,252.00 | not published |
| Kettering Health Troy | Troy, OH | $1,252.00 | not published |
| Kettering Health Dayton (Grandview) | Dayton, OH | $1,252.00 | not published |
| Kettering Health Hamilton (Fort Hamilton) | Hamilton, OH | $1,252.00 | not published |