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 |
|---|---|---|---|
| Soin Medical Center | Beaver Creek, OH | $1,252.00 | not published |
| Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) | Appleton, WI | $1,252.29 | $125.71 – $2,562.78 |
| Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) | Oshkosh, WI | $1,252.29 | $125.71 – $2,562.78 |
| Advocate Good Samaritan Hospital | Downers Grove, IL | $1,255.00 | $643.63 – $3,426.00 |
| Lourdes Hospital | Paducah, KY | $1,257.00 | not published |
| Marcum Wallace Hospital | Irvine, KY | $1,257.60 | not published |
| HSHS St. Nicholas Hospital | SHEBOYGAN, WI | $1,259.28 | $408.06 – $918.14 |
| HSHS St. Mary's Hospital Medical Center | GREEN BAY, WI | $1,259.28 | $407.45 – $916.76 |
| HSHS St. Vincent Hospital | Green Bay, WI | $1,259.28 | $405.30 – $911.93 |
| Advocate Trinity Hospital | Chicago, IL | $1,265.00 | $643.63 – $3,426.00 |
| Advocate South Suburban Hospital | Hazel Crest, IL | $1,265.00 | $643.63 – $3,426.00 |
| St. Luke's Health - Brazosport Hospital | Lake Jackson, TX | $1,269.45 | $217.62 – $1,813.50 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco, TX | $1,273.68 | $339.65 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - GRAPEVINE | Grapevine, TX | $1,273.68 | $318.42 – $3,780.00 |
| BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH | Fort Worth, TX | $1,273.68 | $339.65 – $3,780.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - IRVING | Irving, TX | $1,273.68 | $233.51 – $3,780.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - FRISCO AT PGA PARKWAY | Frisco, TX | $1,273.68 | $398.20 – $1,592.10 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE | Waxahachie, TX | $1,273.68 | $318.42 – $3,780.00 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas, TX | $1,273.68 | $360.88 – $6,299.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - LAKE POINTE | Rowlett, TX | $1,273.68 | $233.51 – $3,894.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | McKinney, TX | $1,273.68 | $360.88 – $3,780.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano, TX | $1,273.68 | $254.74 – $3,780.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - DENTON | Denton, TX | $1,273.68 | $233.51 – $3,894.00 |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL - MCKINNEY | McKinney, TX | $1,273.68 | $272.57 – $3,780.00 |
| BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE | Waxahachie, TX | $1,273.68 | $169.82 – $3,780.00 |
| Ascension Seton Cedar Park Hospital | Cedar Park, TX | $1,277.15 | $512.63 – $1,710.00 |
| SSM Health St. Clare Hospital - Fenton | Fenton, MO | $1,277.65 | $417.94 – $501.52 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton, MO | $1,277.65 | $417.94 – $501.52 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville, MO | $1,277.65 | not published |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles, MO | $1,277.65 | $417.94 – $501.52 |
| SSM Health St. Mary's Hospital - St. Louis | Richmond Heights, MO | $1,277.65 | $417.94 – $501.52 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | $1,277.65 | $417.94 – $501.52 |
| Banner University Medical Center Tucson | Tucson, AZ | $1,286.40 | $221.18 – $1,655.20 |
| Sanford Canton Inwood Medical Center | Canton, SD | $1,288.80 | $550.96 – $1,449.90 |
| Methodist Mansfield Medical Center | Mansfield, TX | $1,291.00 | $419.16 – $1,133.61 |
| Methodist Charlton Medical Center | Dallas, TX | $1,291.00 | $409.98 – $1,106.95 |
| Methodist Midlothian Medical Center | Midlothian, TX | $1,291.00 | $419.16 – $1,131.74 |
| Methodist Dallas Medical Center | Dallas, TX | $1,291.00 | $419.16 – $1,131.74 |
| Methodist Richardson Medical Center | Richardson, TX | $1,291.00 | $419.16 – $1,131.74 |
| Methodist Celina Medical Center | Celina, TX | $1,291.00 | $409.52 – $1,047.91 |
| Methodist Southlake Medical Center | Souhtlake, TX | $1,291.00 | $406.81 – $1,133.61 |
| Sanford Westbrook Hospital | Westbrook, MN | $1,292.80 | $391.23 – $1,454.40 |
| Sanford Tracy Hospital | Tracy, MN | $1,292.80 | $391.23 – $1,454.40 |
| HSHS St. Joseph's Hospital | Breese, IL | $1,298.88 | $447.15 – $1,804.00 |
| Ascension St. Vincent Evansville (St. Mary's Health, Inc.) | IN 47750|10388 Warrick Wellness Trail Newburgh, IN | $1,304.40 | $20.44 – $174.23 |
| Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) | Boonville, IN | $1,304.40 | $19.14 – $174.23 |
| Mark Twain Medical Center | San Andreas, CA | $1,310.03 | $92.10 – $348.88 |
| Mercy Hospital Healdton | Healdton, OK | $1,310.40 | $112.41 – $639.45 |
| Mercy Hospital Stoddard | Dexter, MO | $1,313.00 | $114.23 – $2,681.46 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana, CA | $1,315.30 | $536.67 – $992.84 |