ER Visit (level 5, high severity) cost at US hospitals

Emergency department visit, high severity, threat to life · CPT 99285

What is ER Visit (level 5, high severity)? Read the full explainer →

ER Visit (level 5, high severity)

Level 5 is the highest of the five emergency department visit codes. It describes a presentation that posed an immediate and significant threat to life or to the function of an organ or limb. Most patients billed at this level are admitted to hospital rather than sent home.

$198.75

lowest cash price

$1,871.60

national median

$17,124.42

highest cash price

868

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $198.75–$17,124.42 — the variation is the story.

Cheapest published cash price

$198.75

Mercy Primary Care - Bernie — Bernie, MO

Most expensive published cash price

$17,124.42

AdventHealth Castle Rock — Castle Rock, CO

Median cash price over time

Sep 1, 2025 ($1,141.75) → Sep 1, 2026 ($2,641.52)

By state

State Hospitals Lowest cash Median Highest
Alaska 5 $1,740.06 $3,608.28 $5,494.32
Arizona 22 $945.77 $1,513.22 $4,772.55
Arkansas 11 $341.05 $3,584.29 $4,423.93
California 88 $490.00 $3,284.32 $14,478.20
Colorado 17 $1,796.26 $5,118.43 $17,124.42
Florida 78 $1,395.46 $3,851.88 $15,536.60
Georgia 25 $789.73 $3,661.21 $4,565.74
Hawaii 2 $2,895.00 $2,895.00 $7,713.28
Illinois 51 $899.40 $1,707.20 $10,081.05
Indiana 25 $1,239.88 $2,920.20 $3,211.00
Iowa 31 $744.60 $1,920.00 $10,139.20
Kansas 11 $640.80 $3,835.18 $11,955.75
Kentucky 22 $222.60 $2,641.52 $5,673.54
Louisiana 2 $536.38 $536.38 $536.38
Maine 7 $1,058.95 $1,391.50 $3,306.00
Maryland 2 $783.60 $783.60 $783.60
Michigan 27 $818.88 $2,314.00 $3,185.00
Minnesota 19 $913.25 $1,270.40 $2,052.80
Mississippi 11 $281.52 $515.78 $1,286.00
Missouri 21 $198.75 $2,408.84 $5,896.44
Montana 2 $1,182.40 $1,182.40 $1,407.20
Nebraska 12 $1,071.50 $1,384.32 $3,172.59
Nevada 4 $1,261.98 $1,397.42 $2,469.72
New Hampshire 1 $2,545.15 $2,545.15 $2,545.15
New Jersey 21 $660.09 $722.02 $1,102.33
New Mexico 2 $1,517.88 $1,517.88 $1,517.88
New York 23 $725.52 $725.52 $9,678.00
North Carolina 15 $1,682.03 $1,682.03 $3,262.00
North Dakota 4 $1,411.20 $1,411.20 $1,973.60
Ohio 56 $776.00 $2,220.40 $8,014.50
Oklahoma 18 $200.00 $2,402.54 $7,439.53
Oregon 13 $582.66 $3,111.00 $3,587.00
Pennsylvania 33 $501.00 $1,798.20 $3,631.80
South Carolina 11 $1,291.50 $1,952.00 $2,124.00
South Dakota 7 $1,428.00 $1,805.60 $2,037.60
Tennessee 30 $320.32 $456.15 $1,128.57
Texas 99 $697.50 $2,007.00 $8,209.23
Virginia 33 $447.58 $1,433.50 $4,865.07
Washington 32 $998.90 $2,339.40 $3,086.79
West Virginia 18 $491.50 $1,376.40 $4,303.50
Wisconsin 33 $920.00 $1,715.00 $3,001.09
Wyoming 4 $1,414.56 $3,272.86 $4,108.02

All hospitals

Hospital Location Cash price Negotiated range
Soin Medical Center Beaver Creek, OH $1,898.00 not published
Kettering Health Greene Memorial Xenia, OH $1,898.00 not published
Kettering Health Hamilton (Fort Hamilton) Hamilton, OH $1,898.00 not published
Kettering Health Troy Troy, OH $1,898.00 not published
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.) Vernon, IN $1,900.20 $30.50 – $252.81
Henry Ford Rochester Hospital Rochester, MI $1,906.79 $324.38 – $1,141.33
Sanford Sheldon Medical Center Sheldon, IA $1,920.00 $684.00 – $2,160.00
Sanford Canton Inwood Medical Center Canton, SD $1,930.40 $825.25 – $2,171.70
Princeton Community Hospital Princeton, WV $1,933.50 $152.61 – $3,546.19
OSF St Francis Hospital Escanaba, MI $1,933.60 not published
Advocate Illinois Masonic Medical Center Chicago, IL $1,950.00 $926.71 – $4,020.00
MUSC Health Chester Medical Center Chester, SC $1,952.00 $575.65 – $633.21
MUSC Health Florence Medical Center Florence, SC $1,952.00 $553.89 – $609.28
MUSC Health Lancaster Medical Center Lancaster, SC $1,952.00 $578.71 – $636.59
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) Appleton, WI $1,957.38 $182.14 – $2,760.87
Ascension Calumet Hospital, Inc. Chilton, WI $1,957.38 $182.14 – $2,760.87
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.) Oshkosh, WI $1,957.38 $182.14 – $2,760.87
OSF Saint Anthony Medical Center Rockford, IL $1,963.20 $189.06 – $2,233.64
OSF Saint Francis Medical Center Peoria, IL $1,963.20 $189.06 – $2,169.58
Sanford Fargo Medical Center Fargo, ND $1,973.60 $173.10 – $2,220.30
Ascension Seton Northwest (Ascension Seton) Austin, TX $2,007.00 $320.56 – $3,416.00
Ascension Seton Smithville (Ascension Seton) Smithville, TX $2,007.00 $365.17 – $3,416.00
Dell Seton Medical Center at The University of Texas (Ascension Seton) Austin, TX $2,007.00 $561.96 – $3,416.00
Ascension Seton Medical Center Austin (Ascension Seton) Austin, TX $2,007.00 $401.40 – $3,416.00
Southern Virginia Medical Center Emporia, VA $2,010.90 not published
St. Clare Hospital Lakewood, WA $2,015.96 $1,594.89 – $5,245.50
Sanford USD Medical Center Sioux Falls, SD $2,037.60 $173.10 – $2,292.30
Sentara Albemarle Regional Medical Center Elizabeth City, NC $2,039.00 $569.22 – $580.61
Advocate Good Samaritan Hospital Downers Grove, IL $2,040.00 $926.71 – $4,020.00
Ascension Seton Cedar Park Hospital Cedar Park, TX $2,046.03 $812.26 – $3,416.00
Sanford Bagley Medical Center Bagley, MN $2,052.80 $621.23 – $2,309.40
Sanford Bemidji Medical Center Bemidji, MN $2,052.80 $463.38 – $2,309.40
St. John's Camarillo Hospital Camarillo, CA $2,060.79 $226.60 – $3,279.18
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.) Brazil, IN $2,077.80 $28.23 – $252.81
MUSC Health Main Campus - Charleston Charleston, SC $2,078.00 $524.78 – $609.28
MUSC Health Orangeburg Medical Center Orangeburg, SC $2,078.00 $553.89 – $609.28
St. Bernardine Medical Center San Bernardino, CA $2,088.25 $155.03 – $3,497.30
St Francis Eastside Greenville, SC $2,124.00 not published
St. Anthony Hospital Gig Harbor, WA $2,127.22 $1,594.89 – $5,245.50
St. Anne Hospital Burien, WA $2,135.66 $1,871.85 – $6,294.60
Rochester General Hospital Rochester, NY $2,140.30 not published
Newark Wayne Community Hospital Newark, NY $2,140.30 $165.50 – $344.85
CHRISTUS Santa Rosa Emergency Center - Alon San Antonio, TX $2,157.54 $575.69 – $2,313.00
UPMC Hamot Erie, PA $2,165.40 $152.61 – $728.58
Berger Hospital Circleville, OH $2,172.95 $369.49 – $369.49
Ascension St. Vincent Warrick (St. Mary's Warrick Hospital, Inc.) Boonville, IN $2,173.80 $28.23 – $252.81
Ascension St. Vincent Evansville (St. Mary's Health, Inc.) IN 47750|10388 Warrick Wellness Trail Newburgh, IN $2,173.80 $30.50 – $252.81
AdventHealth Polk Columbus, NC $2,174.55 not published
O'Bleness Hospital Athens, OH $2,181.40 $568.64 – $574.33
Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.) Elwood, IN $2,190.60 $30.50 – $252.81

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