ER Visit (level 5, high severity) cost at US hospitals
Emergency department visit, high severity, threat to life · CPT 99285
$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.
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 |
|---|---|---|---|
| Sacramento Medical Center | SACRAMENTO, CA | $4,220.16 | not published |
| San Leandro Medical Center | SAN LEANDRO, CA | $4,220.16 | not published |
| Santa Clara Medical Center | SANTA CLARA, CA | $4,220.16 | not published |
| San Rafael Medical Center | SAN RAFAEL, CA | $4,220.16 | not published |
| Santa Rosa Medical Center | SANTA ROSA, CA | $4,220.16 | not published |
| South San Francisco Medical Center | SOUTH SAN FRANCISCO, CA | $4,220.16 | not published |
| South Sacramento Medical Center | SACRAMENTO, CA | $4,220.16 | not published |
| Vacaville Medical Center | VACAVILLE, CA | $4,220.16 | not published |
| Walnut Creek Medical Center | WALNUT CREEK, CA | $4,220.16 | not published |
| Vallejo Medical Center | VALLEJO, CA | $4,220.16 | not published |
| Antioch Medical Center | ANTIOCH, CA | $4,220.16 | not published |
| Fremont Medical Center | FREMONT, CA | $4,220.16 | not published |
| Roseville Medical Center | ROSEVILLE, CA | $4,220.16 | not published |
| San Jose Medical Center | SAN JOSE, CA | $4,220.16 | not published |
| San Francisco Medical Center | SAN FRANCISCO, CA | $4,220.16 | not published |
| Wellstar Cobb Hospital | Austell, GA | $4,258.80 | $604.89 – $1,119.04 |
| Wellstar Douglas Hospital | Douglasville, GA | $4,258.80 | $599.45 – $1,108.98 |
| Wellstar Kennestone Hospital | Marietta, GA | $4,258.80 | $604.89 – $1,119.04 |
| Wellstar MCG Health | Augusta, GA | $4,258.80 | $521.87 – $1,022.87 |
| Wellstar North Fulton Hospital | Roswell, GA | $4,258.80 | $604.89 – $1,119.04 |
| Wellstar Paulding Hospital | Hiram, GA | $4,258.80 | $604.89 – $1,119.04 |
| Wellstar Roosevelt Long Term Acute Care at Warm Springs | P O Box 280, GA | $4,258.80 | not published |
| Wellstar Spalding Regional Hospital | Griffin, GA | $4,258.80 | $597.33 – $1,170.77 |
| Wellstar Sylvan Grove Hospital | Jackson, GA | $4,258.80 | $1,813.03 – $1,813.03 |
| Wellstar West Georgia Medical Center | Lagrange, GA | $4,258.80 | $586.02 – $1,148.59 |
| Wellstar Windy Hill Hospital | Marietta, GA | $4,258.80 | not published |
| West Virginia University Hospitals | Morgantown, WV | $4,303.50 | $138.74 – $2,428.49 |
| Mercy Hospital Healdton | Healdton, OK | $4,309.16 | $163.11 – $912.65 |
| HCA FLORIDA HIGHLANDS HOSPITAL | Sebring, FL | $4,319.00 | $194.00 – $194.00 |
| Mercy Hospital Carthage | Carthage, MO | $4,340.51 | $105.00 – $912.65 |
| Mercy Gilbert Medical Center | Gilbert, AZ | $4,380.77 | $64.54 – $461.00 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $4,423.93 | $158.25 – $1,412.26 |
| Adventhealth Sebring | Sebring, FL | $4,429.66 | $637.45 – $1,413.33 |
| Petaluma Valley Hospital | Petaluma, CA | $4,458.42 | $802.54 – $818.92 |
| Providence St Joseph Hospital Eureka | Eureka, CA | $4,460.97 | $765.95 – $765.95 |
| Dominican Hospital | Santa Cruz, CA | $4,498.20 | $155.03 – $8,496.60 |
| Adventhealth Redmond | Rome, GA | $4,565.74 | $618.94 – $1,720.66 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | $4,610.93 | $105.00 – $109.20 |
| Adventhealth Dade City | Dade City, FL | $4,611.82 | $621.90 – $1,409.66 |
| Redwood Memorial Hospital | Fortuna, CA | $4,646.10 | not published |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $4,657.00 | $689.21 – $906.85 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | $4,667.37 | $777.72 – $777.72 |
| Adventhealth Lake Wales | Lake Wales, FL | $4,722.24 | $621.90 – $1,380.62 |
| MercyOne Clinton Medical Center | Clinton, IA | $4,744.80 | $9.09 – $2,133.00 |
| Chandler Regional Medical Center | Chandler, AZ | $4,772.55 | $64.54 – $387.24 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $4,823.40 | $66.41 – $820.34 |
| St Mary's Hospital | Richmond, VA | $4,865.07 | $597.48 – $609.43 |
| AdventHealth New Smyrna Beach | New Smyrna Beach, FL | $4,868.04 | $590.81 – $1,358.54 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $4,887.09 | $105.00 – $1,267.75 |
| Mercy Hospital Lincoln | Troy, MO | $4,890.92 | $731.72 – $804.90 |