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
MercyOne Genesis Davenport Medical Center Davenport, IA $4,962.60 $586.87 – $797.55
MercyOne Genesis Silvis Medical Center Silvis, IL $4,962.60 $317.44 – $808.48
Sequoia Hospital Redwood City, CA $5,051.96 $155.03 – $11,380.78
HCA HealthONE PRESBYTERIAN ST. LUKE'S REHABILITATION, A PART OF SPALDING REHABILITATION Denver, CO $5,118.43 $988.36 – $1,029.98
MercyOne Dyersville Medical Center Dyersville, IA $5,155.41 $2.80 – $970.27
MEDICAL CITY NORTH HILLS HOSPITAL North Richland Hills, TX $5,174.15 $779.00 – $779.00
Mercy Medical Center Merced Merced, CA $5,189.66 $155.03 – $9,472.38
MercyOne New Hampton Medical Center New Hampton, IA $5,452.20 $9.09 – $862.00
Providence Kodiak Island Medical Center Kodiak, AK $5,453.76 not published
RIDEOUT MEMORIAL HOSPITAL Marysville, CA $5,460.40 $5.40 – $260.80
Providence Alaska Medical Center Anchorage, AK $5,494.32 $1,385.84 – $1,385.84
Queen of The Valley Medical Center Napa, CA $5,500.35 $845.57 – $845.57
Mercy Medical Center Mt. Shasta Mt Shasta, CA $5,534.70 $210.84 – $5,019.56
Love County Health Center Marietta, OK $5,551.00 $163.11 – $912.65
Adventhealth Wesley Chapel Wesley Chapel, FL $5,579.62 $621.90 – $1,380.62
Adventhealth Carrollwood Tampa, FL $5,579.62 $621.90 – $1,380.62
Adventhealth Tampa Tampa, FL $5,579.62 $621.90 – $1,380.62
Adventhealth Riverview Riverview, FL $5,579.62 not published
Adventhealth Zephyrhills Zephyrhills, FL $5,579.62 $621.90 – $1,442.25
Adventhealth Waterman Tavares, FL $5,596.54 $621.90 – $1,254.87
MercyOne Waterloo Medical Center Waterloo, IA $5,617.55 $9.09 – $2,151.11
Mercy Orthopedic Hospital Springfield Ozark, MO $5,663.12 $105.00 – $1,128.52
Marcum Wallace Hospital Irvine, KY $5,673.54 not published
MercyOne Dubuque Medical Center Dubuque, IA $5,830.99 $9.09 – $3,385.00
MercyOne Newton Medical Center Newton, IA $5,847.25 $10.92 – $1,475.00
MercyOne Oelwein Medical Center Oelwein, IA $5,874.00 $6.50 – $862.00
WILLITS HOSPITAL INC Willits, CA $5,884.50 $108.08 – $311.32
LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO $5,896.44 $105.00 – $109.20
AdventHealth Orlando Orlando, FL $6,054.00 $621.90 – $1,648.04
Adventhealth North Pinellas Tarpon Springs, FL $6,209.24 $621.90 – $1,380.62
Mercy Hospital Ardmore Northwest Ardmore, OK $6,297.07 $168.10 – $1,354.02
MercyOne North Iowa Medical Center Mason City, IA $6,724.00 $9.09 – $2,800.00
MercyOne Elkader Medical Center Elkader, IA $6,878.70 $0.71 – $900.96
Adventhealth Port Charlotte Port Charlotte, FL $7,102.65 $621.90 – $1,135.59
Mercy Hospital Oklahoma City Oklahoma City, OK $7,439.53 $168.10 – $1,238.98
MercyOne Cedar Falls Medical Center Cedar Falls, IA $7,518.00 $9.09 – $3,478.00
MercyOne Centerville Medical Center Centerville, IA $7,519.00 $2.28 – $862.00
ADVENTIST HEALTH CLEARLAKE HOSPITAL Clearlake, CA $7,646.76 $155.03 – $10,300.95
CASTLE MEDICAL CENTER Kailua, HI $7,713.28 $29.27 – $3,130.00
HCA FLORIDA BAYONET POINT HOSPITAL HUDSON, FL $7,762.39 $190.00 – $194.00
University Hospitals Cleveland Medical Center Cleveland OH 44106|3999 Richmond Road, OH $8,014.50 $563.42 – $1,014.15
Mercy General Hospital Sacramento, CA $8,113.75 $155.03 – $4,946.40
MEDICAL CITY FRISCO HOSPITAL Frisco, TX $8,209.23 $777.72 – $777.72
Northwestern Medicine Palos Hospital Palos Heights, IL $8,222.20 not published
MercyOne Des Moines Medical Center Des Moines, IA $8,360.80 $9.09 – $4,201.00
HCA FLORIDA PUTNAM HOSPITAL Palatka, FL $9,269.75 $190.00 – $200.00
HCA FLORIDA WOODMONT HOSPITAL TAMARAC, FL $9,531.75 $197.60 – $201.76
Northwestern Medicine Kishwaukee Hospital DeKalb, IL $9,565.15 not published
NewYork-Presbyterian Queens Flushing, NY $9,678.00 $689.21 – $761.75
Northwestern Medicine Central DuPage Hospital IL 60190, IL $9,731.92 not published

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