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
UPMC Williamsport Williamsport, PA $1,287.60 $152.61 – $625.44
Trinity Medical Center East Steubenville, OH $1,289.92 $785.50 – $1,907.29
MUSC Health Black River Medical Center Cades, SC $1,291.50 $553.89 – $640.29
MUSC Health Kershaw Medical Center Camden, SC $1,291.50 $528.15 – $633.21
Tiffin Hospital Tiffin, OH $1,303.20 not published
Covenant Hospital Plainview Plainview, TX $1,308.30 $580.30 – $1,068.17
CHI Saint Joseph Health - Saint Joseph London London, KY $1,319.94 $528.22 – $3,366.09
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago, IL $1,327.59 $376.20 – $1,035.36
Rappahannock General Hospital Kilmarnock, VA $1,330.80 not published
Sanford Worthington Medical Center Worthington, MN $1,335.20 $473.40 – $1,502.10
Banner University Medical Center South Tucson, AZ $1,344.61 $332.40 – $2,203.20
CHI Saint Joseph Health - Saint Joseph Hospital Lexington, KY $1,353.43 $561.42 – $2,174.90
UPMC East Monroeville, PA $1,371.00 $152.61 – $1,828.00
Summers County ARH Hospital Hinton, WV $1,376.40 $580.30 – $580.30
Banner Baywood Medical Center Mesa, AZ $1,378.14 $332.40 – $2,083.00
Van Wert Hospital Van Wert, OH $1,379.30 $611.53 – $623.76
Ascension Seton Edgar B. Davis (Ascension Seton) Luling, TX $1,379.88 $383.30 – $3,416.00
CHI Health Mercy Council Bluffs Council Bluffs, IA $1,384.32 $333.02 – $2,801.60
CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $1,384.32 $333.02 – $2,801.60
Lasting Hope Recovery Center Omaha, NE $1,384.32 $560.32 – $2,801.60
CHI Health Immanuel Omaha, NE $1,384.32 $333.02 – $2,801.60
CHI Health Lakeside Omaha, NE $1,384.32 $333.02 – $2,801.60
CHI Health Midlands Papillion, NE $1,384.32 $333.02 – $2,801.60
Lourdes Hospital Paducah, KY $1,389.00 not published
Banner Boswell Medical Center Sun City, AZ $1,389.92 $332.40 – $2,140.00
CHI Health St. Mary's Nebraska City, NE $1,390.25 $106.25 – $476.16
Waldo County General Hospital Belfast, ME $1,391.50 $172.42 – $353.81
Ascension St. Vincent's St. Johns County (St. Vincent's Health System, Inc.) Saint Johns, FL $1,395.46 $434.53 – $1,261.61
Ascension St. Vincent's Clay County (St. Vincent's Medical Center, Inc.) Middleburg, FL $1,395.46 $434.53 – $1,261.61
Siena Hospital Henderson, NV $1,397.42 $158.84 – $7,077.00
CHI Health Plainview Plainview, NE $1,397.76 $124.00 – $486.08
OSF Healthcare Saint Katharine Medical Center Dixon, IL $1,399.30 $638.18 – $638.18
Advocate Sherman Hospital Elgin, IL $1,400.00 $926.71 – $2,520.00
Aurora Medical Center Fond du Lac Fond Du Lac, WI $1,405.00 not published
UnityPoint Health - Allen Hospital Waterloo, IA $1,407.20 $25.91 – $508.18
UnityPoint Health - Marshalltown Marshalltown, IA $1,407.20 $19.25 – $596.60
St Patrick Hospital - Broadway Campus Missoula, MT $1,407.20 $614.51 – $1,788.50
Sanford Medical Center Mayville Mayville, ND $1,411.20 $427.06 – $1,587.60
Sanford Medical Center Hillsboro Hillsboro, ND $1,411.20 $427.06 – $1,587.60
CHI Health Schuyler Schuyler, NE $1,414.40 $106.25 – $486.08
Banner Wyoming Medical Center Casper, WY $1,414.56 $613.10 – $3,233.28
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac, WI $1,415.70 $441.78 – $1,136.86
SSM Health Waupun Memorial Hospital Waupun, WI $1,415.70 not published
SSM Health Ripon Community Hospital Ripon, WI $1,415.70 not published
Banner Casa Grande Medical Center Casa Grande, AZ $1,420.99 $332.40 – $2,006.25
Providence Hood River Memorial Hospital Hood River, OR $1,425.00 not published
Sanford Clear Lake Medical Center Clear Lake, SD $1,428.00 $915.71 – $1,606.50
Banner Del Webb Medical Center Sun City West, AZ $1,428.14 $332.40 – $2,140.00
Advocate Childrens Hospital - Park Ridge Park Ridge, IL $1,430.00 $926.71 – $4,020.00
Sentara Leigh Hospital Norfolk, VA $1,433.50 $592.67 – $610.10

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