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
Sentara Virginia Beach General Hospital Virginia Beach, VA $1,433.50 $592.67 – $610.10
Sentara CarePlex Hospital Hampton, VA $1,433.50 $592.67 – $610.10
Sentara Princess Anne Hospital Virginia Beach, VA $1,433.50 $592.67 – $610.10
Sentara Obici Hospital Suffolk, VA $1,433.50 $592.67 – $610.10
Sentara Northern Virginia Medical Center Woodbridge, VA $1,433.50 $592.67 – $610.10
Sentara Norfolk General Hospital Norfolk, VA $1,433.50 $592.67 – $610.10
Aurora Medical Center Washington County Hartford, WI $1,435.00 not published
Sanford Hospital Webster Webster, SD $1,441.60 $565.83 – $1,621.80
Parkview Bryan Hospital Bryan, OH $1,447.00 $592.48 – $1,777.43
Parkview Montpelier Hospital Montpelier, OH $1,447.00 not published
UPMC Altoona Altoona, PA $1,449.00 $174.21 – $1,932.00
CHRISTUS Health - West Beaumont Beaumont, TX $1,455.96 $614.09 – $3,215.00
Defiance Hospital Defiance, OH $1,456.20 not published
CHI Health St. Francis Grand Island, NE $1,457.30 $333.02 – $2,321.80
French Hospital San Luis Obispo, CA $1,459.03 $155.03 – $3,392.76
Aurora Medical Center Manitowoc Two Rivers, WI $1,465.00 not published
HSHS St. Anthony's Memorial Hospital Mattoon, IL $1,476.00 $683.49 – $2,050.00
Banner Goldfield Medical Center Apache Junction, AZ $1,479.51 $332.40 – $2,006.25
Aurora Medical Center Sheboygan County Sheboygan, WI $1,485.00 not published
CHI Health Good Samaritan Kearney, NE $1,491.45 $333.02 – $2,273.85
Ascension St. Vincent Salem (St. Vincent Salem Hospital, Inc.) Salem, IN $1,492.20 $30.50 – $252.81
Banner Payson Medical Center Payson, AZ $1,496.11 $317.75 – $697.50
WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA $1,500.84 $108.08 – $1,148.93
Advocate Condell Medical Center Libertyville, IL $1,505.00 $926.71 – $2,869.00
UnityPoint Health - Trinity Bettendorf Bettendorf, IA $1,508.39 $19.25 – $527.57
UnityPoint Health - Trinity Moline Rock Island, IL $1,508.39 $21.67 – $476.97
UnityPoint Health - Trinity Muscatine Muscatine, IA $1,508.39 $12.65 – $529.50
Banner University Medical Center Phoenix Phoenix, AZ $1,508.88 $332.40 – $2,006.25
Banner Thunderbird Medical Center Glendale, AZ $1,513.22 $72.99 – $2,006.25
St Francis Downtown Greenville, SC $1,513.80 not published
Covenant Health Hobbs Hospital Hobbs, NM $1,517.88 $590.72 – $827.01
ST HELENA HOSPITAL Vallejo, CA $1,527.60 $108.08 – $791.14
Providence Saint John's Health Center Santa Monica, CA $1,540.35 $765.95 – $1,417.01
Wetzel County Hospital New Martinsville, WV $1,554.00 $152.61 – $1,065.45
UPMC Wellsboro Wellsboro, PA $1,557.60 $152.61 – $258.18
Banner University Medical Center Tucson Tucson, AZ $1,557.76 $332.40 – $2,203.20
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA $1,561.14 $108.08 – $564.00
Clifton Springs Hospital and Clinic Clifton Springs, NY $1,568.87 $142.33 – $213.57
Sanford Aberdeen Medical Center Aberdeen, SD $1,569.60 $582.45 – $1,765.80
Banner Desert Medical Center Mesa, AZ $1,574.15 $332.40 – $2,006.25
Urbana Hospital Urbana, OH $1,575.00 not published
Henry Ford River District Hospital China Township, MI $1,582.56 $193.69 – $2,034.72
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS $1,585.20 $16.71 – $1,587.63
St. Joseph’s Hospital and Medical Center Phoenix, AZ $1,585.69 $152.79 – $3,279.29
Texas Health Harris Methodist Hospital Alliance Fort Worth, TX $1,591.20 not published
Texas Health Arlington Memorial Hospital Arlington, TX $1,591.20 not published
Texas Health Presbyterian Hospital Allen Allen, TX $1,591.20 not published
Texas Health Center for Diagnostics and Surgery Plano Plano, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Azle Azle, TX $1,591.20 not published
Texas Health Presbyterian Hospital Denton Denton, TX $1,591.20 not published

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