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
Texas Health Presbyterian Hospital Flower Mound Flower Mound, TX $1,591.20 not published
Texas Health Presbyterian Hospital Dallas Dallas, TX $1,591.20 not published
Texas Health Hospital Frisco Frisco, TX $1,591.20 not published
Texas Health Heart & Vascular Hospital Arlington Arlington, TX $1,591.20 not published
Texas Health Presbyterian Hospital Kaufman Kaufman, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX $1,591.20 not published
Texas Health Presbyterian Hospital Plano Plano, TX $1,591.20 not published
Texas Health Hospital Rockwall Rockwall, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Southlake Southlake, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Stephenville Stephenville, TX $1,591.20 not published
Texas Health Harris Methodist Hospital Cleburne Cleburne, TX $1,591.20 not published
Arroyo Grande Hospital Santa Maria, CA $1,593.02 $155.03 – $3,316.32
SSM Health St. Mary's Hospital - Janesville Janesville, WI $1,598.85 $449.89 – $599.85
UPMC Magee Pittsburgh, PA $1,615.20 $152.61 – $631.28
Boca Raton Regional Hospital BOCA RATON, FL $1,619.15 $610.73 – $1,896.00
Sanford Thief River Falls Medical Center Thief River Falls, MN $1,622.40 $643.76 – $1,825.20
Sanford Behavioral Health Thief River Falls Thief River Falls, MN $1,622.40 $643.76 – $1,825.20
St. Luke's Health - Brazosport Hospital Lake Jackson, TX $1,627.50 $279.00 – $2,790.00
The Unity Hospital of Rochester Rochester, NY $1,637.80 not published
SSM Health St. Clare Hospital - Baraboo Baraboo, WI $1,650.55 $433.84 – $578.46
HSHS St. Joseph's Hospital HIGHLAND, IL $1,656.00 $2,300.00 – $2,300.00
Banner Estrella Medical Center Phoenix, AZ $1,658.87 $332.40 – $2,006.25
Henry Ford Madison Heights Hospital Madison Heights, MI $1,662.64 $193.69 – $2,137.68
Henry Ford Warren Hospital Warren, MI $1,662.64 $193.69 – $2,137.68
Banner Gateway Medical Center Gilbert, AZ $1,666.36 $332.40 – $2,006.25
Jackson General Hospital Ripley, WV $1,667.50 not published
Adventhealth Manchester Manchester, KY $1,667.94 $558.78 – $558.78
Sanford Canby Medical Center Canby, MN $1,670.40 $505.50 – $1,879.20
Atrium Health Anson Wadesboro, NC $1,682.03 $153.40 – $3,195.85
Atrium Health Mercy Charlotte, NC $1,682.03 $75.38 – $3,094.93
Atrium Health Pineville Charlotte, NC $1,682.03 $153.40 – $3,094.93
Atrium Health Stanly Albermarle, NC $1,682.03 $153.40 – $3,229.49
Atrium Health Behavioral Health Charlotte Charlotte, NC $1,682.03 $93.26 – $2,960.36
Atrium Health Cleveland Shelby, NC $1,682.03 $153.40 – $3,195.85
Atrium Health Cabarrus Concord, NC $1,682.03 $153.40 – $3,195.85
Atrium Health Lincoln Lincolnton, NC $1,682.03 $153.40 – $3,195.85
Atrium Health Union Monroe, NC $1,682.03 $153.40 – $3,195.85
Carolinas Rehabilitation Charlotte Charlotte, NC $1,682.03 $154.93 – $3,094.93
Atrium Health University City Charlotte, NC $1,682.03 $153.40 – $3,094.93
Atrium Health Carolinas Medical Center Charlotte, NC $1,682.03 $75.38 – $3,027.65
Advocate Christ Medical Center Oak Lawn, IL $1,690.00 $926.71 – $4,020.00
UnityPoint Health - Grinnell Regional Medical Center Grinnell, IA $1,695.75 $17.38 – $610.01
Glendale Memorial Hospital Health Center Glendale, CA $1,702.38 $155.03 – $4,177.60
MultiCare Valley Hospital Spokane Valley, WA $1,702.40 $669.86 – $2,439.09
MultiCare Deaconess Hospital Spokane, WA $1,702.40 $650.35 – $2,444.57
OSF Sacred Heart Medical Center – Urbana Danville, IL $1,706.40 $638.18 – $650.95
OSF Saint Anthony's Health Center Alton, IL $1,706.40 $485.12 – $650.95
OSF Saint Elizabeth Medical Center Ottawa, IL $1,706.40 $638.18 – $650.95

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