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
OSF St Joseph Medical Center Bloomington, IL $1,706.40 $638.18 – $650.95
OSF St Mary Medical Center Galesburg, IL $1,706.40 $638.18 – $650.95
HSHS St. Francis Hospital LITCHFIELD, IL $1,707.12 $2,155.00 – $2,155.00
SSM Health St. Mary's Hospital - Centralia Centralia, IL $1,707.20 $638.18 – $670.09
OSF Holy Family Medical Center Monmouth, IL $1,707.20 not published
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon, IL $1,707.20 $638.18 – $670.09
OSF Saint Clare Medical Center Princeton, IL $1,707.20 not published
OSF Saint Paul Medical Center Mendota, IL $1,707.20 not published
Aurora West Allis Medical Center West Allis, WI $1,715.00 not published
Banner Ironwood Medical Center San Tan Valley, AZ $1,722.97 $332.40 – $2,006.25
HSHS St. Mary's Hospital Medical Center GREEN BAY, WI $1,723.92 $581.53 – $1,308.43
HSHS St. Nicholas Hospital SHEBOYGAN, WI $1,723.92 $582.40 – $1,310.40
HSHS St. Vincent Hospital Green Bay, WI $1,723.92 $578.46 – $1,301.53
HSHS St. Clare Memorial Hospital OCONTO FALLS, WI $1,723.92 $608.43 – $608.43
Uniontown Hospital Uniontown, PA $1,732.50 $152.61 – $1,198.89
SSM Health St. Mary's Hospital - Jefferson City Jefferson City, MO $1,735.09 $593.21 – $1,073.69
SSM Health Monroe Hospital Monroe, WI $1,736.35 $578.46 – $578.46
University Hospitals Conneaut Medical Center Conneaut, OH $1,737.75 not published
University Hospitals Geneva Medical Center Geneva, OH $1,737.75 not published
St Elias Specialty Hospital Anchorage, AK $1,740.06 $580.30 – $788.31
Adventhealth Durand Durand, WI $1,743.42 not published
Banner Ocotillo Medical Center Chandler, AZ $1,751.51 $332.40 – $2,006.25
WellSpan Evangelical Community Hospital Lewisburg, PA $1,752.00 $163.71 – $2,142.01
Sanford Westbrook Hospital Westbrook, MN $1,752.80 $530.44 – $1,971.90
Sanford Tracy Hospital Tracy, MN $1,752.80 $530.44 – $1,971.90
St. Luke's Health - Patients Medical Center Pasadena, TX $1,753.15 $333.10 – $3,756.75
Weirton Medical Center Weirton, WV $1,754.00 $138.74 – $2,893.17
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee, WI $1,755.00 not published
HSHS St. John's Hospital IL 62769|301 N. 8th St., IL $1,758.24 $638.18 – $2,371.00
St. Luke's Health - The Vintage Hospital Houston, TX $1,760.15 $402.32 – $5,029.00
Baylor St Luke's Medical Center Houston, TX $1,760.15 $553.19 – $5,029.00
St. Luke's Health - Sugar Land Hospital Sugar Land, TX $1,760.15 $402.32 – $5,029.00
St. Luke's Health - Springwoods Village Hospital Spring, TX $1,760.15 $502.90 – $5,029.00
St. Luke's Health - Lakeside Hospital The Woodlands, TX $1,760.15 $402.32 – $5,029.00
Rose de Lima Hospital Henderson, NV $1,760.62 $158.84 – $7,207.00
Henry Ford St John Hospital Detroit, MI $1,761.76 $193.69 – $1,287.36
Sanford Luverne Medical Center Luverne, MN $1,766.40 $534.56 – $1,987.20
HSHS St. Mary's Hospital DECATUR, IL $1,766.88 $638.18 – $2,454.00
Methodist Charlton Medical Center Dallas, TX $1,774.50 $585.14 – $1,579.88
Methodist Dallas Medical Center Dallas, TX $1,774.50 $598.24 – $1,615.26
Methodist Mansfield Medical Center Mansfield, TX $1,774.50 $598.24 – $1,617.92
Methodist Midlothian Medical Center Midlothian, TX $1,774.50 $598.24 – $1,615.26
Methodist Richardson Medical Center Richardson, TX $1,774.50 $598.24 – $1,615.26
Methodist Celina Medical Center Celina, TX $1,774.50 $589.63 – $1,495.61
Methodist Southlake Medical Center Souhtlake, TX $1,774.50 $585.73 – $1,617.92
Inova Alexandria Hospital Alexandria, VA $1,778.50 $613.10 – $6,385.00
Inova Fairfax Hospital Falls Church, VA $1,778.50 $613.10 – $6,414.00
Inova Fair Oaks Hospital VA 22033-1709, VA $1,778.50 $613.10 – $6,385.00
Inova Loudoun Hospital Leesburg, VA $1,778.50 $613.10 – $6,385.00
Inova Mount Vernon Hospital Alexandria, VA $1,778.50 $613.10 – $6,385.00

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