How much does an Emergency room visit cost?

Emergency room visit (level 4) · CPT 99284 · A level-4 emergency room visit covers a high-complexity problem requiring urgent evaluation.

The typical insurer-negotiated price for an Emergency room visit (level 4) is about $876, with most between $425 and $1,579 ($976 cash/self-pay). Based on published rates from 3,194 U.S. hospitals. Hospital list charges run about $1,822 — roughly 2.1× higher.

Insurer-negotiated
$876
typical · $425$1,579
Cash / self-pay
$976
typical cash price
Hospital list charge
$1,822
2.1× the negotiated rate

Source: medians across 3,194hospitals' machine-readable price files (required by federal law since 2021). Figures are estimates and vary by hospital, region, insurer, and plan.

Emergency room visit (level 4) cost — frequently asked questions

How much does an Emergency room visit (level 4) cost with insurance?

The typical insurer-negotiated rate for an Emergency room visit (level 4) is about $876, with most falling between $425 and $1,579, based on published rates from 3,194 U.S. hospitals. What you actually pay depends on your plan's deductible and coinsurance.

How much does an Emergency room visit (level 4) cost without insurance?

Cash or self-pay prices for an Emergency room visit (level 4) run around $976. Uninsured patients are often billed the much higher hospital "list" charge first (about $1,822), so it's worth asking for the cash or self-pay rate and negotiating.

Why is my hospital Emergency room visit (level 4) bill so much higher?

Hospital "list" (chargemaster) prices for an Emergency room visit (level 4) run about $1,822 — roughly 2.1× the $876 insurers actually pay. The list price is a starting point almost no one pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Emergency room visit (level 4)?

Yes. If you were charged well above the typical negotiated rate (about $876), that gap is negotiable. Upfronte audits your bill against real hospital pricing data and can negotiate it down on your behalf — no savings, no fee.

Were you charged more than $876?

Upload your bill and Upfronte will check it against real hospital pricing data and negotiate overcharges. No savings, no fee.

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Emergency room visit (level 4) cost by location

Median negotiated prices for specific states and metro areas.

Metro areas

States

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