How much does an Emergency room visit cost in Philadelphia?

Emergency room visit (level 5) · CPT 99285 · Metro area: Philadelphia

In Philadelphia, the typical insurer-negotiated price for an Emergency room visit (level 5) is about $837, with most between $658 and $1,124 ($10,731 cash/self-pay). Based on 12 Philadelphia hospitals — 32% lower than the national typical of $1,224. Hospital list charges run about $10,731 (12.8× higher).

Insurer-negotiated
$837
Philadelphia · $658$1,124
Cash / self-pay
$10,731
typical cash price
Hospital list charge
$10,731
12.8× the negotiated rate

Source: medians across 12 Philadelphia hospitals' published price files (≥5 reporting). See the national Emergency room visit (level 5) cost for the full picture. Estimates vary by hospital, insurer, and plan.

Emergency room visit (level 5) cost in Philadelphia — FAQs

How much does an Emergency room visit (level 5) cost in Philadelphia?

In Philadelphia, the typical insurer-negotiated price for an Emergency room visit (level 5) is about $837, with most between $658 and $1,124, based on 12 Philadelphia hospitals. That's 32% lower than the national typical of $1,224.

How much does an Emergency room visit (level 5) cost without insurance in Philadelphia?

Cash or self-pay prices for an Emergency room visit (level 5) in Philadelphia run around $10,731. Hospitals often bill the higher "list" charge first (about $10,731), so ask for the cash or self-pay rate.

Why is my Philadelphia hospital bill for an Emergency room visit (level 5) so high?

Philadelphia hospital "list" charges for an Emergency room visit (level 5) run about $10,731 — roughly 12.8× the $837 insurers actually pay there. The list price is rarely what anyone pays; the negotiated and cash rates are the realistic benchmark.

Can I negotiate the cost of an Emergency room visit (level 5) in Philadelphia?

Yes. If a Philadelphia hospital charged you well above the typical negotiated rate (about $837), that gap is negotiable. Upfronte audits your bill against real Philadelphia hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $837 in Philadelphia?

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

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