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

Emergency room visit (level 5) · CPT 99285 · State: Texas

In Texas, the typical insurer-negotiated price for Emergency room visit (level 5) is about $2,459, with most between $1,502 and $3,481 ($2,236 cash/self-pay). Based on 376 Texas hospitals — 101% higher than the national typical of $1,224. Hospital list charges run about $4,251 (1.7× higher).

Insurer-negotiated
$2,459
Texas · $1,502–$3,481
Cash / self-pay
$2,236
typical cash price
Hospital list charge
$4,251
1.7× the negotiated rate

Source: medians across 376 Texas 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 Texas — FAQs

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

In Texas, the typical insurer-negotiated price for an Emergency room visit (level 5) is about $2,459, with most between $1,502 and $3,481, based on 376 Texas hospitals. That's 101% higher than the national typical of $1,224.

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

Cash or self-pay prices for an Emergency room visit (level 5) in Texas run around $2,236. Hospitals often bill the higher "list" charge first (about $4,251), so ask for the cash or self-pay rate.

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

Texas hospital "list" charges for an Emergency room visit (level 5) run about $4,251 — roughly 1.7× the $2,459 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 Texas?

Yes. If a Texas hospital charged you well above the typical negotiated rate (about $2,459), that gap is negotiable. Upfronte audits your bill against real Texas hospital pricing data and negotiates it down on your behalf — no savings, no fee.

Charged more than $2,459 in Texas?

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

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