Emergency Room Visit (Level 3-4) — Cost by Metro

Emergency Room Visit (Level 3-4): cost by metro

Other procedures · outpatient (same-day) · billed as CPT 99283 / 99284 · priced across 27 metros

What does a Emergency Room Visit (Level 3-4) cost? Across 27 major U.S. metros, the typical insurer-negotiated price for a ER Visit (CPT 99283 / 99284) ranges from about $217 to $2,610 by metro, based on hospitals' own price-transparency files. Self-pay cash prices, where hospitals publish them, are often lower. Pick your metro for the local range and a hospital-by-hospital breakdown. These are price references from public data — not a quote, a bill, or medical or financial advice.

ER Visit price by metro

The typical insurer-negotiated price for a ER Visit, by metro — lowest first. Open a metro for the full three-level breakdown and every hospital.

Metro	Typical negotiated	Range	Cash
Indianapolis, IN	$217	$139–$296	$1,328
New York, NY	$292	$211–$622	$3,675
Phoenix, AZ	$374	$347–$2,813	$1,189
Tampa, FL	$382	$380–$953	—
St. Louis, MO	$438	$410–$599	$1,015
Pittsburgh, PA	$459	$101–$711	$911
Hartford, CT	$467	$67–$514	—
Memphis, TN	$518	$518	$183
Detroit, MI	$613	$584–$1,061	$1,021
Seattle, WA	$719	$252–$1,017	—
Philadelphia, PA	$860	$772–$975	—
Riverside, CA	$917	$56–$3,322	$1,496
Cleveland, OH	$979	$430–$1,219	$1,576
Virginia Beach, VA	$1,053	$918–$1,137	—
Milwaukee, WI	$1,055	$276–$1,393	$868
Chicago, IL	$1,180	$942–$1,274	$885
Kansas City, MO	$1,374	$807–$2,464	—
Birmingham, AL	$1,455	$304–$1,455	$1,323
Jacksonville, FL	$1,455	$902–$1,597	$1,323
Houston, TX	$1,463	$1,176–$1,852	—
Dallas, TX	$1,505	$144–$3,205	$946
Austin, TX	$1,601	$414–$3,316	$907
Nashville, TN	$2,284	$337–$2,374	—
Denver, CO	$2,359	$1,677–$6,126	$1,772
Sacramento, CA	$2,610	$2,610	$2,167
San Francisco, CA	$2,610	$1,104–$2,610	$2,167
San Jose, CA	$2,610	$672–$7,443	—

Source: hospitals' own machine-readable Standard Charges files, published under the U.S. Hospital Price Transparency rule (45 CFR §180.50). Most recent hospital file in this dataset: July 2026. Prices are references, not quotes or bills, and never medical or financial advice — where a hospital reports no price, nothing is shown rather than a guess.

About ER Visit pricing

A ER Visit is billed as CPT 99283 / 99284 and is usually a outpatient (same-day) service. Prices vary widely by metro and by hospital, which is why every figure here is tied to a specific hospital's own published file. 18 of these 27 metros have at least one hospital publishing a self-pay cash price.

The chargemaster (list) price is the hospital's undiscounted sticker rate. Almost no one actually pays it — insurers negotiate it down and self-pay patients are usually offered the cash price — but it shows how large the discount off list can be.