Emergency department visit (level 3) is a clinic or emergency-department visit. Prices are from 2338 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $596 — about 8.6× the Medicare rate ($69). High vs Medicare. A fair cash price is usually within ~2× Medicare ($139).
💡 Asking for the cash price instead of the $1,090 list price could save about $493 (45%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Vanderbilt Bedford Hospital | Shelbyville, TN | $90 | $109 | ★ 4/5 | 125 min | — |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $90 | $105 | ★ 3/5 | 168 min | — |
| Reeves Memorial Medical Center | Bernice, LA | $92 | $114 | — | 115 min | — |
| Hugh Chatham Memorial Hospital | Elkin, NC | $93 | $85 | ★ 3/5 | 168 min | — |
| Jefferson Regional Medical Center | Pine Bluff, AR | $95 | $259 | ★ 1/5 | 198 min | — |
| Twin City Medical Center | Dennison, OH | $97 | $167 | — | — | — |
| Noxubee General Critical Access Hosp | Macon, MS | $98 | $130 | — | — | — |
| Ellis Hospital | Schenectady, NY | $98 | $68 | ★ 3/5 | 232 min | — |
| Chan Soon-Shiong Medical Center at Windber | Windber, PA | $98 | $82 | ★ 2/5 | 141 min | — |
| Bassett Healthcare | Cooperstown, NY | $100 | $114 | ★ 2/5 | 199 min | — |
| Winter Haven Hospital | Winter Haven, FL | $103 | $165 | ★ 3/5 | 193 min | — |
| Copley Hospital | Morrisville, VT | $103 | $118 | ★ 2/5 | 132 min | — |
| Bleckley Memorial Hospital | Cochran, GA | $105 | $139 | — | 127 min | — |
| Crystal Clinic Orthopaedic Center | Akron, OH | $107 | $89 | ★ 5/5 | — | — |
| Mercy Gilbert Medical Center | Gilbert, AZ | $108 | $339 | ★ 5/5 | 215 min | — |
| Mercy Medical Center | Merced, CA | $108 | $339 | ★ 3/5 | 224 min | — |
| Memorial Healthcare | Owosso, MI | $110 | $272 | ★ 3/5 | 181 min | — |
| Williamson Memorial Inc | Williamson, WV | $113 | $47 | — | — | — |
| O'connor Hospital | Delhi, NY | $113 | $164 | — | 95 min | — |
| Little Falls Hospital | Little Falls, NY | $113 | $154 | ★ 2/5 | 109 min | — |
| Cobleskill Regional Hospital | Cobleskill, NY | $113 | $164 | ★ 4/5 | 111 min | — |
| Gillette Childrens Specialty Hospital | Saint Paul, MN | $113 | $124 | — | — | — |
| Ochsner Medical Center-Hancock | Bay Saint Louis, MS | $114 | $254 | ★ 3/5 | 147 min | — |
| Comanche County Hospital | Coldwater, KS | $115 | — | — | 88 min | — |
| Oklahoma Spine Hospital | Oklahoma City, OK | $116 | $251 | — | 112 min | — |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Emergency department visit (level 3)
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $596; Medicare pays $69.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| Medicaid | 368 |
$44 – $308 |
| Univera | 15 |
$58 – $239 |
| Medicare | 599 |
$63 – $348 |
| Geisinger | 72 |
$67 – $918 |
| Independent Health | 39 |
$24 – $887 |
| Molina Healthcare | 571 |
$55 – $646 |
| AmeriHealth | 245 |
$56 – $958 |
| Highmark | 146 |
$63 – $821 |
| Centene / Ambetter | 821 |
$59 – $545 |
| Tricare / VA | 431 |
$65 – $1,184 |
| UPMC Health Plan | 107 |
$62 – $1,141 |
| Harvard Pilgrim | 51 |
$109 – $1,886 |
| Devoted Health | 176 |
$165 – $323 |
| Anthem | 597 |
$54 – $1,634 |
| Humana | 1090 |
$67 – $1,243 |
| Priority Health | 61 |
$90 – $1,039 |
| Amerigroup | 172 |
$57 – $363 |
| UCare | 86 |
$95 – $633 |
| MVP Health Care | 86 |
$56 – $1,847 |
| Blue Cross Blue Shield | 1336 |
$66 – $1,797 |
| UnitedHealthcare | 1581 |
$66 – $2,098 |
| Kaiser Permanente | 254 |
$67 – $1,815 |
| HealthPartners | 299 |
$76 – $1,008 |
| Bright Health | 66 |
$330 – $2,016 |
| Medica | 249 |
$127 – $801 |
| Workers' Comp / No-Fault | 158 |
$162 – $1,206 |
| Sanford Health Plan | 85 |
$111 – $695 |
| Aetna | 1473 |
$75 – $1,834 |
| Security Health Plan | 64 |
$207 – $742 |
| Oscar Health | 255 |
$119 – $1,466 |
| SelectHealth | 55 |
$164 – $1,609 |
| Coventry | 167 |
$131 – $1,534 |
| Health Net | 342 |
$68 – $2,373 |
| Cigna | 1238 |
$135 – $2,547 |
| MultiPlan / PHCS network | 905 |
$192 – $2,219 |
| Healthcare Highways | 52 |
$237 – $1,551 |
| EmblemHealth | 77 |
$148 – $2,154 |
| AvMed | 67 |
$314 – $4,973 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Mississippi | $251 |
| Maryland | $284 |
| Louisiana | $291 |
| Iowa | $298 |
| Arkansas | $305 |
| Tennessee | $309 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| Daniel Wilson, DO | Emergency Medicine | Berlin, VT | 501 |
| Shawn Southwick, D.O. | Emergency Medicine | Parsons, KS | 486 |
| Carlos Alvarez, M.D. | Emergency Medicine | San Juan, PR | 464 |
| Deacon Vice, D.O. | Emergency Medicine | Oklahoma City, OK | 430 |
| Dawn Magdalin-Betts, M.D. | Family Practice | Santa Rosa, CA | 420 |
| Tuan Luu, M.D. | Emergency Medicine | Eureka, CA | 419 |
| Kevan Long, M.D. | Emergency Medicine | Arcata, CA | 372 |
| Jeremy Campbell | Emergency Medicine | Oklahoma City, OK | 360 |
| Rafe Coker, D.O. | Emergency Medicine | Tulsa, OK | 351 |
| Leah Mcintosh, DO | Internal Medicine | Corinth, MS | 347 |
| Jeremy Graham, D.O. | Emergency Medicine | Corinth, MS | 333 |
| Chauntel Ditommaso, PA | Physician Assistant | Hugo, OK | 295 |
Does Medicare cover Emergency department visit (level 3)?
Yes — Medicare generally covers Emergency department visit (level 3). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $69. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $14 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2338 US hospitals across 52 states, the typical (median) cash price is $596, versus a chargemaster (list) price around $1,090, a median insurer-negotiated rate of $391, a Medicare rate of about $69. Most cash prices fall between $217 and $1,853 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Emergency department visit (level 3) cost without insurance?
Does Medicare cover Emergency department visit (level 3)?
What does Medicare pay for Emergency department visit (level 3)?
Why do Emergency department visit (level 3) prices vary between hospitals?
Is the cash price lower than using insurance?
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