Emergency department visit (level 3) Cost

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.

$596median cash price · 2338 hospitals, 52 statestypically $217–$1,853 depending on the hospital
≈ 8.6× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$1,090
Cash / self-pay
$596
Insurer-negotiated
$391
Medicare pays
$69
$217$1,853
Median cash $596  ·  Medicare $69  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

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%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
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.

InsurerHospitalsNegotiated median
Medicaid 368
$59
$44 – $308
Univera 15
$70
$58 – $239
Medicare 599
$73
$63 – $348
Geisinger 72
$91
$67 – $918
Independent Health 39
$145
$24 – $887
Molina Healthcare 571
$200
$55 – $646
AmeriHealth 245
$204
$56 – $958
Highmark 146
$240
$63 – $821
Centene / Ambetter 821
$244
$59 – $545
Tricare / VA 431
$259
$65 – $1,184
UPMC Health Plan 107
$261
$62 – $1,141
Harvard Pilgrim 51
$278
$109 – $1,886
Devoted Health 176
$278
$165 – $323
Anthem 597
$279
$54 – $1,634
Humana 1090
$279
$67 – $1,243
Priority Health 61
$282
$90 – $1,039
Amerigroup 172
$283
$57 – $363
UCare 86
$284
$95 – $633
MVP Health Care 86
$344
$56 – $1,847
Blue Cross Blue Shield 1336
$348
$66 – $1,797
UnitedHealthcare 1581
$349
$66 – $2,098
Kaiser Permanente 254
$385
$67 – $1,815
HealthPartners 299
$403
$76 – $1,008
Bright Health 66
$403
$330 – $2,016
Medica 249
$416
$127 – $801
Workers' Comp / No-Fault 158
$419
$162 – $1,206
Sanford Health Plan 85
$422
$111 – $695
Aetna 1473
$439
$75 – $1,834
Security Health Plan 64
$485
$207 – $742
Oscar Health 255
$511
$119 – $1,466
SelectHealth 55
$585
$164 – $1,609
Coventry 167
$594
$131 – $1,534
Health Net 342
$602
$68 – $2,373
Cigna 1238
$757
$135 – $2,547
MultiPlan / PHCS network 905
$788
$192 – $2,219
Healthcare Highways 52
$870
$237 – $1,551
EmblemHealth 77
$875
$148 – $2,154
AvMed 67
$1,047
$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

StateMedian 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.

ClinicianSpecialtyLocationMedicare services
Daniel Wilson, DOEmergency MedicineBerlin, VT501
Shawn Southwick, D.O.Emergency MedicineParsons, KS486
Carlos Alvarez, M.D.Emergency MedicineSan Juan, PR464
Deacon Vice, D.O.Emergency MedicineOklahoma City, OK430
Dawn Magdalin-Betts, M.D.Family PracticeSanta Rosa, CA420
Tuan Luu, M.D.Emergency MedicineEureka, CA419
Kevan Long, M.D.Emergency MedicineArcata, CA372
Jeremy CampbellEmergency MedicineOklahoma City, OK360
Rafe Coker, D.O.Emergency MedicineTulsa, OK351
Leah Mcintosh, DOInternal MedicineCorinth, MS347
Jeremy Graham, D.O.Emergency MedicineCorinth, MS333
Chauntel Ditommaso, PAPhysician AssistantHugo, OK295

Browse doctors by specialty & city →

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?
The median cash (self-pay) price across 2338 US hospitals is $596. Most hospitals fall between $217 and $1,853. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Emergency department visit (level 3)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $69). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Emergency department visit (level 3)?
Medicare pays about $69. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Emergency department visit (level 3) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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