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ER Visit (High)

Cost of a ER Visit (High) Visit:
$122-$285

How much does a er visit (high) visit cost? The national median negotiated rate for CPT 99285 is $179, with rates ranging from $122 to $285 across 217,214 providers.

National Median

$179

Low End (P5)

$122

High End (P95)

$285

Providers

217,214

ER Visit (High) Visit Costs by State

Click any state to see detailed er visit (high) visit pricing. Colors represent the median negotiated rate for CPT 99285.

Median Visit Cost

$122
$285

ER Visit (High) Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median er visit (high) visit rate for CPT 99285 (Emergency department visit, high severity).

RankStateAverage
1Wisconsin
Range: $73$940
$277
2New Hampshire
Range: $150$446
$285
3Illinois
Range: $80$569
$206
4Iowa
Range: $85$538
$203
5Louisiana
Range: $98$536
$150
6New York
Range: $80$543
$156
7Maine
Range: $170$337
$246
8Nebraska
Range: $123$422
$162
9Washington
Range: $80$379
$214
10Colorado
Range: $80$390
$186
11New Mexico
Range: $88$389
$177
12Wyoming
Range: $88$385
$179
13Vermont
Range: $98$356
$194
14Rhode Island
Range: $80$429
$98
15Massachusetts
Range: $80$428
$98
16Georgia
Range: $85$333
$177
17North Carolina
Range: $80$330
$154
18District of Columbia
Range: $85$305
$165
19Maryland
Range: $88$298
$162
20Michigan
Range: $80$318
$150
21Utah
Range: $80$317
$150
22New Jersey
Range: $60$348
$139
23Ohio
Range: $85$287
$172
24Mississippi
Range: $126$250
$167
25California
Range: $80$374
$88
26Hawaii
Range: $80$313
$145
27Arkansas
Range: $85$282
$168
28Virginia
Range: $88$293
$150
29Tennessee
Range: $85$259
$168
30South Carolina
Range: $80$287
$143
31Missouri
Range: $88$239
$177
32Minnesota
Range: $91$312
$98
33Oklahoma
Range: $85$246
$168
34Kansas
Range: $88$243
$168
35Alabama
Range: $80$257
$143
36Pennsylvania
Range: $55$334
$88
37Arizona
Range: $80$250
$142
38Indiana
Range: $85$298
$88
39West Virginia
Range: $88$281
$98
40Delaware
Range: $85$203
$177
41Kentucky
Range: $80$296
$88
42Nevada
Range: $85$267
$110
43Alaska
Range: $80$292
$80
44Connecticut
Range: $55$320
$68
45Idaho
Range: $80$275
$88
46Oregon
Range: $80$250
$98
47Texas
Range: $80$257
$90
48Montana
Range: $80$213
$80
49North Dakota
Range: $91$177
$98
50South Dakota
Range: $98$161
$98
51Florida
Range: $35$246
$60

Frequently Asked Questions

How much does a er visit (high) cost without insurance?

The average negotiated rate for a er visit (high) (CPT 99285) is $189 nationally. Rates typically range from $122 to $285 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a er visit (high) cost with insurance?

With insurance, your out-of-pocket cost for a er visit (high) depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $189. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do er visit (high) costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 99285 cover?

CPT 99285 is the billing code for: Emergency department visit, high severity. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a er visit (high)?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 99285 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.