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Arizona

Cost of a ER Visit (High) Visit
in Arizona

Reviewed by Momentary Medical Group West PC

Arizona's emergency departments handle over 2.1 million visits annually, with high-severity cases representing the most resource-intensive treatments across the state's diverse urban and rural landscape. Patients seeking an ER Visit (High) in Arizona typically pay between $80 and $250, with a median negotiated rate of $142 for the most complex emergency evaluations. With over 6,500 active ER Visit (High) providers throughout Arizona's hospital systems, patients can browse all available emergency care options to find the most suitable facility for their critical healthcare needs.

Average

$157

Median

$142

Lowest

$80

Highest

$250

Providers

6,577

National avg: $189Arizona: $157

17% below national average

Compare Similar Procedures

How does er visit (high severity) compare to related procedures in Arizona?

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$53$72$1076,402
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$80$98$1877,258

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99285Emergency department visit, high severity). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 99285 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99285 (Emergency department visit, high severity), as mandated by the CMS Price Transparency Rule.

What CPT 99285 covers: the provider's professional fee for er visit (high severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Arizona

These hospitals in Arizona are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
94% would recommend1,050 patient surveys
5/5
87% would recommend230 patient surveys
5/5
86% would recommend154 patient surveys
5/5
84% would recommend301 patient surveys
4/5
86% would recommend366 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why ER Visit (High) Visit Costs Vary Across Arizona

Arizona's healthcare costs run approximately 5% above the national average, driven by the state's rapid population growth and concentration of retirees requiring more intensive emergency services. The state's vast geography creates significant disparities between urban emergency departments in Phoenix and Tucson versus rural critical access hospitals serving remote communities.

Urban vs. Rural Provider Availability

Arizona's emergency care is heavily concentrated in the Phoenix and Tucson metropolitan areas, where major health systems like Banner Health and Dignity Health operate multiple high-volume emergency departments. Rural counties often rely on critical access hospitals with limited emergency capabilities, requiring patient transfers for high-severity cases. This geographic disparity affects both access times and costs, as rural hospitals must maintain emergency services despite lower patient volumes.

Facility Type and Overhead Costs

Large hospital systems dominate Arizona's emergency care landscape, with Banner Health operating over 25 emergency departments statewide and maintaining higher overhead costs due to trauma center capabilities and teaching responsibilities. Independent emergency departments and freestanding emergency centers offer alternatives in some urban areas with potentially lower facility fees. Academic medical centers like those affiliated with University of Arizona charge premium rates due to their research missions and specialized equipment.

Insurance Market Competition in Arizona

Strong competition among UHC, BCBS AZ, and Aetna creates diverse negotiated rate structures for emergency services across Arizona providers. The state's competitive marketplace generally keeps insurance premiums moderate, though emergency care remains a high-cost service category. Regional insurers and health plans often have stronger networks with specific hospital systems, affecting patient costs depending on their coverage choice.

Physician Supply and Demand in Arizona

With over 6,500 active ER Visit (High) providers, Arizona maintains adequate emergency physician coverage in urban areas but faces shortages in rural regions. The state's growing population and aging demographics increase demand for emergency services faster than physician supply can expand. Emergency medicine residency programs at Arizona universities help maintain workforce levels, though competition for experienced emergency physicians keeps salaries and associated patient costs elevated.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — ER Visit (High) Costs in Arizona

What is the average cost of a ER Visit (High) visit in Arizona without insurance?

Without insurance, a high-severity emergency department visit in Arizona typically costs between $80 and $250 based on negotiated rates, though uninsured patients often face higher list prices. The median cost of $142 reflects what insurers pay, but self-pay patients may see bills ranging from several hundred to thousands of dollars depending on tests and procedures. Many Arizona hospitals offer charity care programs and payment plans to help uninsured patients manage these costs.

Does Arizona Medicaid cover ER Visit (High) visits?

Yes, Arizona Medicaid covers emergency department visits including high-severity cases, as Arizona expanded Medicaid under the Affordable Care Act. Coverage includes the emergency physician evaluation, diagnostic tests, and necessary treatments provided during the visit. Patients should present their Medicaid card and understand that follow-up care may require referrals through their assigned managed care plan.

How do I find an affordable ER Visit (High) near me in Arizona?

Compare costs between different hospital systems, as Banner Health, Dignity Health, and smaller community hospitals may have varying fee structures for emergency services. Ask about self-pay discounts if you're uninsured, as many Arizona hospitals offer significant reductions for cash payments. Consider freestanding emergency departments for less critical cases, though true high-severity emergencies may require full-service hospital emergency departments with specialized capabilities.

What is the difference in cost between an initial consultation and a follow-up visit?

Emergency department visits are typically one-time encounters focused on immediate evaluation and stabilization rather than ongoing care relationships. High-severity emergency visits with CPT code 99285 cost around $142 median in Arizona, representing comprehensive evaluation for complex cases. Follow-up care usually transfers to primary care physicians or specialists with different, typically lower, visit costs than emergency department rates.

Can I use an HSA or FSA to pay for a ER Visit (High) visit in Arizona?

Yes, emergency department visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay deductibles, copays, and coinsurance associated with emergency care. Keep all receipts and explanation of benefits statements for tax documentation, as emergency visits often involve multiple providers and charges.

How does telemedicine affect the cost of seeing a ER Visit (High) in Arizona?

Telemedicine cannot replace high-severity emergency department visits, which require immediate hands-on evaluation, diagnostic testing, and potentially life-saving interventions. However, telehealth consultations can help determine whether symptoms require emergency care or could be managed through urgent care or primary care visits. Arizona's telemedicine infrastructure helps rural patients connect with specialists for follow-up care after emergency treatment, potentially reducing the need for additional emergency visits.

Click a state to compare costs

Average Visit Cost

$114
$430

Office visit (CPT 99285)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$940
$430
2New Hampshire
Range: $150$446
$294
3Illinois
Range: $80$569
$285
4Iowa
Range: $85$538
$275
5Louisiana
Range: $98$536
$261
6New York
Range: $80$543
$260
7Maine
Range: $170$337
$251
8Nebraska
Range: $123$422
$236
9Washington
Range: $80$379
$224
10Colorado
Range: $80$390
$219
11New Mexico
Range: $88$389
$218
12Wyoming
Range: $88$385
$217
13Vermont
Range: $98$356
$216
14Rhode Island
Range: $80$429
$202
15Massachusetts
Range: $80$428
$202
16Georgia
Range: $85$333
$198
17North Carolina
Range: $80$330
$188
18District of Columbia
Range: $85$305
$185
19Maryland
Range: $88$298
$183
20Michigan
Range: $80$318
$183
21Utah
Range: $80$317
$182
22New Jersey
Range: $60$348
$182
23Ohio
Range: $85$287
$181
24Mississippi
Range: $126$250
$181
25California
Range: $80$374
$181
26Hawaii
Range: $80$313
$179
27Arkansas
Range: $85$282
$178
28Virginia
Range: $88$293
$177
29Tennessee
Range: $85$259
$170
30South Carolina
Range: $80$287
$170
31Missouri
Range: $88$239
$168
32Minnesota
Range: $91$312
$167
33Oklahoma
Range: $85$246
$166
34Kansas
Range: $88$243
$166
35Alabama
Range: $80$257
$160
36Pennsylvania
Range: $55$334
$159
37Arizona
Range: $80$250
$157
38Indiana
Range: $85$298
$157
39West Virginia
Range: $88$281
$155
40Delaware
Range: $85$203
$155
41Kentucky
Range: $80$296
$155
42Nevada
Range: $85$267
$154
43Alaska
Range: $80$292
$151
44Connecticut
Range: $55$320
$148
45Idaho
Range: $80$275
$148
46Oregon
Range: $80$250
$142
47Texas
Range: $80$257
$142
48Montana
Range: $80$213
$124
49North Dakota
Range: $91$177
$122
50South Dakota
Range: $98$161
$119
51Florida
Range: $35$246
$114
ER Visit (High Severity) in Other States