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Colorado

Cost of a ER Visit (High) Visit
in Colorado

Reviewed by Momentary Medical Group West PC

Colorado's mountainous terrain and dispersed population create unique emergency care challenges, with the state maintaining one of the nation's most robust emergency medicine networks. For a ER Visit (High) severity visit, patients typically pay between $80 and $390, with a median out-of-pocket cost of $185.64 based on negotiated insurance rates. With 1,884 active emergency providers across Colorado's urban centers and rural communities, patients can browse all providers to find accessible, affordable care options.

Average

$219

Median

$186

Lowest

$80

Highest

$390

Providers

1,884

National avg: $189Colorado: $219

16% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$54$85$1591,888
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$80$123$2671,987

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 Colorado

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

5/5
92% would recommend191 patient surveys
5/5
85% would recommend182 patient surveys
5/5
82% would recommend337 patient surveys
5/5
80% would recommend215 patient surveys
5/5
77% would recommend107 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 Colorado

Colorado's emergency care costs run approximately 27% above national averages, reflecting the state's challenging geography, altitude-related medical complexities, and robust outdoor recreation economy. The Front Range urban corridor contains most specialists, while rural areas rely on critical access hospitals and flight transport networks.

Urban vs. Rural Provider Availability

Denver, Colorado Springs, and Fort Collins offer numerous emergency options with specialized trauma centers, while rural Colorado relies on 28 critical access hospitals serving vast geographic areas. This urban-rural divide creates significant cost and access disparities, with rural facilities often requiring expensive helicopter transport for complex cases.

Facility Type and Overhead Costs

Hospital-based emergency departments dominate Colorado's emergency care landscape, with major health systems like UCHealth, Presbyterian/Saint Joseph, and SCL Health operating most facilities. These hospital-affiliated departments typically charge higher facility fees than independent emergency centers, reflecting their trauma readiness and 24/7 specialist availability.

Insurance Market Competition in Colorado

Colorado's competitive insurance market with UnitedHealthcare, Anthem, and Kaiser Permanente creates generally favorable negotiated rates for emergency services. The state's insurance exchange adds additional competition, though rural areas may have fewer insurer options, affecting negotiated rate variations.

Physician Supply and Demand in Colorado

With 1,884 active emergency providers serving Colorado's 5.8 million residents, the state maintains adequate emergency physician supply in urban areas but faces shortages in rural regions. This geographic mismatch affects pricing, with rural emergency departments often paying premium rates for locum coverage, costs that translate to higher patient bills.

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 Colorado

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

Without insurance, high-severity emergency visits in Colorado range from $80 to $390, with a median cost of $185.64 based on negotiated rates. Self-pay patients may face higher list prices initially but can often negotiate significant discounts. Many Colorado hospitals offer financial assistance programs and payment plans to help manage these costs.

Does Colorado Medicaid cover ER Visit (High) visits?

Yes, Colorado's expanded Medicaid program covers emergency visits with minimal patient cost-sharing, typically just a small copay. With over 1.6 million Coloradans enrolled in Medicaid, coverage includes all medically necessary emergency services. Prior authorization is not required for true emergency situations, ensuring immediate access to care.

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

Compare costs among nearby emergency departments, as prices can vary significantly even within the same city. Ask about self-pay discounts if uninsured, check community health centers for urgent care alternatives, and verify your insurance network status. Rural Colorado may have fewer options but often features critical access hospitals with different pricing structures.

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

Emergency departments typically use a single billing code (99285) for high-severity visits regardless of whether it's your first visit to that facility. The $185.64 median cost applies to all high-acuity emergency visits. Follow-up care usually transitions to outpatient specialists or primary care providers with different pricing structures.

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

Yes, emergency room visits qualify as eligible medical expenses for both Health Savings Accounts and Flexible Spending Accounts. You can use these pre-tax dollars to pay deductibles, copays, and coinsurance for emergency care. Keep receipts and documentation for HSA/FSA reimbursement or direct payment.

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

Telemedicine cannot replace high-severity emergency care that requires immediate physical intervention and diagnostic testing. However, telehealth consultations can help determine whether symptoms warrant emergency department visits, potentially saving unnecessary emergency costs. Some Colorado health systems offer virtual triage services to guide patients to appropriate care levels.

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