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
16% above national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Colorado?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $54 | $85 | $159 | 1,888 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $80 | $123 | $267 | 1,987 |
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 99285 — Emergency 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.
DURANGO, CO
FRISCO, CO
LAKEWOOD, CO
GRAND JUNCTION, CO
CORTEZ, CO
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.
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.
Frequently Asked Questions — ER Visit (High) Costs in Colorado
What is the average cost of a ER Visit (High) visit in Colorado without insurance?
Does Colorado Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Colorado?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (High) visit in Colorado?
How does telemedicine affect the cost of seeing a ER Visit (High) in Colorado?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99285)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $940 | $430 |
| 2 | New Hampshire Range: $150 – $446 | $294 |
| 3 | Illinois Range: $80 – $569 | $285 |
| 4 | Iowa Range: $85 – $538 | $275 |
| 5 | Louisiana Range: $98 – $536 | $261 |
| 6 | New York Range: $80 – $543 | $260 |
| 7 | Maine Range: $170 – $337 | $251 |
| 8 | Nebraska Range: $123 – $422 | $236 |
| 9 | Washington Range: $80 – $379 | $224 |
| 10 | Colorado Range: $80 – $390 | $219 |
| 11 | New Mexico Range: $88 – $389 | $218 |
| 12 | Wyoming Range: $88 – $385 | $217 |
| 13 | Vermont Range: $98 – $356 | $216 |
| 14 | Rhode Island Range: $80 – $429 | $202 |
| 15 | Massachusetts Range: $80 – $428 | $202 |
| 16 | Georgia Range: $85 – $333 | $198 |
| 17 | North Carolina Range: $80 – $330 | $188 |
| 18 | District of Columbia Range: $85 – $305 | $185 |
| 19 | Maryland Range: $88 – $298 | $183 |
| 20 | Michigan Range: $80 – $318 | $183 |
| 21 | Utah Range: $80 – $317 | $182 |
| 22 | New Jersey Range: $60 – $348 | $182 |
| 23 | Ohio Range: $85 – $287 | $181 |
| 24 | Mississippi Range: $126 – $250 | $181 |
| 25 | California Range: $80 – $374 | $181 |
| 26 | Hawaii Range: $80 – $313 | $179 |
| 27 | Arkansas Range: $85 – $282 | $178 |
| 28 | Virginia Range: $88 – $293 | $177 |
| 29 | Tennessee Range: $85 – $259 | $170 |
| 30 | South Carolina Range: $80 – $287 | $170 |
| 31 | Missouri Range: $88 – $239 | $168 |
| 32 | Minnesota Range: $91 – $312 | $167 |
| 33 | Oklahoma Range: $85 – $246 | $166 |
| 34 | Kansas Range: $88 – $243 | $166 |
| 35 | Alabama Range: $80 – $257 | $160 |
| 36 | Pennsylvania Range: $55 – $334 | $159 |
| 37 | Arizona Range: $80 – $250 | $157 |
| 38 | Indiana Range: $85 – $298 | $157 |
| 39 | West Virginia Range: $88 – $281 | $155 |
| 40 | Delaware Range: $85 – $203 | $155 |
| 41 | Kentucky Range: $80 – $296 | $155 |
| 42 | Nevada Range: $85 – $267 | $154 |
| 43 | Alaska Range: $80 – $292 | $151 |
| 44 | Connecticut Range: $55 – $320 | $148 |
| 45 | Idaho Range: $80 – $275 | $148 |
| 46 | Oregon Range: $80 – $250 | $142 |
| 47 | Texas Range: $80 – $257 | $142 |
| 48 | Montana Range: $80 – $213 | $124 |
| 49 | North Dakota Range: $91 – $177 | $122 |
| 50 | South Dakota Range: $98 – $161 | $119 |
| 51 | Florida Range: $35 – $246 | $114 |
