Cost of a ER Visit (High) Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's emergency departments handle over 1.2 million visits annually, with high-severity cases representing the most resource-intensive encounters. For patients requiring a ER Visit (High) in Connecticut, negotiated insurance rates typically range from $55 to $320, with a median cost of $68 across the state's 987 active emergency medicine providers. Connecticut's dense network of academic medical centers and regional hospitals means patients have access to specialized emergency care throughout the state.
Average
$148
Median
$68
Lowest
$55
Highest
$320
Providers
987
22% below national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $63 | $153 | 987 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $55 | $88 | $211 | 1,968 |
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 Connecticut
These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FARMINGTON, CT
SHARON, CT
MERIDEN, CT
DERBY, CT
WEST HAVEN, CT
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 Connecticut
Connecticut's emergency care costs run approximately 14% above national averages, reflecting the state's high cost of living and concentration of academic medical centers. The state's small geographic footprint but dense population creates unique pricing dynamics between urban teaching hospitals and smaller community facilities.
Urban vs. Rural Provider Availability
Connecticut's urban corridor from New Haven to Hartford concentrates most emergency services, while rural areas in the northwest and eastern regions rely on smaller critical access hospitals. The state's compact size means most residents live within 30 minutes of a major emergency department. Rural facilities often transfer complex cases to academic centers, potentially increasing overall costs.
Facility Type and Overhead Costs
Hospital-based emergency departments in Connecticut include major academic centers like Yale-New Haven and Hartford Hospital, which typically charge higher facility fees than community hospitals. Independent emergency departments are less common in Connecticut compared to other states, with most emergency care delivered through traditional hospital-based departments. Teaching hospitals often have higher overhead costs that translate to higher patient charges.
Insurance Market Competition in Connecticut
Connecticut's insurance market features moderate competition among Anthem, Cigna, and UnitedHealthcare, with regional players like ConnectiCare also serving the market. The state's Access Health CT marketplace provides additional plan options, though emergency department networks remain relatively consistent across insurers. Competitive negotiated rates help keep some costs in check despite the state's high baseline healthcare expenses.
Physician Supply and Demand in Connecticut
With 987 emergency medicine providers serving Connecticut's 3.6 million residents, the state maintains adequate emergency physician coverage relative to national standards. Connecticut's proximity to medical schools and residency programs helps maintain physician supply, though recruitment to rural areas remains challenging. Adequate provider supply helps prevent the extreme cost premiums seen in physician shortage areas.
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 Connecticut
What is the average cost of a ER Visit (High) visit in Connecticut without insurance?
Does Connecticut Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a ER Visit (High) in Connecticut?
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 |