Cost of a ER Visit (High) Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia operates without Medicaid expansion, creating unique cost burdens for patients seeking high-severity emergency care across the state's diverse healthcare landscape. Patients typically pay between $85 and $333 for an ER Visit (High), with a median out-of-pocket cost of $177 based on negotiated insurance rates. Georgia maintains over 5,100 active emergency care providers, offering patients extensive options for high-severity treatment from Atlanta's major medical centers to rural community hospitals.
Average
$198
Median
$177
Lowest
$85
Highest
$333
Providers
5,105
5% above national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $73 | $143 | 5,341 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $84 | $121 | $246 | 5,193 |
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 Georgia
These hospitals in Georgia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BREMEN, GA
REIDSVILLE, GA
CHATSWORTH, GA
Fort Gordon, GA
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 Georgia
Georgia's emergency care costs run approximately 1% below national averages, reflecting the state's moderate cost structure despite significant urban-rural healthcare disparities. The absence of Medicaid expansion creates unique financial pressures on both hospitals and patients, influencing pricing strategies across the state's emergency care network.
Urban vs. Rural Provider Availability
Metro Atlanta's concentrated provider network offers numerous emergency care options but commands higher prices due to facility overhead and demand, while rural counties across south Georgia often struggle with hospital closures and limited emergency services. This geographic imbalance forces some patients to travel significant distances for emergency care, potentially affecting both costs and outcomes.
Facility Type and Overhead Costs
Hospital-based emergency departments affiliated with major Georgia health systems like Piedmont Healthcare, Emory Healthcare, and Augusta University Health charge facility fees that independent emergency centers avoid. These academic medical centers and large health systems typically maintain higher overhead costs but offer more comprehensive emergency services including trauma care and specialty consultations.
Insurance Market Competition in Georgia
Anthem Blue Cross Blue Shield holds significant market share in Georgia alongside UnitedHealthcare and Cigna, creating moderate competition that helps contain negotiated rates for emergency services. The state's insurance marketplace offers multiple plan options, though rural areas may have fewer insurer choices, potentially affecting negotiated emergency care rates.
Physician Supply and Demand in Georgia
With over 5,100 active emergency care providers, Georgia maintains adequate physician supply in urban areas while facing shortages in rural regions, particularly in south Georgia counties. This supply imbalance contributes to cost variations, with rural facilities sometimes charging lower rates to attract patients while urban centers leverage higher demand for premium pricing.
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 Georgia
What is the average cost of a ER Visit (High) visit in Georgia without insurance?
Does Georgia Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a ER Visit (High) in Georgia?
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 |