Cost of a ER Visit (High) Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's rural healthcare landscape means emergency services are often concentrated in larger cities, creating significant cost variations for high-severity ER visits across the state. Patients seeking ER Visit (High) services typically pay between $80 and $275, with a median out-of-pocket cost of $88 according to negotiated insurance rates. With 299 active providers offering emergency services throughout Idaho, patients have multiple options when selecting where to receive urgent care.
Average
$148
Median
$88
Lowest
$80
Highest
$275
Providers
299
22% below national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $60 | $85 | $142 | 295 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $80 | $88 | $194 | 296 |
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 Idaho
These hospitals in Idaho are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BOISE, ID
MCCALL, ID
BOISE, ID
MOSCOW, ID
POST FALLS, ID
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 Idaho
Idaho's emergency care costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural healthcare economics. The concentration of major medical centers in Boise and a few other urban areas creates distinct pricing tiers across the state's diverse geographic regions.
Urban vs. Rural Provider Availability
Idaho's vast rural territories mean many residents must travel significant distances to reach facilities equipped for high-severity emergency cases, often to Boise, Pocatello, or Coeur d'Alene. Rural critical access hospitals may stabilize patients before transferring them to larger facilities, creating additional transport costs and potentially higher overall expenses for complex emergency care.
Facility Type and Overhead Costs
Major health systems like Saint Alphonsus Health System and Kootenai Health operate the state's largest emergency departments with higher overhead costs but more comprehensive capabilities. Independent and rural hospitals often have lower facility fees but may lack specialized equipment or specialists for certain high-acuity conditions, potentially requiring costly transfers.
Insurance Market Competition in Idaho
The limited number of major insurers in Idaho, primarily Regence BlueCross and PacificSource, creates less competitive pressure on negotiated rates compared to more densely populated states. This concentrated market structure can result in less variation in emergency care pricing between different insurance plans within the same geographic area.
Physician Supply and Demand in Idaho
With 299 active providers offering emergency services across Idaho, the state maintains adequate coverage for its population, though distribution favors urban areas. This provider supply helps maintain competitive pricing in major cities while rural areas may see higher costs due to limited alternatives and the challenges of recruiting emergency physicians to remote locations.
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 Idaho
What is the average cost of a ER Visit (High) visit in Idaho without insurance?
Does Idaho Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a ER Visit (High) in Idaho?
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 |