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Kansas

Cost of a ER Visit (High) Visit
in Kansas

Reviewed by Momentary Medical Group West PC

Kansas operates 130 hospitals across its predominantly rural landscape, creating significant cost variations for ER Visit (High) care depending on location and facility type. Patients typically pay between $88 and $243 for high-severity emergency department visits, with a median out-of-pocket cost of $168 based on negotiated insurance rates. The state's 3,285 active emergency providers serve communities from urban centers like Wichita and Kansas City to remote western counties, allowing patients to browse providers throughout Kansas for the most cost-effective options.

Average

$166

Median

$168

Lowest

$88

Highest

$243

Providers

3,285

National avg: $189Kansas: $166

12% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$51$67$913,082
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$86$115$1673,074

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 Kansas

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

5/5
93% would recommend108 patient surveys
5/5
93% would recommend368 patient surveys
5/5
93% would recommend347 patient surveys
5/5
90% would recommend507 patient surveys
SUMMIT SURGICAL, LLC

HUTCHINSON, KS

5/5
89% would recommend215 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 Kansas

Kansas emergency care costs run approximately 7% below national averages, reflecting the state's lower overall healthcare costs and predominantly rural geography. The state's vast distances between major population centers create unique cost pressures as critical access hospitals serve large geographic areas with limited patient volumes.

Urban vs. Rural Provider Availability

Kansas's emergency care landscape divides sharply between well-staffed urban centers in Wichita, Topeka, and Kansas City and smaller critical access hospitals serving the state's 105 counties. Rural emergency departments often struggle with physician staffing shortages, leading some to rely on telemedicine consultations or transfer agreements with larger facilities for complex cases. This geographic disparity creates significant cost variations, with urban facilities typically charging higher rates but offering more comprehensive services.

Facility Type and Overhead Costs

Hospital-based emergency departments dominate Kansas's emergency care market, with major health systems like Stormont Vail, Wesley Medical Center, and KU Health System operating high-volume facilities with substantial overhead costs. Independent emergency medicine groups staff many Kansas emergency departments, creating separate billing relationships that can affect patient costs. Free-standing emergency rooms remain limited in Kansas compared to states like Texas, leaving most patients dependent on traditional hospital-based emergency care.

Insurance Market Competition in Kansas

BCBS Kansas maintains significant market share across the state, while UHC and Aetna compete primarily in urban markets, creating limited insurer choice in many rural counties. This concentrated market structure gives major insurers substantial negotiating power with emergency care providers, though smaller rural hospitals may have less leverage in rate negotiations. The lack of robust competition in rural markets often translates to higher out-of-pocket costs for patients with limited provider network options.

Physician Supply and Demand in Kansas

With 3,285 active emergency providers serving approximately 2.9 million residents, Kansas maintains reasonable emergency physician availability in aggregate, though distribution heavily favors urban areas. Rural counties frequently experience emergency medicine shortages, forcing some facilities to rely on family medicine physicians or telemedicine support for emergency coverage. This supply imbalance affects both costs and wait times, with rural facilities sometimes charging premium rates due to limited staffing while urban centers benefit from more competitive physician markets.

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 Kansas

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

Without insurance, high-severity emergency department visits in Kansas typically range from $88 to $243, with a median cost of $168 based on negotiated insurance rates. However, uninsured patients often face higher list prices before any self-pay discounts are applied. Many Kansas hospitals offer significant cash-pay discounts, potentially reducing costs by 30-40% for patients who pay upfront or arrange payment plans.

Does Kansas Medicaid cover ER Visit (High) visits?

Kansas Medicaid covers emergency department visits when medically necessary, though the state has not expanded Medicaid, limiting eligibility for many low-income adults. Emergency Medicaid may cover some urgent conditions regardless of regular Medicaid eligibility status. Medicaid recipients should present their cards immediately upon arrival, as retroactive authorization can be complex for emergency services.

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

Compare costs between hospital-based emergency departments and any available free-standing emergency rooms in your Kansas area, as facility fees can vary significantly. Ask about self-pay discounts if you're uninsured, and consider community health centers for urgent but non-emergency conditions. Rural critical access hospitals sometimes offer more flexible payment terms than large urban medical centers.

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

Emergency departments don't typically distinguish between initial and follow-up visits in their pricing structure, as each visit is treated as a separate emergency encounter. The cost depends on the severity level and services provided during that specific visit, with high-severity visits (CPT 99285) costing $88-$243 in Kansas. Follow-up care after emergency treatment usually transitions to outpatient specialty or primary care settings with different pricing structures.

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

Yes, emergency department visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) when used to treat medical conditions. You can use these tax-advantaged accounts to pay for facility fees, physician charges, and related emergency services. Keep detailed receipts from your Kansas emergency visit for tax and reimbursement purposes.

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

Telemedicine cannot replace high-severity emergency department visits, as these situations require immediate in-person evaluation and treatment. However, some Kansas emergency departments use telemedicine consultations with specialists during emergency care, which may add separate charges to your bill. For urgent but non-emergency situations, telehealth consultations with primary care physicians can help you avoid costly emergency department visits when appropriate.

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