Cost of a ER Visit (High) Visit
in Missouri
Reviewed by Momentary Medical Group West PC
Missouri's emergency departments handle over 2.5 million visits annually, with high-severity cases requiring intensive medical intervention and monitoring. Patients seeking an ER Visit (High) in Missouri typically pay between $88 and $239, with a median out-of-pocket cost of $177 based on negotiated insurance rates. With over 7,498 active ER Visit (High) providers across the state's hospitals and emergency centers, patients can browse all available providers throughout Missouri's urban centers and rural communities.
Average
$168
Median
$177
Lowest
$88
Highest
$239
Providers
7,498
11% below national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Missouri?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $52 | $70 | $99 | 7,521 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $85 | $121 | $167 | 7,537 |
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 Missouri
These hospitals in Missouri are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
LAMAR, MO
MONETT, MO
AURORA, MO
LEXINGTON, MO
CHILLICOTHE, MO
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 Missouri
Missouri's healthcare costs run approximately 5% below the national average, reflecting the state's lower cost of living and moderate competition among major insurers. The state's mix of urban medical centers in Kansas City and St. Louis alongside extensive rural areas creates significant geographic cost variations for emergency services.
Urban vs. Rural Provider Availability
Missouri's metropolitan areas around Kansas City, St. Louis, and Springfield offer multiple hospital options with comprehensive emergency departments, while rural counties often depend on critical access hospitals with limited emergency capabilities. Rural emergency departments may transfer high-severity cases to urban trauma centers, potentially involving multiple facility charges. The state's geography creates access challenges in the Ozarks and northern rural counties where patients may travel significant distances for emergency care.
Facility Type and Overhead Costs
Large health systems like BJC HealthCare, Mercy Health, and Saint Luke's Health System operate major emergency departments with higher overhead costs but more comprehensive critical care capabilities. Independent community hospitals typically offer lower facility fees but may have limited subspecialty coverage for complex cases. Teaching hospitals affiliated with the University of Missouri system often charge premium rates due to their academic mission and advanced trauma capabilities.
Insurance Market Competition in Missouri
Missouri's insurance market features moderate competition with Anthem, UHC, and Cigna as dominant carriers, along with regional players like Blue Cross Blue Shield of Kansas City. The competitive landscape allows for reasonable negotiated rates with emergency departments, though rural areas may have fewer carrier options. Insurance market concentration varies by region, with urban areas offering more plan choices compared to rural counties with limited carrier participation.
Physician Supply and Demand in Missouri
With over 7,498 active ER Visit (High) providers throughout Missouri, the state maintains adequate emergency physician coverage in urban areas while facing shortages in rural regions. This supply distribution contributes to higher emergency department utilization rates in metropolitan areas and longer wait times in rural facilities. The physician supply relative to population suggests balanced availability in major cities, though recruitment challenges persist in Missouri's frontier counties.
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 Missouri
What is the average cost of a ER Visit (High) visit in Missouri without insurance?
Does Missouri Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Missouri?
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 Missouri?
How does telemedicine affect the cost of seeing a ER Visit (High) in Missouri?
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 |