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Nebraska

Cost of a ER Visit (High) Visit
in Nebraska

Reviewed by Momentary Medical Group West PC

Nebraska's largely rural geography means many residents travel significant distances for emergency care, with high-severity ER visits representing critical interventions across the state's 93 counties. ER Visit (High) costs in Nebraska typically range from $123 to $422, with a median negotiated rate of $162 based on transparency data from major insurers. Nearly 4,000 active providers handle high-severity emergency cases throughout Nebraska, from Omaha's trauma centers to rural critical access hospitals.

Average

$236

Median

$162

Lowest

$123

Highest

$422

Providers

3,954

National avg: $189Nebraska: $236

25% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$44$71$1713,950
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$83$120$2913,953

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 Nebraska

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

5/5
93% would recommend266 patient surveys
5/5
92% would recommend174 patient surveys
5/5
88% would recommend136 patient surveys
5/5
87% would recommend499 patient surveys
5/5
85% would recommend297 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 Nebraska

Nebraska's healthcare costs run approximately 1% below the national average, reflecting the state's lower cost of living and more rural population distribution. The state's scattered geography creates unique challenges for emergency care delivery across its 93 counties.

Urban vs. Rural Provider Availability

Nebraska's two major metropolitan areas, Omaha and Lincoln, house the state's academic medical centers and trauma facilities, while rural counties rely on critical access hospitals with varying emergency capabilities. This geographic distribution creates significant cost and access disparities, with rural residents often requiring transport to urban centers for high-severity emergencies. The state's vast agricultural regions mean some emergency patients face drives of over 100 miles to reach comprehensive emergency care.

Facility Type and Overhead Costs

Hospital-based emergency departments in Nebraska range from large trauma centers like Nebraska Medicine and CHI Health to smaller community hospitals throughout the state's rural areas. Academic medical centers typically charge higher facility fees due to their teaching mission and specialized equipment, while critical access hospitals operate under different Medicare reimbursement structures. The consolidation of rural hospitals in recent years has concentrated high-acuity emergency care in fewer locations.

Insurance Market Competition in Nebraska

Blue Cross Blue Shield of Nebraska, UnitedHealthcare, and Aetna represent the dominant insurers in the state, creating moderate competition that helps stabilize negotiated rates for emergency services. The state's relatively small population and rural geography limit the number of insurance competitors, though this also means insurers have established relationships with most hospital systems. Medicaid expansion has increased coverage options for emergency care among lower-income residents.

Physician Supply and Demand in Nebraska

With nearly 4,000 providers handling high-severity emergency cases, Nebraska maintains adequate emergency physician coverage in its metropolitan areas but faces shortages in rural regions. This supply distribution affects both access and pricing, with rural hospitals sometimes relying on locum tenens physicians or telemedicine consultations for specialized emergency care. The state's medical school and residency programs help train emergency physicians, though many graduates leave for higher-paying markets in other states.

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 Nebraska

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

Based on transparency data, high-severity emergency visits in Nebraska range from $123 to $422, with a median cost of $162. Without insurance, patients typically pay the full facility charge plus separate physician fees, which can total several thousand dollars for complex cases. Many Nebraska hospitals offer cash-pay discounts of 30-50% for uninsured patients who pay promptly.

Does Nebraska Medicaid cover ER Visit (High) visits?

Yes, Nebraska Medicaid covers emergency room visits when medically necessary, including high-severity cases requiring immediate attention. Since Nebraska expanded Medicaid in 2020, adults with incomes up to 138% of the federal poverty level qualify for coverage. Emergency services are considered essential health benefits under Medicaid, with minimal or no copays for most recipients.

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

Compare costs between different hospital systems in your area, as prices can vary significantly between academic medical centers and community hospitals. Ask about financial assistance programs and cash-pay discounts if you are uninsured or underinsured. Community health centers throughout Nebraska also provide urgent care services that may be appropriate for less severe conditions, helping you avoid unnecessary emergency room charges.

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

Emergency department visits are typically billed based on the level of service provided rather than whether it is an initial or follow-up visit. High-severity cases (Level 5) cost significantly more than lower-level emergency visits due to the complexity of care and resources required. Follow-up care after an emergency visit usually occurs in outpatient settings with different billing structures and typically lower costs than the initial emergency department visit.

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

Yes, emergency room visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). This includes deductibles, copays, and any out-of-pocket costs associated with high-severity emergency care. Keep all receipts and documentation from your emergency visit for tax purposes and FSA/HSA reimbursement claims.

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

Telemedicine cannot replace in-person emergency care for high-severity conditions requiring immediate intervention, though it may be used for follow-up consultations after emergency treatment. Some Nebraska hospitals use telemedicine to connect rural emergency departments with specialists in urban centers for consultation during emergency cases. While telehealth visits are generally less expensive, true emergency situations requiring high-level care must be handled in person at appropriate facilities.

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