Cost of a ER Visit (High) Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's dense network of trauma centers and academic medical centers contributes to higher emergency care costs, with the state ranking 17% above national averages for healthcare spending. For high-severity ER visits, patients typically pay between $60 and $348, with a median negotiated rate of $139 across 8,957 active providers throughout the state. New Jersey's proximity to major metropolitan areas like New York and Philadelphia creates a competitive landscape where patients can browse all providers in New Jersey to find optimal care and pricing.
Average
$182
Median
$139
Lowest
$60
Highest
$348
Providers
8,957
4% below national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $44 | $64 | $142 | 8,974 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $60 | $96 | $237 | 9,008 |
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 New Jersey
These hospitals in New Jersey are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BROWNS MILLS, NJ
MORRISTOWN, NJ
ENGLEWOOD, NJ
PLAINSBORO, NJ
PARAMUS, NJ
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 New Jersey
New Jersey's healthcare costs run approximately 17% above national averages, driven by high population density, proximity to expensive metropolitan markets, and significant concentration of academic medical centers. The state's small geographic footprint creates intense competition for emergency services while maintaining some of the highest operational costs in the nation.
Urban vs. Rural Provider Availability
New Jersey's urban corridor from Newark to Trenton offers abundant emergency care options with multiple trauma centers and specialty hospitals within short distances. Rural areas in the Pine Barrens and northwestern counties have fewer options, potentially requiring longer transport times to appropriate facilities for high-severity cases. This geographic concentration drives higher utilization and costs in urban emergency departments while creating access challenges in less populated regions.
Facility Type and Overhead Costs
Major health systems like RWJBarnabas Health, Hackensack Meridian Health, and AtlantiCare operate numerous emergency departments with varying cost structures throughout New Jersey. Academic medical centers affiliated with Rutgers and other institutions typically charge premium rates due to teaching hospital overhead and advanced technology capabilities. Independent hospitals and community-based emergency departments often provide more competitive pricing for routine high-severity cases.
Insurance Market Competition in New Jersey
Horizon Blue Cross Blue Shield maintains the largest market share in New Jersey, followed by competitive offerings from Aetna, UnitedHealthcare, and regional players like AmeriHealth. This moderate concentration allows for reasonable negotiated rates while providing patients with multiple coverage options. The state's regulatory environment encourages competitive pricing, though proximity to New York and Philadelphia markets influences overall rate structures.
Physician Supply and Demand in New Jersey
With 8,957 emergency medicine providers serving the state's 9.3 million residents, New Jersey maintains adequate physician supply for most emergency care needs. This robust provider network helps moderate costs through competition while reducing wait times for high-severity cases. The concentration of medical schools and residency programs in New Jersey supports ongoing physician recruitment, though retention challenges exist due to high living costs and malpractice insurance rates.
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 New Jersey
What is the average cost of a ER Visit (High) visit in New Jersey without insurance?
Does New Jersey Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a ER Visit (High) in New Jersey?
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 |