Cost of a ER Visit (High) Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's emergency departments handle over 9 million visits annually, with Empire State Medical Center and NewYork-Presbyterian leading high-acuity care across the state. For an ER Visit (High) in New York, patients typically pay between $80 and $543, with a median negotiated rate of $156 based on insurance contracts with major health systems. The state maintains over 32,000 active emergency medicine providers across its diverse urban and rural landscapes, from Manhattan's world-class trauma centers to upstate community hospitals serving rural populations.
Average
$260
Median
$156
Lowest
$80
Highest
$543
Providers
32,477
37% above national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $47 | $65 | $202 | 32,823 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $67 | $107 | $374 | 32,559 |
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 York
These hospitals in New York are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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 York
New York's emergency care costs run approximately 22% above national averages, driven by the state's high concentration of academic medical centers and costly metropolitan overhead in the NYC region. The Empire State's geography creates dramatic cost variations between expensive Manhattan trauma centers and more affordable rural hospitals serving upstate farming communities.
Urban vs. Rural Provider Availability
New York City boasts the nation's highest density of emergency facilities, with multiple Level I trauma centers within miles of each other, while rural counties like Hamilton and Essex struggle with hospital closures and longer transport times. This geographic disparity means Manhattan patients pay premium prices for immediate access to specialized emergency care, while upstate residents may travel hours to reach comparable facilities.
Facility Type and Overhead Costs
Hospital-owned emergency departments affiliated with major systems like NewYork-Presbyterian or NYU Langone typically charge 40-60% more than independent emergency centers due to their teaching hospital infrastructure and specialized equipment. Academic medical centers dominate New York's emergency landscape, driving up average costs through research overhead and resident training programs that independent facilities avoid.
Insurance Market Competition in New York
The state's four major insurers - Empire BCBS, UnitedHealthcare, Aetna, and Cigna - maintain competitive negotiated rates with most emergency facilities, though Empire's dominant market share often secures the best pricing. New York's robust insurance competition helps keep emergency visit costs more predictable than in states with monopolistic insurer control, benefiting patients through standardized emergency coverage policies.
Physician Supply and Demand in New York
With over 32,000 active emergency providers statewide, New York maintains adequate emergency physician supply in urban areas while facing shortages in rural regions like the North Country and Southern Tier. This surplus-shortage dynamic creates pricing pressure where urban emergency physicians accept lower per-visit rates due to high patient volume, while rural facilities must offer premium compensation to attract emergency medicine talent.
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 York
What is the average cost of a ER Visit (High) visit in New York without insurance?
Does New York Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in New York?
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 York?
How does telemedicine affect the cost of seeing a ER Visit (High) in New York?
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 |