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Ohio

Cost of a ER Visit (High) Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's large network of level 1 trauma centers and regional medical hubs creates a competitive landscape for high-severity emergency care across the state. For an ER Visit (High), patients typically pay between $85 and $287, with a median out-of-pocket cost of $172 based on negotiated insurance rates. With over 8,900 active emergency providers throughout Ohio, patients can browse all qualified facilities and specialists in their area.

Average

$181

Median

$172

Lowest

$85

Highest

$287

Providers

8,934

National avg: $189Ohio: $181

4% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$43$72$1177,362
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$75$109$1978,074

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 Ohio

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

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 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 Ohio

Ohio's healthcare costs run approximately 2% below the national average, reflecting the state's moderate cost of living and competitive insurance market. The presence of major health systems like Cleveland Clinic, OhioHealth, and Mercy Health creates market competition that helps contain emergency care pricing across urban areas.

Urban vs. Rural Provider Availability

Ohio's population concentration in metropolitan areas like Columbus, Cleveland, Cincinnati, and Dayton creates dense networks of emergency facilities with multiple trauma centers and specialty services. Rural counties in southeastern and northwestern Ohio often rely on critical access hospitals that may transfer complex cases to urban trauma centers, potentially affecting total costs. The state's relatively compact geography means most residents are within reasonable distance of advanced emergency care.

Facility Type and Overhead Costs

Hospital-based emergency departments affiliated with major health systems like Cleveland Clinic or OhioHealth typically carry higher facility fees but offer comprehensive services including trauma surgery and intensive care capabilities. Independent hospitals and freestanding emergency centers may offer more competitive pricing for less complex cases. Academic medical centers associated with universities often have higher costs but provide access to cutting-edge treatments and specialist consultations.

Insurance Market Competition in Ohio

The presence of Medical Mutual of Ohio as a strong regional insurer alongside national players Anthem and UnitedHealthcare creates robust competition for emergency care contracts. This competitive environment has generally kept negotiated rates reasonable compared to states with less insurer competition. The state's insurance marketplace offers multiple plan options, giving consumers choice in emergency care coverage levels and provider networks.

Physician Supply and Demand in Ohio

With over 8,900 emergency providers throughout Ohio, the state maintains adequate physician supply for emergency services, particularly in urban areas served by major medical schools. This robust supply helps prevent the physician shortages that drive up costs in other regions, though specialized emergency subspecialists may be concentrated in major metropolitan areas. Rural areas may experience occasional coverage gaps that require locum tenens physicians, which can affect pricing variability.

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 Ohio

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

Without insurance, a high-severity emergency room visit in Ohio typically costs between $85 and $287, with a median cost of $172 based on negotiated insurance rates. Self-pay patients often face higher list prices initially, but many Ohio hospitals offer significant cash-pay discounts of 30-50% if payment is made promptly. It's important to ask about financial assistance programs and payment plans, as most hospitals are required to offer charity care options for qualifying patients.

Does Ohio Medicaid cover ER Visit (High) visits?

Yes, Ohio Medicaid covers emergency room visits when medically necessary, including high-severity cases that require immediate attention. Ohio expanded Medicaid under the Affordable Care Act, providing coverage for adults with incomes up to 138% of the federal poverty level. Medicaid patients typically have minimal copays for emergency visits, and prior authorization is not required for true emergency situations, though follow-up care may need approval.

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

Compare costs between hospital-based emergency departments and freestanding emergency centers in your area, as prices can vary significantly. Look for facilities that offer self-pay discounts or have financial assistance programs, and consider community hospitals which may have lower facility fees than major academic medical centers. Many Ohio hospitals publish price estimates online, and you can also call directly to ask about costs and payment options before a non-urgent visit.

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

Emergency department visits are typically charged using a single billing code (CPT 99285 for high-severity cases) regardless of whether it's your first visit to that facility. The cost of $85-$287 with a median of $172 applies to each high-severity emergency visit. Follow-up care after an emergency visit would typically occur in an outpatient setting with different pricing, and may be covered differently by insurance depending on whether it's considered part of the emergency episode or separate ongoing care.

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

Yes, emergency room visits are qualified medical expenses that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes the facility fees, physician charges, and any medical services provided during your emergency visit. Keep all receipts and documentation, as you may need them for tax purposes or to substantiate the medical necessity of the expenses if questioned by your account administrator.

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

Telemedicine cannot replace in-person emergency care for high-severity conditions that require immediate medical intervention, diagnostic testing, or procedures. However, telehealth urgent care visits (typically costing $50-$200) can help determine whether your symptoms require emergency department evaluation, potentially saving unnecessary emergency room costs. Some Ohio health systems offer virtual triage services that can guide patients to the appropriate level of care, though true emergencies always require in-person treatment.

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