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Oklahoma

Cost of a ER Visit (High) Visit
in Oklahoma

Reviewed by Momentary Medical Group West PC

Oklahoma's healthcare system serves a largely rural population across 77 counties, with emergency departments handling approximately 1.2 million visits annually statewide. For a ER Visit (High) visit, patients typically encounter negotiated insurance rates between $85 and $246, with a median cost of $168 based on current transparency data. Oklahoma maintains over 3,300 active ER Visit (High) providers across hospital systems and independent facilities, giving patients multiple options for emergency care throughout the state.

Average

$166

Median

$168

Lowest

$85

Highest

$246

Providers

3,334

National avg: $189Oklahoma: $166

12% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$51$69$1043,021
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$85$115$1692,977

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 Oklahoma

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

5/5
92% would recommend745 patient surveys
5/5
92% would recommend1,189 patient surveys
5/5
91% would recommend367 patient surveys
5/5
89% would recommend334 patient surveys
5/5
89% would recommend266 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 Oklahoma

Oklahoma's healthcare costs run approximately 8% below national averages, reflecting the state's lower cost of living and more rural healthcare infrastructure. The state's geography creates significant disparities between urban medical centers in Oklahoma City and Tulsa versus smaller communities served by critical access hospitals.

Urban vs. Rural Provider Availability

Oklahoma's 77 counties include major metropolitan areas like Oklahoma City and Tulsa alongside vast rural regions where the nearest hospital may be 30+ miles away. This geographic spread creates cost variations, with rural hospitals often operating as critical access facilities with different reimbursement structures, while urban centers maintain higher-cost trauma and specialty capabilities.

Facility Type and Overhead Costs

Hospital-based emergency departments in Oklahoma range from large health systems like OU Health and Saint Francis to smaller community hospitals and critical access facilities. Urban hospital-owned emergency departments typically carry higher overhead costs due to 24/7 specialist availability and advanced equipment, while rural facilities may offer more straightforward pricing but limited specialized services.

Insurance Market Competition in Oklahoma

Oklahoma's insurance market features moderate competition with BCBS Oklahoma holding significant market share alongside UHC and CommunityCare. This competitive landscape helps keep negotiated rates reasonable compared to more consolidated markets, though the lack of Medicaid expansion limits insurer participation in some rural counties where profitability remains challenging.

Physician Supply and Demand in Oklahoma

With over 3,300 active ER Visit (High) providers statewide, Oklahoma maintains adequate emergency physician coverage relative to its population, though distribution favors urban areas. This supply level helps maintain competitive pricing and reasonable wait times in most regions, though rural areas may experience physician shortages that can affect both access and pricing dynamics.

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 Oklahoma

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

Without insurance, a high-severity emergency visit in Oklahoma typically costs between $85 and $246, with a median rate of $168 based on current negotiated rate data. However, uninsured patients often face higher list prices, though many Oklahoma hospitals offer substantial self-pay discounts. Always ask about financial assistance programs and payment plans when seeking emergency care.

Does Oklahoma Medicaid cover ER Visit (High) visits?

Oklahoma Medicaid covers emergency department visits when medically necessary, though the state has not expanded Medicaid eligibility. This means coverage is limited to very low-income parents, pregnant women, children, and disabled individuals. Emergency services are typically covered regardless of where you receive care, but follow-up specialist visits may require prior authorization.

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

Compare costs between different hospital systems in your area, as prices can vary significantly between facilities. Ask about self-pay discounts if you're uninsured, and consider community hospitals which may offer lower rates than major medical centers. Many Oklahoma hospitals are required to offer charity care programs based on income eligibility.

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

Emergency department visits are typically billed using a single high-severity code (99285) with costs ranging from $85 to $246 in Oklahoma. Unlike office visits, emergency care doesn't distinguish between new and established patients in billing. Follow-up care after an emergency visit would typically occur in an office setting with different, usually lower, pricing structures.

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

Yes, emergency department visits are qualified medical expenses that can be paid for using HSA or FSA funds. This includes your copay, deductible, and any coinsurance amounts. Keep all receipts and documentation, as emergency care is considered a qualified medical expense under IRS guidelines regardless of the final diagnosis.

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

True emergency situations requiring high-severity care cannot be handled through telemedicine and require in-person emergency department treatment. However, telemedicine can help determine whether your symptoms warrant emergency care or could be managed through urgent care or office visits, potentially saving you significant costs. Oklahoma has expanded telehealth access, making this triage option more available statewide.

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