Cost of a ER Visit (High) Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare system serves a rapidly growing population with a unique mix of urban and rural communities, leading to varied emergency care costs across the state. For ER Visit (High) services, patients typically pay between $80 and $317, with a median negotiated rate of $150 among Utah's 534 active emergency providers. Patients can browse all emergency care providers throughout Utah to find the most cost-effective option for their high-severity visit needs.
Average
$182
Median
$150
Lowest
$80
Highest
$317
Providers
534
3% below national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $85 | $139 | 511 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $80 | $98 | $228 | 513 |
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 Utah
These hospitals in Utah are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
HEBER CITY, UT
CEDAR CITY, UT
NORTH LOGAN, UT
ST GEORGE, UT
PARK CITY, UT
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 Utah
Utah's emergency care costs run approximately 2% below national averages, reflecting the state's efficient healthcare delivery system and moderate cost of living compared to coastal regions. The Wasatch Front's concentration of major medical centers creates competitive pricing, while rural areas face higher costs due to limited provider density and transport challenges.
Urban vs. Rural Provider Availability
The Wasatch Front corridor from Ogden to Provo contains the majority of Utah's emergency facilities, creating accessible care and competitive pricing for urban residents. Rural counties in southern and eastern Utah often rely on small critical access hospitals with higher per-visit costs but essential community access. Geographic isolation means rural patients may face longer transport times and higher overall emergency care expenses.
Facility Type and Overhead Costs
Major health systems like Intermountain Healthcare and University of Utah Health operate large emergency departments with comprehensive services but higher overhead costs. Independent and smaller community hospitals often offer more competitive pricing for routine emergency visits. Freestanding emergency departments in suburban areas provide an alternative to traditional hospital EDs with potentially different cost structures.
Insurance Market Competition in Utah
SelectHealth, BCBS UT, and UHC dominate Utah's insurance market, creating moderate competition that influences negotiated emergency care rates. The presence of strong regional insurers like SelectHealth helps maintain competitive pricing through local market knowledge and provider relationships. Limited market concentration compared to other states prevents excessive rate increases while maintaining quality networks.
Physician Supply and Demand in Utah
With 534 active emergency care providers, Utah maintains adequate emergency physician supply relative to its population, helping stabilize costs and reduce wait times. The state's growing population and medical tourism from surrounding states creates steady demand for emergency services. Utah's physician-friendly practice environment attracts emergency medicine specialists, supporting competitive pricing and access across the state.
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 Utah
What is the average cost of a ER Visit (High) visit in Utah without insurance?
Does Utah Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a ER Visit (High) in Utah?
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 |