Cost of a ER Visit (High) Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's rural geography and limited hospital infrastructure mean ER Visit (High) costs can vary significantly from Burlington's medical centers to isolated community hospitals. Patients typically pay between $97 and $356 for high-severity emergency room visits, with a median out-of-pocket cost of $194. With 351 active emergency care providers across the Green Mountain State, patients can browse all providers in Vermont to find the most cost-effective option for their urgent medical needs.
Average
$216
Median
$194
Lowest
$98
Highest
$356
Providers
351
14% above national average
Compare Similar Procedures
How does er visit (high severity) compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $96 | $171 | 356 |
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $80 | $132 | $257 | 354 |
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.
Why ER Visit (High) Visit Costs Vary Across Vermont
Vermont's emergency care costs run approximately 15% above national averages due to the state's rural geography and limited hospital competition. The concentration of major medical facilities in Burlington and Rutland creates cost disparities between urban medical centers and smaller community hospitals serving remote areas.
Urban vs. Rural Provider Availability
Burlington's medical corridor around University of Vermont Medical Center offers more emergency care options and competitive pricing, while rural counties like Essex and Grand Isle rely on critical access hospitals with higher per-visit costs. The state's mountainous terrain and seasonal weather create additional staffing challenges for remote emergency departments, driving up operational costs. Rural hospitals often maintain higher baseline staffing despite lower patient volumes, increasing overhead expenses passed to patients.
Facility Type and Overhead Costs
Hospital-based emergency departments dominate Vermont's landscape, with major systems like University of Vermont Health Network and Southwestern Vermont Health Care controlling most facilities. Independent emergency departments are rare due to Vermont's regulatory environment and rural market challenges, limiting cost competition. Academic medical centers in Burlington typically charge premium rates due to teaching hospital overhead and specialized equipment capabilities.
Insurance Market Competition in Vermont
Blue Cross Blue Shield of Vermont and MVP Health Care control the majority of the state's insurance market, creating limited negotiating pressure on emergency care rates. This concentrated market allows hospitals to maintain higher negotiated rates compared to states with more insurance competition. Vermont's small population and regulatory environment discourage new insurers from entering the market, perpetuating higher healthcare costs statewide.
Physician Supply and Demand in Vermont
With 351 active emergency care providers serving just over 640,000 residents, Vermont maintains adequate emergency physician coverage compared to national ratios. However, rural areas face seasonal shortages during peak tourism periods and winter weather events that strain emergency departments. The state's aging physician workforce and limited residency programs create long-term supply concerns that may drive up emergency care costs as competition for physicians increases.
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 Vermont
What is the average cost of a ER Visit (High) visit in Vermont without insurance?
Does Vermont Medicaid cover ER Visit (High) visits?
How do I find an affordable ER Visit (High) near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a ER Visit (High) in Vermont?
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 |