Cost of a ER Visit (Low) Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's robust healthcare infrastructure includes major academic medical centers like Yale-New Haven and Hartford Hospital, creating a competitive landscape for emergency care services. For an ER Visit (Low) in Connecticut, patients typically pay between $53 and $153, with a median negotiated rate of $63 based on insurance contracts with nearly 1,000 active providers statewide. The state's concentration of top-tier medical facilities means patients have access to quality emergency care, though costs can vary significantly between urban teaching hospitals and community emergency departments across Connecticut's eight counties.
Average
$90
Median
$63
Lowest
$53
Highest
$153
Providers
987
5% below national average
Compare Similar Procedures
How does er visit (low severity) compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $55 | $88 | $211 | 1,968 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $55 | $68 | $320 | 987 |
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 99283 — Emergency department visit, low to moderate 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 99283 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99283 (Emergency department visit, low to moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99283 covers: the provider's professional fee for er visit (low 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 Connecticut
These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FARMINGTON, CT
SHARON, CT
MERIDEN, CT
DERBY, CT
WEST HAVEN, CT
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why ER Visit (Low) Visit Costs Vary Across Connecticut
Connecticut's healthcare costs run approximately 14% above the national average, driven by the state's concentration of prestigious medical centers and higher regional cost of living, particularly in Fairfield County's proximity to New York City. The state's compact geography means most residents have access to multiple emergency departments, creating competitive pricing in some markets while premium facilities maintain higher rates.
Urban vs. Rural Provider Availability
Connecticut's urban corridors from Hartford to New Haven feature dense concentrations of emergency providers, including major teaching hospitals and specialty emergency centers, while rural areas in the northeast and northwest regions rely on smaller community hospitals. This geographic distribution creates cost variations, with rural facilities often offering lower facility fees but potentially longer wait times for specialized services. The state's excellent highway system allows most residents to reach multiple emergency options within 30 minutes.
Facility Type and Overhead Costs
Hospital-based emergency departments in Connecticut command higher rates due to 24/7 staffing requirements and advanced equipment, with academic centers like Yale-New Haven and UConn Health charging premium rates for teaching hospital overhead. Independent emergency centers and urgent care facilities offer lower-cost alternatives for non-critical cases, while freestanding emergency departments provide middle-ground pricing with extended capabilities. Connecticut's regulatory environment requires robust staffing and equipment standards that contribute to higher operational costs across all facility types.
Insurance Market Competition in Connecticut
The Connecticut insurance market features moderate concentration with Anthem Blue Cross Blue Shield, Cigna, and UnitedHealthcare controlling the majority of commercial enrollment, supplemented by regional players and Access Health CT marketplace options. This competitive landscape has produced reasonable negotiated rates for emergency services, though the dominance of large health systems gives providers significant leverage in contract negotiations. The state's regulatory oversight through the Connecticut Insurance Department helps maintain rate stability while ensuring network adequacy requirements.
Physician Supply and Demand in Connecticut
With nearly 1,000 active providers handling low-severity emergency visits, Connecticut maintains adequate emergency physician availability relative to its population of 3.6 million residents. This healthy supply-demand balance helps moderate pricing pressure while maintaining quality care standards, though premium facilities in affluent areas can still command higher rates. The presence of multiple residency programs ensures a steady pipeline of emergency physicians, contributing to competitive pricing and shorter wait times 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 (Low) Costs in Connecticut
What is the average cost of a ER Visit (Low) visit in Connecticut without insurance?
Does Connecticut Medicaid cover ER Visit (Low) visits?
How do I find an affordable ER Visit (Low) near me in Connecticut?
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 (Low) visit in Connecticut?
How does telemedicine affect the cost of seeing a ER Visit (Low) in Connecticut?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99283)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Pennsylvania Range: $47 – $693 | $271 |
| 2 | Wisconsin Range: $56 – $355 | $180 |
| 3 | Illinois Range: $57 – $252 | $133 |
| 4 | Maine Range: $86 – $184 | $131 |
| 5 | New Hampshire Range: $59 – $204 | $130 |
| 6 | Michigan Range: $54 – $252 | $126 |
| 7 | Iowa Range: $44 – $218 | $119 |
| 8 | Rhode Island Range: $40 – $204 | $111 |
| 9 | California Range: $80 – $153 | $107 |
| 10 | Vermont Range: $53 – $171 | $107 |
| 11 | Indiana Range: $57 – $171 | $105 |
| 12 | New York Range: $47 – $202 | $105 |
| 13 | Washington Range: $57 – $167 | $101 |
| 14 | Colorado Range: $54 – $159 | $99 |
| 15 | Wyoming Range: $54 – $155 | $97 |
| 16 | Idaho Range: $60 – $142 | $96 |
| 17 | Nebraska Range: $44 – $171 | $95 |
| 18 | Massachusetts Range: $40 – $206 | $95 |
| 19 | Utah Range: $53 – $139 | $93 |
| 20 | District of Columbia Range: $49 – $142 | $92 |
| 21 | Maryland Range: $43 – $162 | $91 |
| 22 | Connecticut Range: $53 – $153 | $90 |
| 23 | Georgia Range: $53 – $143 | $90 |
| 24 | Alaska Range: $69 – $118 | $89 |
| 25 | New Mexico Range: $54 – $139 | $88 |
| 26 | Kentucky Range: $40 – $139 | $88 |
| 27 | Hawaii Range: $54 – $139 | $87 |
| 28 | Texas Range: $54 – $118 | $86 |
| 29 | North Carolina Range: $51 – $136 | $85 |
| 30 | New Jersey Range: $44 – $142 | $84 |
| 31 | South Carolina Range: $51 – $128 | $83 |
| 32 | Arkansas Range: $51 – $115 | $81 |
| 33 | Nevada Range: $60 – $108 | $81 |
| 34 | Alabama Range: $49 – $131 | $80 |
| 35 | Virginia Range: $47 – $119 | $79 |
| 36 | Arizona Range: $53 – $107 | $77 |
| 37 | Ohio Range: $43 – $117 | $77 |
| 38 | Minnesota Range: $40 – $145 | $75 |
| 39 | Tennessee Range: $51 – $105 | $75 |
| 40 | Oklahoma Range: $51 – $104 | $75 |
| 41 | Delaware Range: $60 – $90 | $74 |
| 42 | Missouri Range: $52 – $99 | $74 |
| 43 | Mississippi Range: $51 – $104 | $73 |
| 44 | Montana Range: $40 – $91 | $70 |
| 45 | Kansas Range: $51 – $91 | $70 |
| 46 | Florida Range: $35 – $110 | $67 |
| 47 | West Virginia Range: $40 – $115 | $65 |
| 48 | Louisiana Range: $40 – $87 | $63 |
| 49 | Oregon Range: $40 – $108 | $63 |
| 50 | North Dakota Range: $40 – $91 | $57 |
| 51 | South Dakota Range: $40 – $88 | $56 |