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Florida

Cost of a ER Visit (Low) Visit
in Florida

Reviewed by Momentary Medical Group West PC

Florida's vast network of emergency departments serves over 22 million residents across 67 counties, with many facilities offering tiered emergency services to manage lower-severity cases efficiently. For a ER Visit (Low) visit, patients typically face negotiated rates between $35 and $110, with a median cost of $55 according to insurance transparency data. The state's 7,232 emergency care providers create a competitive market that benefits patients seeking immediate but non-critical medical attention.

Average

$67

Median

$55

Lowest

$35

Highest

$110

Providers

7,232

National avg: $94Florida: $67

29% below national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

How does er visit (low severity) compare to related procedures in Florida?

ProcedureCPTLowMedianHighProviders
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$35$60$1907,376
ER Visit (High Severity)

Emergency department visit, high severity

99285$35$60$2467,262

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 Florida

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

MAYO CLINIC

JACKSONVILLE, FL

4/5
91% would recommend947 patient surveys
SARASOTA MEMORIAL HOSPITAL - VENICE

NORTH VENICE, FL

4/5
87% would recommend2,243 patient surveys
HCA FLORIDA TWIN CITIES HOSPITAL

NICEVILLE, FL

4/5
84% would recommend402 patient surveys
BAYCARE HOSPITAL WESLEY CHAPEL

WESLEY CHAPEL, FL

4/5
83% would recommend327 patient surveys
GULF BREEZE HOSPITAL

GULF BREEZE, FL

4/5
82% would recommend449 patient surveys

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 Florida

Florida's emergency care costs run approximately 2% above national averages, driven by the state's robust healthcare tourism industry and concentration of high-end medical facilities serving both residents and visitors. The state's unique geographic challenges, from densely populated metropolitan corridors to remote rural counties, create significant cost variations for emergency services.

Urban vs. Rural Provider Availability

Florida's population clusters around major metropolitan areas like Miami-Dade, Broward, Orange, and Hillsborough counties, where emergency department competition keeps costs relatively controlled for low-severity visits. Rural counties in North Florida and the interior regions often rely on critical access hospitals with higher per-visit costs due to lower patient volumes. The state's long coastline creates seasonal demand fluctuations that impact pricing, particularly in tourist-heavy markets.

Facility Type and Overhead Costs

Hospital-based emergency departments in Florida carry significant overhead costs related to 24/7 staffing, advanced equipment, and regulatory compliance that get factored into every visit, regardless of severity. Independent freestanding emergency rooms have proliferated throughout Florida's suburban markets, often charging hospital-level fees without the full service capabilities. Major health systems like AdventHealth, Baptist Health, and HCA dominate many markets, influencing regional pricing through their negotiating power with insurers.

Insurance Market Competition in Florida

Florida's large insurance market features robust competition between UHC, BCBS FL, and Aetna, along with numerous regional and national carriers competing for employer groups and individual customers. This competitive environment generally results in stronger negotiated rate agreements that can benefit patients seeking emergency care. However, market concentration varies significantly by region, with some rural areas having limited insurer participation that can drive up out-of-pocket costs.

Physician Supply and Demand in Florida

With 7,232 active emergency care providers, Florida maintains a relatively robust supply of emergency physicians and staff to handle both resident and tourist populations. This substantial provider network indicates adequate supply in most markets, though distribution favors urban and coastal areas over rural interior regions. Strong physician supply typically moderates pricing pressure and reduces wait times, making emergency care more accessible for appropriate low-severity conditions.

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A doctor by your side, always

Prescriptions, lab orders, and referrals — instantly

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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 (Low) Costs in Florida

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

Without insurance, a low-severity emergency room visit in Florida typically costs between $35 and $110, with a median cost of $55 based on negotiated insurance rates. Self-pay patients may face higher charges than these insurance rates, but many facilities offer cash discounts of 20-40% when payment is made at the time of service. The final cost depends on specific services provided, facility type, and geographic location within Florida.

Does Florida Medicaid cover ER Visit (Low) visits?

Florida Medicaid covers emergency department visits for eligible recipients, including low-severity visits when medically necessary. However, Florida chose not to expand Medicaid under the Affordable Care Act, leaving many low-income adults without coverage for emergency services. Traditional Medicaid recipients including pregnant women, children, elderly, and disabled individuals receive full coverage for emergency care. Prior authorization is typically not required for emergency visits, but Medicaid may review claims to confirm medical necessity.

How do I find an affordable ER Visit (Low) near me in Florida?

Compare costs between hospital emergency departments, freestanding emergency rooms, and urgent care centers, as prices vary significantly for similar low-severity conditions. Many Florida hospitals offer online price estimation tools and financial assistance programs for qualifying patients. Community health centers and federally qualified health centers provide emergency care on sliding fee scales based on income. Consider urgent care centers or retail health clinics for truly non-urgent conditions, as they typically cost 60-80% less than emergency departments.

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

Emergency department visits are typically coded based on complexity and time rather than new versus established patient status, unlike regular physician office visits. A low-severity emergency visit (CPT 99283) costs between $35-$110 in Florida regardless of whether it's your first visit to that facility. However, if your emergency visit leads to admission or requires consultation with specialists, additional charges will apply. Follow-up care is usually handled by primary care physicians or specialists rather than return emergency visits.

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

Yes, emergency department visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) regardless of the visit's severity level. You can use these pre-tax dollars to pay copays, deductibles, and any out-of-pocket costs associated with your emergency care. Keep all receipts and documentation for reimbursement purposes. HSA funds roll over year to year, while FSA funds typically must be used within the plan year.

How does telemedicine affect the cost of seeing a ER Visit (Low) in Florida?

Telemedicine cannot replace in-person emergency department visits for conditions requiring physical examination, procedures, or immediate interventions. However, virtual urgent care consultations cost significantly less (typically $50-100) and can help determine whether your condition truly requires emergency care. Many Florida health systems offer 24/7 telehealth triage services that guide patients to the appropriate level of care. Some conditions that seem emergent may be safely managed through telemedicine, potentially saving hundreds of dollars in unnecessary emergency room costs.

Click a state to compare costs

Average Visit Cost

$56
$271

Office visit (CPT 99283)

Compare With Other States

RankStateAverage↓
1Pennsylvania
Range: $47 – $693
$271
2Wisconsin
Range: $56 – $355
$180
3Illinois
Range: $57 – $252
$133
4Maine
Range: $86 – $184
$131
5New Hampshire
Range: $59 – $204
$130
6Michigan
Range: $54 – $252
$126
7Iowa
Range: $44 – $218
$119
8Rhode Island
Range: $40 – $204
$111
9California
Range: $80 – $153
$107
10Vermont
Range: $53 – $171
$107
11Indiana
Range: $57 – $171
$105
12New York
Range: $47 – $202
$105
13Washington
Range: $57 – $167
$101
14Colorado
Range: $54 – $159
$99
15Wyoming
Range: $54 – $155
$97
16Idaho
Range: $60 – $142
$96
17Nebraska
Range: $44 – $171
$95
18Massachusetts
Range: $40 – $206
$95
19Utah
Range: $53 – $139
$93
20District of Columbia
Range: $49 – $142
$92
21Maryland
Range: $43 – $162
$91
22Connecticut
Range: $53 – $153
$90
23Georgia
Range: $53 – $143
$90
24Alaska
Range: $69 – $118
$89
25New Mexico
Range: $54 – $139
$88
26Kentucky
Range: $40 – $139
$88
27Hawaii
Range: $54 – $139
$87
28Texas
Range: $54 – $118
$86
29North Carolina
Range: $51 – $136
$85
30New Jersey
Range: $44 – $142
$84
31South Carolina
Range: $51 – $128
$83
32Arkansas
Range: $51 – $115
$81
33Nevada
Range: $60 – $108
$81
34Alabama
Range: $49 – $131
$80
35Virginia
Range: $47 – $119
$79
36Arizona
Range: $53 – $107
$77
37Ohio
Range: $43 – $117
$77
38Minnesota
Range: $40 – $145
$75
39Tennessee
Range: $51 – $105
$75
40Oklahoma
Range: $51 – $104
$75
41Delaware
Range: $60 – $90
$74
42Missouri
Range: $52 – $99
$74
43Mississippi
Range: $51 – $104
$73
44Montana
Range: $40 – $91
$70
45Kansas
Range: $51 – $91
$70
46Florida
Range: $35 – $110
$67
47West Virginia
Range: $40 – $115
$65
48Louisiana
Range: $40 – $87
$63
49Oregon
Range: $40 – $108
$63
50North Dakota
Range: $40 – $91
$57
51South Dakota
Range: $40 – $88
$56
ER Visit (Low Severity) in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming