Cost of a ER Visit (Low) Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's emergency departments handled over 7.5 million visits in 2023, with many low-severity cases treated efficiently through expedited protocols. For an ER Visit (Low) in New York, patients typically pay between $47 and $202, with a median out-of-pocket cost of $65 based on negotiated insurance rates. With over 32,000 active ER Visit (Low) providers across the state's extensive hospital network, patients have numerous options for urgent but non-critical care throughout New York's diverse healthcare landscape.
Average
$105
Median
$65
Lowest
$47
Highest
$202
Providers
32,823
12% above national average
Compare Similar Procedures
How does er visit (low severity) compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $67 | $107 | $374 | 32,559 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $156 | $543 | 32,477 |
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 New York
These hospitals in New York are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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 New York
Healthcare costs in New York average approximately 22% above the national benchmark, driven by the state's high cost of living, extensive regulatory requirements, and concentration of prestigious academic medical centers. The state's emergency care market reflects these premiums, with Manhattan facilities commanding significantly higher rates than rural upstate emergency departments.
Urban vs. Rural Provider Availability
New York's geography creates stark contrasts between the dense concentration of emergency facilities in NYC and the sprawling rural counties upstate where patients may travel significant distances for care. Urban areas like Manhattan and Brooklyn have multiple emergency departments within miles, while rural regions in the North Country or Southern Tier may have limited options. This geographic disparity affects both access and pricing, with rural facilities often offering more competitive rates but urban centers providing specialized capabilities.
Facility Type and Overhead Costs
Hospital-based emergency departments in New York typically charge higher facility fees than independent urgent care centers, reflecting higher overhead costs for 24/7 operations and advanced capabilities. Major health systems like NewYork-Presbyterian, NYU Langone, and Northwell Health operate premium emergency facilities with correspondingly higher charges. Community hospitals and rural emergency departments generally offer more moderate pricing for low-severity visits that don't require tertiary care resources.
Insurance Market Competition in New York
With Empire BCBS, UHC, Aetna, and Cigna all maintaining significant market presence, New York has relatively robust insurer competition that helps moderate negotiated rates for emergency services. However, market concentration varies by region, with some upstate areas having fewer insurer options. The state's regulatory environment requires transparency in emergency billing, which has helped standardize some pricing practices across providers.
Physician Supply and Demand in New York
New York's 32,000+ active ER Visit (Low) providers represent a relatively robust supply of emergency medicine physicians, though distribution favors urban areas over rural regions. This substantial provider network helps moderate costs through competition, particularly in the NYC metropolitan area where patients have numerous emergency care options. Rural areas may experience physician shortages that can affect both availability and pricing for emergency services.
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 New York
What is the average cost of a ER Visit (Low) visit in New York without insurance?
Does New York Medicaid cover ER Visit (Low) visits?
How do I find an affordable ER Visit (Low) near me in New York?
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 New York?
How does telemedicine affect the cost of seeing a ER Visit (Low) in New York?
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 |