Cost of a ER Visit (Low) Visit
in Ohio
Reviewed by Momentary Medical Group West PC
Ohio's healthcare costs run approximately 2% below the national average, benefiting from Medicaid expansion and strong insurer competition among Medical Mutual, Anthem, and UHC. For a ER Visit (Low) visit, Ohio patients typically pay between $43 and $117, with a median out-of-pocket cost of $72, based on negotiated rates from over 7,360 active providers across the state. Ohio maintains robust emergency care coverage through its expanded Medicaid program and competitive insurance marketplace, allowing patients to browse providers statewide for the most cost-effective care options.
Average
$77
Median
$72
Lowest
$43
Highest
$117
Providers
7,362
18% below national average
Compare Similar Procedures
How does er visit (low severity) compare to related procedures in Ohio?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $75 | $109 | $197 | 8,074 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $85 | $172 | $287 | 8,934 |
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 Ohio
These hospitals in Ohio are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
AKRON, OH
YOUNGSTOWN, OH
Wright-Patterson AFB, OH
MARIETTA, OH
OBERLIN, OH
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 Ohio
Ohio's healthcare costs run approximately 2% below national averages due to competitive insurance markets and efficient healthcare delivery systems across the state's diverse urban and rural regions. The state's expanded Medicaid program and strong presence of major health systems create downward pressure on emergency care pricing statewide.
Urban vs. Rural Provider Availability
Ohio's major metropolitan areas like Columbus, Cleveland, and Cincinnati offer numerous emergency care options including hospital emergency departments, freestanding emergency rooms, and urgent care centers, creating competitive pricing environments. Rural counties in southeastern and northwestern Ohio have fewer emergency care facilities, sometimes requiring longer travel times but often featuring lower overhead costs that translate to reduced patient charges. This geographic disparity means urban patients have more cost comparison opportunities while rural residents may face higher transportation costs but lower facility fees.
Facility Type and Overhead Costs
Hospital-based emergency departments affiliated with major Ohio health systems like Cleveland Clinic, OhioHealth, and Cincinnati Children's typically charge higher facility fees due to comprehensive service capabilities and 24/7 staffing requirements. Independent urgent care centers and freestanding emergency rooms often offer lower-cost alternatives for low-severity visits, with reduced overhead costs passed along to patients. Ohio's certificate-of-need regulations influence where new emergency facilities can open, affecting local competition and pricing dynamics.
Insurance Market Competition in Ohio
Ohio's insurance marketplace includes strong regional players like Medical Mutual alongside national carriers Anthem and UHC, creating competitive negotiated rate environments that benefit patients. The state's Medicaid managed care program contracts with multiple insurers, further increasing competition for emergency care provider networks. This multi-insurer environment prevents any single carrier from dominating rate negotiations, helping maintain reasonable emergency care costs across different coverage types.
Physician Supply and Demand in Ohio
With over 7,360 active emergency care providers across Ohio, the state maintains adequate physician supply in most regions, preventing shortage-driven price increases common in other markets. Ohio's medical schools and residency programs produce steady streams of emergency medicine physicians, while the state's reasonable cost of living helps retain healthcare professionals compared to higher-cost coastal markets. This balanced supply-demand relationship contributes to Ohio's below-national-average emergency care costs and reasonable wait times in most facilities.
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 Ohio
What is the average cost of a ER Visit (Low) visit in Ohio without insurance?
Does Ohio Medicaid cover ER Visit (Low) visits?
How do I find an affordable ER Visit (Low) near me in Ohio?
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 Ohio?
How does telemedicine affect the cost of seeing a ER Visit (Low) in Ohio?
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 |
