Logo
Ohio

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

National avg: $94Ohio: $77

18% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$75$109$1978,074
ER Visit (High Severity)

Emergency department visit, high severity

99285$85$172$2878,934

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 99283Emergency 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.

5/5
93% would recommend661 patient surveys
5/5
93% would recommend252 patient surveys
5/5
87% would recommend209 patient surveys
5/5
85% would recommend414 patient surveys
5/5
84% would recommend141 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 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.

JP

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 Ohio

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

Without insurance, a low-severity emergency room visit in Ohio typically costs between $43 and $117, with a median cost of $72 based on negotiated rates from over 7,360 providers statewide. These prices represent what insurers pay providers, and cash-pay patients may be able to negotiate similar rates or receive self-pay discounts. Many Ohio hospitals offer charity care programs and payment plans for uninsured patients to help manage these costs.

Does Ohio Medicaid cover ER Visit (Low) visits?

Yes, Ohio's expanded Medicaid program covers emergency room visits, including low-severity visits when deemed medically necessary by the treating physician. Ohio expanded Medicaid under the Affordable Care Act, providing coverage to adults with incomes up to 138% of the federal poverty level. Medicaid patients typically have minimal copays for emergency care, though some managed care plans may encourage use of urgent care centers for non-emergency conditions.

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

Compare costs between hospital emergency departments, freestanding emergency rooms, and urgent care centers in your Ohio community, as prices can vary significantly for the same level of care. Ask about self-pay discounts if you're uninsured, and consider community health centers that offer sliding-scale fees based on income. Use online price transparency tools and call facilities directly to understand your out-of-pocket costs before seeking care.

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

Emergency room visits are typically billed at flat rates based on the complexity of care provided rather than whether it's an initial or follow-up visit, with low-severity visits in Ohio ranging from $43 to $117 regardless of previous visits. However, if your emergency visit leads to specialist referrals, those follow-up appointments will have different pricing structures. Emergency departments focus on immediate stabilization rather than ongoing care relationships, so most visits are treated as one-time encounters for billing purposes.

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

Yes, emergency room visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) in Ohio and nationwide. You can use these pre-tax dollars to pay for your emergency care copays, deductibles, and any costs not covered by insurance. Keep all receipts and documentation from your emergency visit for HSA/FSA reimbursement or tax purposes, as these accounts require proper medical expense documentation.

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

While telemedicine cannot replace in-person emergency care for acute medical situations, virtual urgent care visits in Ohio typically cost $50-150 and can help determine if you truly need emergency room care. Many Ohio health systems offer 24/7 telehealth triage services that can guide you to appropriate care levels, potentially saving hundreds of dollars in unnecessary emergency visits. Ohio expanded telehealth coverage during the pandemic, and many insurers now cover virtual consultations that can serve as alternatives to low-severity emergency visits.

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