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South Carolina

Cost of a ER Visit (Low) Visit
in South Carolina

Reviewed by Momentary Medical Group West PC

South Carolina's rural hospital closures have made emergency departments increasingly vital access points for low-severity care, especially in underserved counties. ER Visit (Low) costs in the Palmetto State range from $51 to $128, with patients typically paying a median out-of-pocket cost of $69 based on negotiated insurance rates. South Carolina maintains over 2,400 active emergency care providers across hospital systems, giving patients options to find affordable care even in smaller communities.

Average

$83

Median

$69

Lowest

$51

Highest

$128

Providers

2,412

National avg: $94South Carolina: $83

12% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$80$98$2062,475
ER Visit (High Severity)

Emergency department visit, high severity

99285$80$143$2872,436

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.

Why ER Visit (Low) Visit Costs Vary Across South Carolina

South Carolina's emergency care costs run approximately 1% below national averages, reflecting the state's lower overall cost of living and healthcare wages. The Palmetto State's healthcare landscape is shaped by rural hospital closures and consolidation among major health systems like MUSC Health and Prisma Health.

Urban vs. Rural Provider Availability

Charleston, Columbia, and Greenville offer multiple emergency departments with competitive pricing, while rural counties often depend on single critical access hospitals with higher per-visit costs. The state's geographic spread from coastal lowcountry to upstate mountains creates significant access disparities. Rural emergency departments frequently transfer complex cases to urban facilities, affecting overall cost structures.

Facility Type and Overhead Costs

Major health systems like MUSC Health and Prisma Health operate hospital-based emergency departments with higher overhead costs due to trauma capabilities and specialty services. Independent and freestanding emergency departments offer alternatives in some markets but remain limited across South Carolina. Academic medical centers in Charleston and Columbia typically have the highest facility fees due to teaching and research missions.

Insurance Market Competition in South Carolina

BlueCross BlueShield of South Carolina maintains the largest market share, followed by UnitedHealthcare and Aetna, creating moderate insurer competition for negotiated rates. Rural areas often have fewer insurance options, potentially leading to higher negotiated rates due to limited provider networks. The state's regulatory environment allows insurers significant flexibility in network design and rate negotiations.

Physician Supply and Demand in South Carolina

With over 2,400 active emergency care providers statewide, South Carolina maintains adequate emergency physician supply in urban areas but faces shortages in rural counties. This geographic mismatch affects pricing, with rural facilities sometimes paying premium rates for locum tenens physicians. Emergency medicine residency programs at MUSC help maintain local physician supply, but retention in underserved areas remains challenging.

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 South Carolina

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

Uninsured patients in South Carolina typically pay between $51 and $128 for low-severity emergency department visits, with a median cost of $69 based on negotiated insurance rates. Many hospitals offer self-pay discounts of 20-40% for patients who pay upfront or qualify for financial assistance programs. Cash prices may vary significantly from these negotiated rates, so always ask about available discounts and payment plans.

Does South Carolina Medicaid cover ER Visit (Low) visits?

South Carolina Medicaid covers emergency department visits for eligible recipients, including children, pregnant women, elderly, and disabled adults. However, South Carolina has not expanded Medicaid, leaving many low-income adults without coverage who earn too much for traditional Medicaid but too little for marketplace subsidies. Emergency departments cannot turn away patients based on ability to pay, but uninsured patients will receive bills for services rendered.

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

Compare costs between hospital-based emergency departments and freestanding emergency centers in your area, as pricing can vary significantly. Ask about self-pay discounts, payment plans, and charity care programs if you're uninsured or underinsured. Community health centers throughout South Carolina offer urgent care services at reduced rates based on income, which may be more appropriate for non-emergency conditions.

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

Emergency departments typically charge based on the level of service provided rather than whether it's an initial or follow-up visit. Low-severity emergency visits (CPT 99283) in South Carolina cost between $51-$128 regardless of previous visits. However, follow-up care is usually better handled by primary care physicians or specialists, who offer more cost-effective ongoing management of medical conditions.

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

Yes, emergency department visits qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). You can use these pre-tax funds to pay deductibles, copays, and coinsurance for emergency care. Keep receipts and documentation for tax purposes, and remember that HSA funds roll over year to year while FSA funds typically have use-it-or-lose-it provisions.

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

Telemedicine cannot replace emergency department visits for conditions requiring immediate hands-on evaluation, diagnostic tests, or procedures. However, telehealth consultations can help determine whether emergency care is truly needed, potentially saving unnecessary trips and costs. Some South Carolina health systems offer virtual urgent care services as cost-effective alternatives for minor conditions that don't require emergency department resources.

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