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Utah

Cost of a ER Visit (Low) Visit
in Utah

Reviewed by Momentary Medical Group West PC

Utah's healthcare system benefits from Intermountain Healthcare's integrated model and competitive insurance market, helping keep ER Visit (Low) costs approximately 2% below national averages. Patients seeking emergency care for low-severity conditions typically pay between $53 and $139, with a median out-of-pocket cost of $85 based on negotiated insurance rates. With over 500 active ER Visit (Low) providers across Utah's hospital systems and urgent care centers, patients can browse options from Salt Lake City's major medical centers to rural facilities serving the state's expansive geography.

Average

$93

Median

$85

Lowest

$53

Highest

$139

Providers

511

National avg: $94Utah: $93

1% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Moderate Severity)

Emergency department visit, moderate severity

99284$80$98$228513
ER Visit (High Severity)

Emergency department visit, high severity

99285$80$150$317534

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 Utah

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

5/5
85% would recommend108 patient surveys
CEDAR CITY HOSPITAL

CEDAR CITY, UT

5/5
84% would recommend219 patient surveys
CACHE VALLEY HOSPITAL

NORTH LOGAN, UT

4/5
85% would recommend104 patient surveys
4/5
84% would recommend872 patient surveys
PARK CITY HOSPITAL

PARK CITY, UT

4/5
83% would recommend230 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 Utah

Utah's healthcare costs run approximately 2% below national averages, benefiting from the state's integrated health system model and competitive insurance market. The state's unique geography creates significant cost variations between the Wasatch Front's concentrated medical facilities and rural areas requiring critical access hospitals.

Urban vs. Rural Provider Availability

The Salt Lake City metropolitan area contains the majority of Utah's emergency medicine specialists and advanced facilities, while rural counties often rely on critical access hospitals with limited emergency capabilities. This geographic concentration means patients in remote areas like southeastern Utah may face higher costs due to limited provider competition and higher operational expenses at smaller facilities.

Facility Type and Overhead Costs

Hospital-based emergency departments in Utah charge facility fees that can double the cost compared to urgent care centers for low-severity conditions. Intermountain Healthcare and University of Utah Health operate many of the state's major emergency departments, with their integrated models sometimes offering more transparent pricing than independent facilities.

Insurance Market Competition in Utah

SelectHealth's strong local presence, combined with BCBS UT and UHC, creates robust competition that helps keep negotiated rates competitive for emergency services. This multi-insurer environment gives Utah patients more options and typically results in better network coverage compared to states dominated by single insurers.

Physician Supply and Demand in Utah

With over 500 active ER Visit (Low) providers across the state, Utah maintains adequate emergency medicine capacity relative to its population, though distribution favors urban areas. This reasonable supply helps prevent the severe cost inflation seen in physician-shortage markets, though rural facilities still command premium pricing due to operational challenges.

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 Utah

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

Uninsured patients in Utah typically pay between $53 and $139 for low-severity emergency room visits, with a median cost of $85 based on negotiated insurance rates. However, many Utah hospitals offer cash-pay discounts that can reduce these amounts by 30-50% when paid upfront. Self-pay patients should ask about financial assistance programs, as many facilities provide sliding-scale pricing based on income.

Does Utah Medicaid cover ER Visit (Low) visits?

Yes, Utah's expanded Medicaid program covers emergency department visits for low-severity conditions when medically necessary. Medicaid recipients may face small copays depending on their income level, typically ranging from $3-8 for emergency room visits. Coverage includes the facility fee, physician services, and basic diagnostic tests performed during the visit.

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

Compare costs between hospital emergency departments and urgent care centers, as urgent care often costs 60-80% less for non-life-threatening conditions. Many Utah facilities offer online cost estimators, and community health centers provide sliding-scale pricing for uninsured patients. Consider telehealth options first for minor symptoms that don't require hands-on examination.

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

Emergency department visits are typically billed at the same rate regardless of whether it's your first visit or a follow-up, with costs ranging from $53 to $139 in Utah. However, follow-up care is usually handled by your primary care physician or specialists rather than the emergency department. If you return to the ER for the same condition, you'll face the same facility and physician fees as the initial visit.

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

Yes, emergency room visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) in Utah. You can use these pre-tax dollars to pay for facility fees, physician services, and any diagnostic tests or treatments provided during your visit. Keep all receipts and documentation for tax purposes and account administration.

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

Telemedicine consultations typically cost $50-150, significantly less than emergency room visits, and can help determine if your condition truly requires emergency care. Many Utah health systems offer 24/7 telehealth services that can provide immediate guidance for minor symptoms. However, telemedicine cannot replace emergency department care when hands-on examination, diagnostic testing, or immediate treatment is needed.

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