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ER Visit (Moderate)

Cost of a ER Visit (Moderate) Visit:
$95-$205

How much does a er visit (moderate) visit cost? The national median negotiated rate for CPT 99284 is $131, with rates ranging from $95 to $205 across 220,436 providers.

National Median

$131

Low End (P5)

$95

High End (P95)

$205

Providers

220,436

ER Visit (Moderate) Visit Costs by State

Click any state to see detailed er visit (moderate) visit pricing. Colors represent the median negotiated rate for CPT 99284.

Median Visit Cost

$95
$205

ER Visit (Moderate) Visit Cost by State: All 50 States Ranked

States ranked from lowest to highest median er visit (moderate) visit rate for CPT 99284 (Emergency department visit, moderate severity).

RankStateAverage
1Wisconsin
Range: $73$647
$214
2Illinois
Range: $80$431
$158
3Iowa
Range: $80$371
$163
4New Hampshire
Range: $102$307
$196
5Pennsylvania
Range: $55$431
$88
6New York
Range: $67$374
$107
7Rhode Island
Range: $62$374
$94
8Maine
Range: $116$233
$167
9Massachusetts
Range: $62$368
$80
10Nebraska
Range: $83$291
$120
11Washington
Range: $80$259
$143
12Michigan
Range: $80$291
$103
13New Mexico
Range: $85$266
$121
14Wyoming
Range: $85$262
$125
15Colorado
Range: $80$267
$123
16Vermont
Range: $80$257
$132
17Georgia
Range: $84$246
$121
18California
Range: $80$258
$88
19Indiana
Range: $80$258
$88
20Kentucky
Range: $70$246
$103
21North Carolina
Range: $80$231
$106
22District of Columbia
Range: $80$217
$119
23West Virginia
Range: $62$174
$174
24Utah
Range: $80$228
$98
25Maryland
Range: $80$206
$111
26New Jersey
Range: $60$237
$96
27Hawaii
Range: $80$217
$93
28Arkansas
Range: $80$194
$115
29Virginia
Range: $81$202
$103
30Tennessee
Range: $85$187
$114
31South Carolina
Range: $80$206
$98
32Ohio
Range: $75$197
$109
33Missouri
Range: $85$167
$121
34Alabama
Range: $80$195
$98
35Oklahoma
Range: $85$169
$115
36Kansas
Range: $86$167
$115
37Texas
Range: $80$196
$90
38Arizona
Range: $80$187
$98
39Mississippi
Range: $86$165
$111
40Idaho
Range: $80$194
$88
41Delaware
Range: $80$157
$122
42Minnesota
Range: $62$233
$62
43Nevada
Range: $84$184
$88
44Connecticut
Range: $55$211
$88
45Alaska
Range: $80$194
$80
46Louisiana
Range: $62$150
$101
47Oregon
Range: $62$183
$62
48Montana
Range: $62$145
$80
49Florida
Range: $35$190
$60
50North Dakota
Range: $62$121
$62
51South Dakota
Range: $62$121
$62

Frequently Asked Questions

How much does a er visit (moderate) cost without insurance?

The average negotiated rate for a er visit (moderate) (CPT 99284) is $142 nationally. Rates typically range from $95 to $205 depending on your state and provider. Without insurance, you may pay the provider's full charge rate, which can be 2-3x higher than negotiated rates.

How much does a er visit (moderate) cost with insurance?

With insurance, your out-of-pocket cost for a er visit (moderate) depends on your plan's copay, coinsurance, and whether you've met your deductible. The average insurer-negotiated rate is $142. Most plans charge a specialist copay of $30-$75, or you may owe a percentage (typically 20-30%) after your deductible is met.

Why do er visit (moderate) costs vary by state?

Healthcare costs vary significantly by state due to differences in cost of living, provider supply and demand, state regulations, and negotiated rates between insurers and providers. Urban areas and states with higher costs of living (like New York and California) tend to have higher rates.

What does CPT code 99284 cover?

CPT 99284 is the billing code for: Emergency department visit, moderate severity. This is one of the standard codes used when billing for this procedure.

What factors affect the cost of a er visit (moderate)?

Several factors influence the cost: (1) Your geographic location — rates vary 2-3x between states, (2) Whether you have insurance and which plan, (3) Whether the provider is in-network, (4) The complexity of your case, (5) The facility where the procedure is performed.

Get Your Personalized Cost Estimate

These are the negotiated rates providers across the US are contracted to accept. Your personal share depends on your deductible and coinsurance. Call your insurer's member line with CPT code 99284 to get your exact estimate or talk to our AI to get your answers.

Written by Jayant Panwar | Last reviewed: Q1 2026

Rates sourced from Transparency in Coverage machine-readable files (Q1 2026). Negotiated rates are contracted prices between insurers and individual providers and do not represent guaranteed patient out-of-pocket costs. Actual costs depend on insurance plan terms, deductible status, coinsurance rate, and specific services received.