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Alabama

Cost of a ER Visit (Moderate) Visit
in Alabama

Reviewed by Momentary Medical Group West PC

Alabama's healthcare costs run approximately 8% below the national average, providing some relief for patients seeking emergency care. For an ER Visit (Moderate) in Alabama, patients typically pay between $80 and $194, with a median out-of-pocket cost of $97. The state maintains over 3,300 active emergency care providers, giving patients across Alabama's diverse geographic regions access to moderate-severity emergency treatment when needed.

Average

$124

Median

$98

Lowest

$80

Highest

$195

Providers

3,318

National avg: $142Alabama: $124

13% below national average

Compare Similar Procedures

How does er visit (moderate severity) compare to related procedures in Alabama?

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$49$59$1313,291
ER Visit (High Severity)

Emergency department visit, high severity

99285$80$143$2573,304

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 99284Emergency department visit, 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 99284 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.

What CPT 99284 covers: the provider's professional fee for er visit (moderate 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 Alabama

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

5/5
82% would recommend141 patient surveys
5/5
78% would recommend111 patient surveys
4/5
90% would recommend512 patient surveys
4/5
79% would recommend5,863 patient surveys
4/5
79% would recommend152 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why ER Visit (Moderate) Visit Costs Vary Across Alabama

Alabama's emergency care costs run 8% below national averages, reflecting the state's lower cost of living and rural hospital infrastructure. The state's mix of urban medical centers in Birmingham and Mobile alongside rural critical access hospitals creates significant cost variations across regions.

Urban vs. Rural Provider Availability

Alabama's rural counties often rely on critical access hospitals with limited emergency capabilities, while urban areas like Jefferson and Mobile counties have multiple full-service emergency departments. Rural patients may face higher transport costs but lower facility fees, while urban patients have more provider choice but higher overhead costs at academic medical centers.

Facility Type and Overhead Costs

Hospital-owned emergency departments at UAB Medicine, Huntsville Hospital, and Mobile Infirmary typically charge higher facility fees than independent free-standing emergency rooms or urgent care centers. Academic medical centers carry higher overhead costs for teaching programs and specialized equipment, which translates to higher moderate ER visit charges compared to community hospitals.

Insurance Market Competition in Alabama

Blue Cross Blue Shield of Alabama's market dominance reduces insurer competition but provides consistent network coverage across the state's rural and urban areas. Limited insurer competition means fewer negotiated rate variations between providers, contributing to Alabama's more predictable but less competitive emergency care pricing structure.

Physician Supply and Demand in Alabama

With over 3,300 active emergency care providers statewide, Alabama maintains adequate emergency physician coverage relative to its population of 5.2 million residents. This healthy supply-to-demand ratio helps keep moderate ER visit costs below national averages, though rural areas still experience longer wait times during peak demand periods.

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 (Moderate) Costs in Alabama

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

Uninsured patients in Alabama pay between $80 and $194 for moderate emergency room visits, with a median cost of $97. Many Alabama hospitals offer self-pay discounts of 20-40% for prompt payment, potentially reducing your final bill to $58-$135. Always ask about financial assistance programs and payment plans before leaving the hospital.

Does Alabama Medicaid cover ER Visit (Moderate) visits?

Alabama Medicaid covers emergency room visits for eligible recipients, but the state has not expanded Medicaid, limiting coverage to pregnant women, children, parents with very low incomes, and disabled adults. Working adults without children typically don't qualify for Alabama Medicaid regardless of income level, leaving them responsible for full emergency room costs unless they have private insurance.

How do I find an affordable ER Visit (Moderate) near me in Alabama?

Compare costs between hospital emergency departments, free-standing emergency rooms, and urgent care centers in your area, as prices can vary from $80 to $194 for the same moderate condition. Rural critical access hospitals often charge less than urban academic medical centers, and many facilities offer cash-pay discounts for uninsured patients. Community health centers provide urgent care services at reduced rates based on income.

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

Emergency room visits are typically billed as single encounters regardless of whether it's your first visit for a condition or follow-up care. However, the complexity of your condition affects the billing level, with moderate visits (CPT 99284) costing $80-$194 in Alabama. Follow-up care is usually handled by primary care physicians or specialists rather than returning to the emergency room.

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

Yes, emergency room visits qualify as eligible medical expenses for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars to pay for the visit, any prescribed medications, and related medical supplies. Keep all receipts and documentation for tax purposes and FSA reimbursement claims.

How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Alabama?

Telemedicine cannot replace in-person emergency care for moderate conditions requiring physical examination, diagnostic tests, or immediate interventions. However, urgent care telemedicine visits ($30-$80) can help determine whether your symptoms warrant emergency room care or can be managed with primary care follow-up. Alabama expanded telehealth coverage during COVID-19, making virtual triage more accessible for initial assessment.

Click a state to compare costs

Average Visit Cost

$82
$311

Office visit (CPT 99284)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$647
$311
2Illinois
Range: $80$431
$223
3Iowa
Range: $80$371
$205
4New Hampshire
Range: $102$307
$202
5Pennsylvania
Range: $55$431
$191
6New York
Range: $67$374
$183
7Rhode Island
Range: $62$374
$177
8Maine
Range: $116$233
$172
9Massachusetts
Range: $62$368
$170
10Nebraska
Range: $83$291
$165
11Washington
Range: $80$259
$161
12Michigan
Range: $80$291
$158
13New Mexico
Range: $85$266
$158
14Wyoming
Range: $85$262
$157
15Colorado
Range: $80$267
$157
16Vermont
Range: $80$257
$156
17Georgia
Range: $84$246
$151
18California
Range: $80$258
$142
19Indiana
Range: $80$258
$142
20Kentucky
Range: $70$246
$140
21North Carolina
Range: $80$231
$139
22District of Columbia
Range: $80$217
$138
23West Virginia
Range: $62$174
$137
24Utah
Range: $80$228
$135
25Maryland
Range: $80$206
$132
26New Jersey
Range: $60$237
$131
27Hawaii
Range: $80$217
$130
28Arkansas
Range: $80$194
$130
29Virginia
Range: $81$202
$129
30Tennessee
Range: $85$187
$128
31South Carolina
Range: $80$206
$128
32Ohio
Range: $75$197
$127
33Missouri
Range: $85$167
$124
34Alabama
Range: $80$195
$124
35Oklahoma
Range: $85$169
$123
36Kansas
Range: $86$167
$123
37Texas
Range: $80$196
$122
38Arizona
Range: $80$187
$122
39Mississippi
Range: $86$165
$121
40Idaho
Range: $80$194
$121
41Delaware
Range: $80$157
$120
42Minnesota
Range: $62$233
$119
43Nevada
Range: $84$184
$119
44Connecticut
Range: $55$211
$118
45Alaska
Range: $80$194
$118
46Louisiana
Range: $62$150
$104
47Oregon
Range: $62$183
$102
48Montana
Range: $62$145
$96
49Florida
Range: $35$190
$95
50North Dakota
Range: $62$121
$82
51South Dakota
Range: $62$121
$82
ER Visit (Moderate Severity) in Other States