Cost of a ER Visit (Moderate) Visit
in Arizona
Reviewed by Momentary Medical Group West PC
Arizona's desert climate and active outdoor lifestyle contribute to unique emergency department utilization patterns across the state's diverse geography. For an ER Visit (Moderate) in Arizona, patients typically pay between $80 and $187, with a median out-of-pocket cost of $98. The state maintains over 7,200 active providers offering moderate-severity emergency care, giving patients throughout Arizona's metropolitan areas and rural communities access to urgent medical services when needed.
Average
$122
Median
$98
Lowest
$80
Highest
$187
Providers
7,258
14% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Arizona?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $72 | $107 | 6,402 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $142 | $250 | 6,577 |
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 99284 — Emergency 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 Arizona
These hospitals in Arizona are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
PHOENIX, AZ
MESA, AZ
GOODYEAR, AZ
SCOTTSDALE, AZ
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 Arizona
Arizona's emergency care costs run approximately 5% above the national average, reflecting the state's rapid population growth and seasonal demand fluctuations from winter visitors and outdoor recreation injuries. The state's unique geography creates distinct cost patterns between metropolitan Phoenix and Tucson versus rural border communities and mountain regions.
Urban vs. Rural Provider Availability
Phoenix and Tucson metropolitan areas concentrate most of Arizona's emergency facilities, while vast rural counties like Cochise and Yuma have limited options that may charge higher rates due to lower patient volumes. Remote areas along the Mexican border and in northern Arizona often require longer transport times to reach emergency care, affecting both access and pricing. Some rural hospitals operate critical access designations that influence their reimbursement and pricing structures.
Facility Type and Overhead Costs
Hospital-based emergency departments in Arizona typically charge higher facility fees than freestanding emergency centers, with major health systems like Banner Health and Dignity Health operating most hospital emergency services. Independent emergency facilities and urgent care centers often offer more competitive pricing for moderate-severity conditions that don't require full hospital resources. Academic medical centers like those affiliated with University of Arizona may have different cost structures due to their teaching and research missions.
Insurance Market Competition in Arizona
Arizona maintains a competitive insurance market with UHC, BCBS AZ, and Aetna holding significant market share alongside regional players, creating negotiating pressure that helps moderate emergency care costs. The state's insurance marketplace offers multiple plan options in most counties, giving consumers choice in network coverage and cost-sharing structures. Rural counties sometimes have fewer insurer options, which can affect negotiated rates and provider networks for emergency services.
Physician Supply and Demand in Arizona
With over 7,200 active emergency medicine providers, Arizona maintains adequate emergency physician coverage in urban areas while facing shortages in rural regions that can drive up costs. The state's growing population and aging demographics increase demand for emergency services, particularly during winter months when seasonal residents arrive. Phoenix and Tucson areas benefit from residency programs that train new emergency physicians, helping maintain competitive provider markets.
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.
Frequently Asked Questions — ER Visit (Moderate) Costs in Arizona
What is the average cost of a ER Visit (Moderate) visit in Arizona without insurance?
Does Arizona Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Arizona?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (Moderate) visit in Arizona?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Arizona?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99284)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $647 | $311 |
| 2 | Illinois Range: $80 – $431 | $223 |
| 3 | Iowa Range: $80 – $371 | $205 |
| 4 | New Hampshire Range: $102 – $307 | $202 |
| 5 | Pennsylvania Range: $55 – $431 | $191 |
| 6 | New York Range: $67 – $374 | $183 |
| 7 | Rhode Island Range: $62 – $374 | $177 |
| 8 | Maine Range: $116 – $233 | $172 |
| 9 | Massachusetts Range: $62 – $368 | $170 |
| 10 | Nebraska Range: $83 – $291 | $165 |
| 11 | Washington Range: $80 – $259 | $161 |
| 12 | Michigan Range: $80 – $291 | $158 |
| 13 | New Mexico Range: $85 – $266 | $158 |
| 14 | Wyoming Range: $85 – $262 | $157 |
| 15 | Colorado Range: $80 – $267 | $157 |
| 16 | Vermont Range: $80 – $257 | $156 |
| 17 | Georgia Range: $84 – $246 | $151 |
| 18 | California Range: $80 – $258 | $142 |
| 19 | Indiana Range: $80 – $258 | $142 |
| 20 | Kentucky Range: $70 – $246 | $140 |
| 21 | North Carolina Range: $80 – $231 | $139 |
| 22 | District of Columbia Range: $80 – $217 | $138 |
| 23 | West Virginia Range: $62 – $174 | $137 |
| 24 | Utah Range: $80 – $228 | $135 |
| 25 | Maryland Range: $80 – $206 | $132 |
| 26 | New Jersey Range: $60 – $237 | $131 |
| 27 | Hawaii Range: $80 – $217 | $130 |
| 28 | Arkansas Range: $80 – $194 | $130 |
| 29 | Virginia Range: $81 – $202 | $129 |
| 30 | Tennessee Range: $85 – $187 | $128 |
| 31 | South Carolina Range: $80 – $206 | $128 |
| 32 | Ohio Range: $75 – $197 | $127 |
| 33 | Missouri Range: $85 – $167 | $124 |
| 34 | Alabama Range: $80 – $195 | $124 |
| 35 | Oklahoma Range: $85 – $169 | $123 |
| 36 | Kansas Range: $86 – $167 | $123 |
| 37 | Texas Range: $80 – $196 | $122 |
| 38 | Arizona Range: $80 – $187 | $122 |
| 39 | Mississippi Range: $86 – $165 | $121 |
| 40 | Idaho Range: $80 – $194 | $121 |
| 41 | Delaware Range: $80 – $157 | $120 |
| 42 | Minnesota Range: $62 – $233 | $119 |
| 43 | Nevada Range: $84 – $184 | $119 |
| 44 | Connecticut Range: $55 – $211 | $118 |
| 45 | Alaska Range: $80 – $194 | $118 |
| 46 | Louisiana Range: $62 – $150 | $104 |
| 47 | Oregon Range: $62 – $183 | $102 |
| 48 | Montana Range: $62 – $145 | $96 |
| 49 | Florida Range: $35 – $190 | $95 |
| 50 | North Dakota Range: $62 – $121 | $82 |
| 51 | South Dakota Range: $62 – $121 | $82 |