Cost of a ER Visit (Moderate) Visit
in Connecticut
Reviewed by Momentary Medical Group West PC
Connecticut's emergency departments serve a population with higher than average healthcare utilization rates, particularly in urban areas like Hartford and New Haven where emergency care demand consistently exceeds national benchmarks. For a ER Visit (Moderate) in Connecticut, patients typically pay between $55 and $211, with a median negotiated rate of $88 across nearly 2,000 active providers statewide. Connecticut maintains one of the most robust emergency care networks in New England, and patients can browse all available ER Visit (Moderate) providers throughout the state to find the most cost-effective option for their specific insurance plan.
Average
$118
Median
$88
Lowest
$55
Highest
$211
Providers
1,968
17% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Connecticut?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $63 | $153 | 987 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $55 | $68 | $320 | 987 |
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 Connecticut
These hospitals in Connecticut are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
FARMINGTON, CT
SHARON, CT
MERIDEN, CT
DERBY, CT
WEST HAVEN, CT
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 Connecticut
Connecticut's healthcare costs run approximately 14% above national averages, driven primarily by the state's high cost of living, proximity to expensive metropolitan markets like New York City, and a healthcare workforce that commands premium salaries. The state's compact geography means that most residents have access to multiple emergency care options within a reasonable drive, creating some price competition while maintaining high quality standards across facilities.
Urban vs. Rural Provider Availability
Connecticut's emergency care is heavily concentrated in urban corridors along I-95 and I-91, with major academic medical centers in New Haven, Hartford, and Bridgeport serving as regional referral hubs. Rural areas in the eastern and northwestern parts of the state have fewer emergency options, sometimes requiring longer transport times and potentially higher costs due to limited competition. The state's small size means that even rural residents are typically within 30 minutes of comprehensive emergency care, though facility fees may vary based on local market dynamics.
Facility Type and Overhead Costs
Connecticut's emergency care landscape is dominated by large hospital systems including Yale-New Haven Health, Hartford HealthCare, and Trinity Health, which operate most major emergency departments with correspondingly higher overhead costs. Independent freestanding emergency departments are less common in Connecticut compared to other states, though some urgent care centers offer extended hours emergency-level care at lower facility fees. Academic medical centers affiliated with Yale and UConn medical schools typically charge premium rates but offer specialized emergency care capabilities not available at community hospitals.
Insurance Market Competition in Connecticut
The Connecticut insurance market features moderate competition between major players Anthem, Cigna, and UnitedHealthcare, along with several smaller regional plans and Medicaid managed care organizations. This competitive environment has helped prevent the extreme cost escalation seen in less competitive markets, though emergency care rates still exceed national averages. Negotiated rates between insurers and Connecticut's major hospital systems tend to favor the larger health systems with greater market leverage, potentially affecting patient costs at different facilities.
Physician Supply and Demand in Connecticut
With nearly 2,000 emergency medicine providers across the state, Connecticut maintains a relatively robust emergency care workforce that helps prevent severe access bottlenecks and extreme pricing due to physician shortages. The state's proximity to major medical schools and residency programs ensures a steady pipeline of emergency medicine physicians, though recruitment to rural facilities remains challenging. This adequate supply of emergency physicians helps moderate costs compared to states with severe emergency medicine shortages, though demand continues to grow as the population ages and emergency department utilization increases.
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 Connecticut
What is the average cost of a ER Visit (Moderate) visit in Connecticut without insurance?
Does Connecticut Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Connecticut?
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 Connecticut?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Connecticut?
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 |