Cost of a ER Visit (Moderate) Visit
in Florida
Reviewed by Momentary Medical Group West PC
Florida's healthcare system serves over 22 million residents through a mix of major health systems and independent providers, with emergency care costs varying significantly across the state's diverse metropolitan and rural regions. ER Visit (Moderate) visits typically show negotiated rates ranging from $35 to $190, with a median cost of $60 based on transparency data from over 7,000 active providers. Florida patients can browse all available ER Visit (Moderate) providers to compare costs and find the best option for their specific needs and insurance coverage.
Average
$95
Median
$60
Lowest
$35
Highest
$190
Providers
7,376
33% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Florida?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $35 | $55 | $110 | 7,232 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $35 | $60 | $246 | 7,262 |
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 Florida
These hospitals in Florida are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
JACKSONVILLE, FL
NORTH VENICE, FL
NICEVILLE, FL
WESLEY CHAPEL, FL
GULF BREEZE, FL
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 Florida
Florida's emergency care costs run approximately 2% above the national average, reflecting the state's unique market dynamics including high tourism volumes, an aging population, and significant uninsured rates due to non-expanded Medicaid. The state's sprawling geography and seasonal population fluctuations create distinct cost patterns between metropolitan areas and rural regions.
Urban vs. Rural Provider Availability
South Florida's Miami-Dade, Broward, and Palm Beach counties have high concentrations of emergency facilities and specialists, leading to more competitive pricing and shorter wait times. Central Florida around Orlando and Tampa benefits from major health systems and medical schools that help control costs through teaching hospital programs. Rural areas in North Florida and the Panhandle often have limited emergency options, resulting in higher per-visit costs and longer travel distances for specialized emergency care.
Facility Type and Overhead Costs
Florida's major health systems like HCA Healthcare, AdventHealth, and Baptist Health operate most hospital emergency departments, with facility fees that reflect high real estate costs and staffing demands. Freestanding emergency departments have grown rapidly in Florida's suburbs, offering shorter wait times but often at premium pricing. Independent urgent care centers provide an alternative for moderate-severity cases, typically charging 40-60% less than hospital emergency departments for similar conditions.
Insurance Market Competition in Florida
The state's insurance market features strong competition between UHC, BCBS FL, and Aetna, along with regional players like Florida Blue and Humana, creating varied negotiated rate structures across different plans. Florida's large self-insured employer market means many residents have unique benefit designs that can significantly impact emergency care costs. The competitive market generally helps keep negotiated rates reasonable, though out-of-network costs remain high due to limited emergency provider participation in some insurance networks.
Physician Supply and Demand in Florida
With over 7,000 active ER Visit (Moderate) providers across the state, Florida maintains a relatively strong supply of emergency medicine physicians compared to national averages. This robust provider network helps moderate costs in major metropolitan areas, though rural regions still face physician shortages that can drive up emergency care pricing. High demand from Florida's growing and aging population, combined with significant medical tourism, creates consistent utilization that supports competitive pricing in most 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 Florida
What is the average cost of a ER Visit (Moderate) visit in Florida without insurance?
Does Florida Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Florida?
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 Florida?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Florida?
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 |
