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Florida

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

National avg: $142Florida: $95

33% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$35$55$1107,232
ER Visit (High Severity)

Emergency department visit, high severity

99285$35$60$2467,262

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 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 Florida

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

MAYO CLINIC

JACKSONVILLE, FL

4/5
91% would recommend947 patient surveys
4/5
87% would recommend2,243 patient surveys
4/5
84% would recommend402 patient surveys
4/5
83% would recommend327 patient surveys
GULF BREEZE HOSPITAL

GULF BREEZE, FL

4/5
82% would recommend449 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 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.

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 Florida

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

Without insurance, ER Visit (Moderate) visits in Florida typically cost between $35 and $190, with a median cost of $60 based on transparency data from over 7,000 providers statewide. Uninsured patients should ask about self-pay discounts, which many Florida hospitals offer at 20-40% off standard rates. Costs can vary significantly based on the specific facility type and geographic location within the state.

Does Florida Medicaid cover ER Visit (Moderate) visits?

Florida Medicaid covers emergency room visits for eligible individuals, including children, pregnant women, elderly, and disabled adults. However, Florida has not expanded Medicaid, leaving many low-income adults without coverage for emergency care. Medicaid recipients should bring their current ID card and may need to verify that the emergency facility accepts Florida Medicaid before receiving non-emergency follow-up care.

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

Compare costs between hospital emergency departments, freestanding emergency rooms, and urgent care centers, as prices can vary significantly for the same level of care. Ask about self-pay discounts if you're uninsured, and consider community health centers for follow-up care after emergency treatment. Use transparency tools to compare negotiated rates across different facilities and insurance plans before you need emergency care.

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

Emergency room billing is typically based on the complexity and resources used during the visit rather than whether it's an initial or follow-up visit. The primary cost driver is the level of emergency department visit (levels 1-5), with moderate-severity visits falling into levels 3-4. Follow-up care after emergency treatment is usually handled by primary care physicians or specialists at significantly lower costs than repeat emergency department visits.

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

Yes, emergency room visits are qualified medical expenses that can be paid for with HSA or FSA funds. You can use these accounts to cover copays, deductibles, and coinsurance associated with emergency care. Keep all receipts and documentation from your emergency visit for HSA/FSA reimbursement or tax purposes, including any follow-up care or prescription medications prescribed during the visit.

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

While telemedicine cannot replace emergency department visits for moderate to severe conditions requiring immediate intervention, it can help determine if emergency care is necessary. Many Florida health systems offer 24/7 virtual urgent care that costs $50-100, potentially helping you avoid unnecessary emergency department visits. Telemedicine can also provide follow-up care after emergency treatment at much lower costs than returning to the emergency department.

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