Cost of a ER Visit (Moderate) Visit
in Georgia
Reviewed by Momentary Medical Group West PC
Georgia's emergency healthcare network includes over 150 hospitals across 159 counties, creating significant cost variation for emergency care throughout the state. For an ER Visit (Moderate) in Georgia, patients typically pay between $84 and $246, with a median negotiated rate of $121 among the state's 5,193 active emergency providers. Georgia's diverse healthcare landscape spans from major academic medical centers in Atlanta to critical access hospitals in rural counties, offering patients multiple options for emergency care with varying cost structures.
Average
$151
Median
$121
Lowest
$84
Highest
$246
Providers
5,193
6% above national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Georgia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $73 | $143 | 5,341 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $85 | $177 | $333 | 5,105 |
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 Georgia
These hospitals in Georgia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BREMEN, GA
REIDSVILLE, GA
CHATSWORTH, GA
Fort Gordon, GA
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 Georgia
Georgia's emergency care costs run approximately 1% below national averages, reflecting the state's lower overall cost of living and competitive insurance market. The state's healthcare landscape includes major academic medical centers in Atlanta alongside rural hospitals serving smaller communities, creating significant regional cost variation.
Urban vs. Rural Provider Availability
Metropolitan Atlanta contains numerous Level I trauma centers and specialty emergency facilities, while rural Georgia counties often rely on critical access hospitals with limited resources and different cost structures. The state's 159 counties create unique access challenges, with some rural areas requiring lengthy ambulance transports to reach appropriate emergency care. This geographic dispersion affects both availability and pricing, with urban centers typically charging higher rates but offering more specialized services.
Facility Type and Overhead Costs
Georgia's dominant health systems include Piedmont Healthcare, Emory Healthcare, and WellStar Health System, which operate large emergency departments with higher overhead costs than independent hospitals. Hospital-owned emergency departments typically charge significant facility fees in addition to physician charges, while smaller community hospitals may have lower overall costs but limited specialty capabilities. Academic medical centers in Atlanta command premium rates due to their teaching mission and advanced technology investments.
Insurance Market Competition in Georgia
Anthem Blue Cross Blue Shield holds the largest market share in Georgia, followed by UnitedHealthcare and Cigna, creating moderate competition that helps contain emergency care costs. The state's marketplace offers multiple insurer options in most counties, providing leverage for negotiated rate competition among emergency care providers. Georgia's decision not to expand Medicaid affects hospital negotiations, as facilities must account for higher uncompensated care levels in their rate structures.
Physician Supply and Demand in Georgia
With 5,193 active emergency care providers, Georgia maintains adequate emergency physician coverage in urban areas while facing shortages in rural counties. This supply distribution creates pricing pressure in underserved areas where hospitals may pay premium rates to attract emergency physicians. The state's medical schools and residency programs help maintain physician supply, though rural recruitment remains challenging and affects both access and cost structures.
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 Georgia
What is the average cost of a ER Visit (Moderate) visit in Georgia without insurance?
Does Georgia Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Georgia?
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 Georgia?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Georgia?
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 |