Cost of a ER Visit (Moderate) Visit
in Idaho
Reviewed by Momentary Medical Group West PC
Idaho's predominantly rural healthcare infrastructure creates unique cost dynamics for emergency services, with the state maintaining approximately 3% lower costs than national averages. For a ER Visit (Moderate) in Idaho, patients typically encounter negotiated insurance rates between $80 and $194, with a median cost of $88 across the state's 296 active providers. Idaho residents benefit from Medicaid expansion coverage and can browse emergency care options throughout the state's diverse geographic regions.
Average
$121
Median
$88
Lowest
$80
Highest
$194
Providers
296
15% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $60 | $85 | $142 | 295 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $88 | $275 | 299 |
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 Idaho
These hospitals in Idaho are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BOISE, ID
MCCALL, ID
BOISE, ID
MOSCOW, ID
POST FALLS, ID
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 Idaho
Idaho's emergency care costs run approximately 3% below national averages, reflecting the state's rural character and lower overall healthcare overhead compared to more densely populated regions. The state's geographic spread creates distinct cost variations between urban emergency centers and rural critical access hospitals.
Urban vs. Rural Provider Availability
Idaho's 296 emergency care providers are concentrated heavily in the Boise metropolitan area and regional centers like Coeur d'Alene and Idaho Falls, leaving vast rural territories served by critical access hospitals with different pricing structures. Rural emergency departments often face higher per-patient overhead costs due to lower volume, while urban facilities benefit from economies of scale.
Facility Type and Overhead Costs
Hospital-based emergency departments dominate Idaho's emergency care landscape, with major health systems like Saint Alphonsus and Kootenai Health operating multiple facilities across regions. Independent emergency centers are less common in Idaho compared to other states, meaning most moderate emergency visits occur in traditional hospital emergency departments with associated facility fees.
Insurance Market Competition in Idaho
The limited competition between Regence BlueCross, PacificSource, and other insurers in Idaho's market affects negotiated rates for emergency services, with fewer competing plans potentially leading to less aggressive rate negotiations. Rural areas often have even fewer insurer options, which can impact both premium costs and provider reimbursement rates for emergency care.
Physician Supply and Demand in Idaho
With 296 active emergency care providers serving Idaho's growing population, the state maintains reasonable access in urban areas while rural regions face physician shortages that can affect both availability and pricing. Emergency medicine recruitment challenges in rural Idaho can lead to higher locum tenens costs and premium pay structures that influence overall emergency care pricing.
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 Idaho
What is the average cost of a ER Visit (Moderate) visit in Idaho without insurance?
Does Idaho Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Idaho?
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 Idaho?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Idaho?
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 |