Cost of a ER Visit (Moderate) Visit
in Maryland
Reviewed by Momentary Medical Group West PC
Maryland's rate-setting system for hospitals creates unique pricing transparency for emergency department visits, with negotiated rates for ER Visit (Moderate) services ranging from $79.64 to $206.06 across the state's 5,965 active providers. Patients typically face out-of-pocket costs between these amounts depending on their insurance coverage, with a median cost of $111.16 for moderate-severity emergency visits. Maryland residents can browse all available ER Visit (Moderate) providers to compare costs and find the most affordable option for their specific insurance plan.
Average
$132
Median
$111
Lowest
$80
Highest
$206
Providers
5,965
7% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Maryland?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $43 | $67 | $162 | 5,878 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $88 | $162 | $298 | 5,875 |
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.
Why ER Visit (Moderate) Visit Costs Vary Across Maryland
Maryland's emergency care costs run approximately 13% above the national average, influenced by the state's hospital rate-setting authority and concentration of academic medical centers in Baltimore and Washington DC metro areas. The state's unique regulatory approach to hospital pricing creates more transparency but can lead to higher baseline rates compared to market-driven states.
Urban vs. Rural Provider Availability
Maryland's emergency care is heavily concentrated in the Baltimore-Washington corridor, with rural areas like Western Maryland and the Eastern Shore having fewer emergency facilities and longer transport times. Urban emergency departments in Baltimore City and Montgomery County typically have higher overhead costs and more specialized capabilities. Rural emergency rooms often transfer complex cases to urban trauma centers, potentially creating additional costs for patients.
Facility Type and Overhead Costs
Maryland's major health systems like Johns Hopkins, University of Maryland, and MedStar operate many emergency departments with higher facility fees due to academic medical center overhead and specialized services. Independent community hospitals generally offer lower-cost emergency care but may have limited specialty capabilities. Hospital-owned urgent care centers provide an intermediate option with moderate pricing for less severe conditions.
Insurance Market Competition in Maryland
CareFirst BlueCross BlueShield maintains the largest market share in Maryland, followed by UnitedHealthcare and Aetna, creating moderate competition that helps control negotiated rates. The state's small size allows most insurers to contract with major health systems, providing patients with broad network access. Maryland's rate-setting commission influences hospital negotiations with insurers, creating more standardized pricing than purely market-driven states.
Physician Supply and Demand in Maryland
With 5,965 active emergency medicine providers, Maryland has a robust supply of emergency physicians relative to its population, particularly in urban areas. The concentration of medical schools and residency programs in Baltimore helps maintain adequate physician supply, though rural areas still face coverage challenges. Strong physician supply in urban markets helps moderate costs through competition, while rural areas may see higher rates due to staffing difficulties.
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 Maryland
What is the average cost of a ER Visit (Moderate) visit in Maryland without insurance?
Does Maryland Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Maryland?
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 Maryland?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Maryland?
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 |