Cost of a ER Visit (Moderate) Visit
in New Jersey
Reviewed by Momentary Medical Group West PC
New Jersey's dense network of emergency departments serves one of the nation's most populated states, with over 9,000 active ER Visit (Moderate) providers delivering care across urban and suburban communities. Patients seeking moderate-severity emergency care typically pay between $60 and $237, with a median out-of-pocket cost of $96 according to negotiated insurance rates. Browse all ER Visit (Moderate) providers in New Jersey to compare costs and find the most affordable option for your specific insurance plan.
Average
$131
Median
$96
Lowest
$60
Highest
$237
Providers
9,008
8% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in New Jersey?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $44 | $64 | $142 | 8,974 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $60 | $139 | $348 | 8,957 |
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 New Jersey
These hospitals in New Jersey are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
BROWNS MILLS, NJ
MORRISTOWN, NJ
ENGLEWOOD, NJ
PLAINSBORO, NJ
PARAMUS, NJ
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 New Jersey
New Jersey's healthcare costs run approximately 17% above the national average, driven by high operational costs, dense population centers, and proximity to major metropolitan areas like New York City and Philadelphia. The state's compact geography concentrates most emergency departments in urban and suburban areas, creating intense competition for resources and specialized staff.
Urban vs. Rural Provider Availability
New Jersey's predominantly urban and suburban landscape means most emergency departments serve high-volume population centers, with fewer rural facilities compared to other states. The concentration of hospitals in areas like Newark, Jersey City, and the Philadelphia suburbs creates competitive pricing pressure, while shore communities may see seasonal volume fluctuations that affect staffing costs.
Facility Type and Overhead Costs
Hospital-based emergency departments in New Jersey often carry higher overhead costs due to real estate prices and staffing expenses, particularly in areas near major metropolitan centers. Large health systems like RWJBarnabas Health and Atlantic Health System operate multiple emergency facilities with varying cost structures based on their level of trauma designation and specialty services.
Insurance Market Competition in New Jersey
The presence of major insurers including Horizon Blue Cross Blue Shield, Aetna, and UnitedHealthcare creates moderate competition that helps keep negotiated rates competitive for emergency services. This insurer diversity gives patients more network options compared to states with single dominant insurers, though rate negotiations still favor larger hospital systems with greater bargaining power.
Physician Supply and Demand in New Jersey
With over 9,000 active ER Visit (Moderate) providers, New Jersey maintains adequate emergency medicine physician supply relative to its population, helping prevent the supply shortages that drive up costs in other regions. This robust provider network allows for competitive pricing and shorter wait times, though high-volume urban facilities may still experience capacity constraints during peak periods.
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 New Jersey
What is the average cost of a ER Visit (Moderate) visit in New Jersey without insurance?
Does New Jersey Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in New Jersey?
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 New Jersey?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in New Jersey?
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 |