Cost of a ER Visit (Moderate) Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's emergency departments handle over 7 million visits annually, with the state's urban hospitals often operating at capacity while rural facilities face different resource challenges. For an ER Visit (Moderate), patients typically encounter negotiated rates ranging from $67 to $374, with a median cost of $107 based on transparency data from over 32,000 active providers across the state. New York maintains one of the largest networks of emergency care providers in the nation, giving patients extensive options when seeking moderate-severity emergency treatment throughout the state's diverse healthcare landscape.
Average
$183
Median
$107
Lowest
$67
Highest
$374
Providers
32,559
29% above national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $47 | $65 | $202 | 32,823 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $156 | $543 | 32,477 |
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 York
These hospitals in New York are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
ELIZABETHTOWN, NY
SARANAC LAKE, NY
NEW YORK, NY
WALTON, NY
ROSLYN, NY
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 York
New York's emergency care costs run approximately 22% above national averages, driven by the state's high cost of living, expensive real estate in metropolitan areas, and premium staffing costs in competitive urban markets. The concentration of major medical centers in New York City creates a unique pricing dynamic that influences emergency care costs throughout the state.
Urban vs. Rural Provider Availability
New York City's dense concentration of hospitals contrasts sharply with upstate rural counties where emergency departments may be 30+ miles apart, creating access challenges but often lower overhead costs. The Hudson Valley and Capital District regions fall between these extremes, with moderate provider density and pricing that reflects suburban market dynamics. Rural hospitals often struggle with lower patient volumes, which can paradoxically increase per-visit costs despite lower operational expenses.
Facility Type and Overhead Costs
New York's emergency care landscape includes everything from massive academic medical centers like NYU Langone and NewYork-Presbyterian to smaller community hospitals and freestanding emergency departments. Manhattan hospital emergency departments face extraordinary real estate and staffing costs, while suburban and rural facilities operate with lower overhead but may lack specialized services. The dominance of large health systems throughout the state creates economies of scale but also market power that can influence pricing.
Insurance Market Competition in New York
Strong competition among Empire BCBS, UnitedHealthcare, Aetna, and Cigna in New York's commercial market helps moderate some emergency care costs through competitive rate negotiations. The state's robust Medicaid program and significant Medicare population create additional negotiating leverage with providers. However, market consolidation among hospital systems can offset some competitive benefits by giving providers more bargaining power with insurers.
Physician Supply and Demand in New York
With over 32,000 emergency care providers active across the state, New York maintains strong physician availability in urban areas while facing shortages in rural regions. This supply imbalance creates wage premiums for emergency physicians willing to work in underserved areas, which can increase costs in those markets. The state's medical schools and residency programs produce substantial numbers of emergency medicine specialists, helping maintain competitive staffing levels in most metropolitan areas.
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 York
What is the average cost of a ER Visit (Moderate) visit in New York without insurance?
Does New York Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in New York?
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 York?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in New York?
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 |