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Oklahoma

Cost of a ER Visit (Moderate) Visit
in Oklahoma

Reviewed by Momentary Medical Group West PC

Oklahoma's healthcare costs run approximately 8% below the national average, offering some relief to patients seeking emergency care for moderate-severity conditions. For an ER Visit (Moderate) in Oklahoma, patients typically pay between $85 and $169, with a median out-of-pocket cost around $115, based on negotiated rates from nearly 3,000 active providers across the state. Oklahoma maintains a robust network of emergency care providers spanning from Tulsa's medical district to rural hospitals serving the state's agricultural communities.

Average

$123

Median

$115

Lowest

$85

Highest

$169

Providers

2,977

National avg: $142Oklahoma: $123

13% below national average

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Just $19.99/mo

Compare Similar Procedures

How does er visit (moderate severity) compare to related procedures in Oklahoma?

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$51$69$1043,021
ER Visit (High Severity)

Emergency department visit, high severity

99285$85$168$2463,334

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 Oklahoma

These hospitals in Oklahoma are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

OKLAHOMA HEART HOSPITAL SOUTH, LLC

OKLAHOMA CITY, OK

5/5
92% would recommend745 patient surveys
OKLAHOMA HEART HOSPITAL, LLC

OKLAHOMA CITY, OK

5/5
92% would recommend1,189 patient surveys
TULSA SPINE & SPECIALTY HOSPITAL

TULSA, OK

5/5
91% would recommend367 patient surveys
MCBRIDE ORTHOPEDIC HOSPITAL

OKLAHOMA CITY, OK

5/5
89% would recommend334 patient surveys
BAILEY MEDICAL CENTER, LLC

OWASSO, OK

5/5
89% would recommend266 patient surveys

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 Oklahoma

Oklahoma's healthcare costs run approximately 8% below the national average, influenced by the state's lower cost of living and rural geography that creates unique access challenges. The concentration of providers in Oklahoma City and Tulsa creates pricing disparities compared to the state's extensive rural counties that rely on critical access hospitals.

Urban vs. Rural Provider Availability

Oklahoma's 77 counties include many rural areas served by critical access hospitals that provide emergency care but may transfer complex cases to urban centers in Oklahoma City or Tulsa. Rural emergency departments often operate with limited specialty backup, affecting both care patterns and pricing structures for moderate-severity visits. The state's geography means some patients travel over an hour to reach full-service emergency departments, influencing utilization patterns and costs.

Facility Type and Overhead Costs

Hospital-based emergency departments dominate Oklahoma's emergency care landscape, with major health systems like Integris and Saint Francis operating multiple facilities across the state. Freestanding emergency centers have gained presence in Oklahoma's metro areas, often offering shorter wait times but potentially higher costs than traditional emergency departments. Rural critical access hospitals receive federal support that affects their pricing models compared to urban for-profit facilities.

Insurance Market Competition in Oklahoma

BCBS Oklahoma holds significant market share alongside UHC and CommunityCare, with limited competition in rural counties where fewer insurers offer plans. The state's insurance market concentration affects negotiated rates with providers, particularly in areas where one or two insurers dominate enrollment. Oklahoma's lack of Medicaid expansion reduces payer mix diversity, influencing how hospitals structure their emergency department pricing for both insured and uninsured patients.

Physician Supply and Demand in Oklahoma

Oklahoma's nearly 3,000 emergency care providers serve a state population of about 4 million, indicating reasonable emergency physician availability in aggregate but with significant geographic maldistribution. Rural counties face ongoing challenges recruiting and retaining emergency physicians, sometimes relying on locum tenens coverage that can affect consistency of care and pricing. The concentration of emergency medicine residency programs in Oklahoma City and Tulsa helps supply urban facilities but rural recruitment remains challenging.

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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.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — ER Visit (Moderate) Costs in Oklahoma

What is the average cost of a ER Visit (Moderate) visit in Oklahoma without insurance?

Without insurance, a moderate-severity emergency visit in Oklahoma typically costs between $85 and $169, with a median cost around $115 based on negotiated rates from nearly 3,000 providers statewide. Rural critical access hospitals may offer different pricing structures compared to urban emergency departments, and many facilities provide cash-pay discounts of 20-40% for uninsured patients. These costs represent the facility and physician fees but don't include additional charges for diagnostic tests, medications, or procedures that may be necessary during your visit.

Does Oklahoma Medicaid cover ER Visit (Moderate) visits?

Oklahoma Medicaid covers emergency department visits when medically necessary, but the state has not expanded Medicaid, limiting eligibility to specific groups like pregnant women, children, disabled individuals, and very low-income parents. Covered individuals typically have minimal or no copays for emergency visits, though prior authorization may be required for non-emergency procedures ordered during the visit. If you're unsure about Medicaid eligibility in Oklahoma, contact the Department of Human Services or visit during your emergency as hospitals are required to provide emergency care regardless of insurance status.

How do I find an affordable ER Visit (Moderate) near me in Oklahoma?

Start by comparing costs between hospital-based emergency departments and freestanding emergency centers in your area, as pricing can vary significantly between facility types. Many Oklahoma hospitals offer financial assistance programs and cash-pay discounts, particularly rural critical access hospitals that understand the state's agricultural economy patterns. For non-urgent moderate conditions, consider urgent care centers as alternatives, though true emergencies requiring diagnostic imaging or specialist consultation are best handled in full-service emergency departments.

What is the difference in cost between an initial consultation and a follow-up visit?

Emergency departments typically charge based on the complexity and resources used during your visit rather than whether it's an initial or follow-up encounter. A moderate-severity emergency visit in Oklahoma costs between $85-$169 regardless of previous visits, though the specific level of service billed depends on the medical decision-making, examination complexity, and time spent. Follow-up care after an emergency visit usually occurs in outpatient settings like primary care or specialist offices, which have different pricing structures than emergency departments.

Can I use an HSA or FSA to pay for a ER Visit (Moderate) visit in Oklahoma?

Yes, emergency department visits qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged accounts to pay for emergency room visits, associated diagnostic tests, medications prescribed during the visit, and any specialist consultations that occur. Keep all receipts and documentation from your emergency visit, as you may need them for HSA/FSA reimbursement or tax purposes, particularly if your visit involves multiple providers or facilities.

How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Oklahoma?

Telemedicine cannot replace in-person emergency department visits for true moderate-severity emergencies that require physical examination, diagnostic testing, or immediate intervention. However, virtual urgent care consultations in Oklahoma typically cost $50-150 and can help determine if your symptoms warrant emergency department evaluation or can be managed with outpatient care. Some Oklahoma health systems offer telehealth triage services that can provide guidance on whether to visit an emergency department, urgent care center, or schedule regular outpatient care, potentially saving unnecessary emergency department costs.

Click a state to compare costs

Average Visit Cost

$82
$311

Office visit (CPT 99284)

Compare With Other States

RankStateAverage↓
1Wisconsin
Range: $73 – $647
$311
2Illinois
Range: $80 – $431
$223
3Iowa
Range: $80 – $371
$205
4New Hampshire
Range: $102 – $307
$202
5Pennsylvania
Range: $55 – $431
$191
6New York
Range: $67 – $374
$183
7Rhode Island
Range: $62 – $374
$177
8Maine
Range: $116 – $233
$172
9Massachusetts
Range: $62 – $368
$170
10Nebraska
Range: $83 – $291
$165
11Washington
Range: $80 – $259
$161
12Michigan
Range: $80 – $291
$158
13New Mexico
Range: $85 – $266
$158
14Wyoming
Range: $85 – $262
$157
15Colorado
Range: $80 – $267
$157
16Vermont
Range: $80 – $257
$156
17Georgia
Range: $84 – $246
$151
18California
Range: $80 – $258
$142
19Indiana
Range: $80 – $258
$142
20Kentucky
Range: $70 – $246
$140
21North Carolina
Range: $80 – $231
$139
22District of Columbia
Range: $80 – $217
$138
23West Virginia
Range: $62 – $174
$137
24Utah
Range: $80 – $228
$135
25Maryland
Range: $80 – $206
$132
26New Jersey
Range: $60 – $237
$131
27Hawaii
Range: $80 – $217
$130
28Arkansas
Range: $80 – $194
$130
29Virginia
Range: $81 – $202
$129
30Tennessee
Range: $85 – $187
$128
31South Carolina
Range: $80 – $206
$128
32Ohio
Range: $75 – $197
$127
33Missouri
Range: $85 – $167
$124
34Alabama
Range: $80 – $195
$124
35Oklahoma
Range: $85 – $169
$123
36Kansas
Range: $86 – $167
$123
37Texas
Range: $80 – $196
$122
38Arizona
Range: $80 – $187
$122
39Mississippi
Range: $86 – $165
$121
40Idaho
Range: $80 – $194
$121
41Delaware
Range: $80 – $157
$120
42Minnesota
Range: $62 – $233
$119
43Nevada
Range: $84 – $184
$119
44Connecticut
Range: $55 – $211
$118
45Alaska
Range: $80 – $194
$118
46Louisiana
Range: $62 – $150
$104
47Oregon
Range: $62 – $183
$102
48Montana
Range: $62 – $145
$96
49Florida
Range: $35 – $190
$95
50North Dakota
Range: $62 – $121
$82
51South Dakota
Range: $62 – $121
$82
ER Visit (Moderate Severity) in Other States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming