Logo
Oregon

Cost of a ER Visit (Moderate) Visit
in Oregon

Reviewed by Momentary Medical Group West PC

Oregon's healthcare costs run approximately 9% above the national average, with significant variation between urban Portland metro areas and rural eastern counties. For an ER Visit (Moderate) in Oregon, patients typically pay between $62 and $183, with a median out-of-pocket cost reflecting negotiated insurance rates that are 43% below national benchmarks. Oregon maintains over 1,000 active ER Visit (Moderate) providers across the state, allowing patients to browse all available options when seeking emergency care.

Average

$102

Median

$62

Lowest

$62

Highest

$183

Providers

1,078

National avg: $142Oregon: $102

28% below national average

HSA/FSA eligible

Always available primary care

Just $19.99/mo

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
ER Visit (Low Severity)

Emergency department visit, low severity

99283$40$40$1081,015
ER Visit (High Severity)

Emergency department visit, high severity

99285$80$98$2501,037

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 Oregon

Oregon healthcare costs average 9% above national levels due to higher labor costs, regulatory requirements, and geographic challenges serving both densely populated urban areas and sparsely populated rural regions. The state's mix of large health systems and independent providers creates varying cost structures, with emergency care pricing reflecting these market dynamics across different regions.

Urban vs. Rural Provider Availability

Portland metro area offers numerous emergency care options including major hospital systems like OHSU, Legacy Health, and Providence, while rural eastern and southern Oregon counties often rely on critical access hospitals or require lengthy transfers for specialized care. This geographic disparity creates higher costs in rural areas due to limited competition and higher overhead expenses for maintaining emergency services in low-population areas. Urban areas benefit from provider competition, though facility fees at major medical centers often exceed those at smaller community hospitals.

Facility Type and Overhead Costs

Hospital-based emergency departments in Oregon typically charge higher facility fees due to 24/7 staffing requirements, advanced equipment, and regulatory compliance costs compared to urgent care centers or freestanding emergency rooms. Major health systems like Kaiser Permanente, PeaceHealth, and Samaritan Health Services operate comprehensive emergency departments with higher overhead costs that are reflected in pricing. Independent emergency medicine groups contracting with hospitals may offer different pricing structures than employed physician models.

Insurance Market Competition in Oregon

Oregon's insurance market includes Regence BlueCross BlueShield, PacificSource, and UnitedHealthCare as dominant carriers, with moderate competition helping control premium growth but limited impact on emergency care pricing. The state insurance exchange offers additional options for individual buyers, though emergency care negotiated rates vary significantly between carriers based on their market share and negotiating power. Rural areas often have fewer insurance options, potentially limiting patients' ability to find lower-cost emergency care networks.

Physician Supply and Demand in Oregon

Oregon maintains over 1,000 active emergency medicine providers, indicating adequate supply in urban areas but potential shortages in rural counties where recruitment and retention remain challenging. The concentration of emergency physicians in Portland and surrounding areas creates competitive pricing in metropolitan regions while rural facilities may charge premium rates to attract and retain qualified staff. This supply distribution affects both pricing and access, with rural patients sometimes facing longer wait times or higher costs for emergency care.

HSA/FSA eligible

A doctor by your side, always

Prescriptions, lab orders, and referrals — instantly

JP

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 Oregon

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

Without insurance in Oregon, an ER Visit (Moderate) typically costs between $62 and $183 based on negotiated rates, though uninsured patients may face higher list prices before any self-pay discounts. The median cost of $62 represents what insurance companies pay, while self-pay patients should expect higher initial bills that may be reduced through hospital financial assistance programs. Many Oregon hospitals offer sliding-scale discounts or payment plans for uninsured patients facing emergency medical expenses.

Does Oregon Medicaid cover ER Visit (Moderate) visits?

Yes, Oregon Medicaid covers emergency room visits for moderate-severity conditions, as the state expanded Medicaid in 2014 to include adults earning up to 138% of the federal poverty level. Emergency care is typically covered without prior authorization since these are urgent medical situations, though patients should notify their Medicaid managed care plan within required timeframes. Coverage includes both physician services and facility charges, with minimal or no copayments for most emergency care.

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

Compare costs between hospital emergency departments, freestanding emergency centers, and urgent care facilities, as pricing varies significantly across Oregon provider types. Look for in-network emergency providers through your insurance plan's directory, and consider community health centers or federally qualified health centers that offer emergency services on sliding-fee scales. Ask about self-pay discounts, payment plans, and hospital charity care programs if you're uninsured or facing high out-of-pocket costs.

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

Emergency room visits are typically billed based on the complexity and resources required rather than whether it's an initial or follow-up visit, with moderate-severity cases costing between $62-$183 regardless of previous visits. However, follow-up care for emergency conditions is often better handled by primary care physicians or specialists at much lower costs than repeat emergency room visits. If you need ongoing care after an emergency visit, ask for referrals to appropriate outpatient providers to avoid unnecessary emergency room expenses.

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

Yes, Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to pay for emergency room visits in Oregon, as emergency medical care qualifies as an eligible medical expense under IRS rules. These tax-advantaged accounts can cover deductibles, copayments, and coinsurance associated with emergency care, potentially saving you significant money on taxes. Keep receipts and documentation of your emergency visit for HSA/FSA reimbursement or tax reporting purposes.

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

While telemedicine cannot replace in-person emergency care for moderate-severity conditions requiring immediate evaluation or procedures, virtual urgent care can help determine whether emergency room treatment is necessary. Oregon expanded telehealth coverage during the pandemic, making virtual consultations more accessible for initial symptom assessment before deciding on emergency care. Some conditions that initially seem emergency-urgent may be manageable through telemedicine consultations at much lower costs than emergency room visits.

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 DakotaOhioOklahomaPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming