Cost of a ER Visit (Moderate) Visit
in Utah
Reviewed by Momentary Medical Group West PC
Utah's healthcare costs run approximately 2% below national averages, reflecting the state's competitive insurance market anchored by SelectHealth and relatively efficient provider networks. For a ER Visit (Moderate Severity), patients typically pay between $80 and $227, with a median out-of-pocket cost of $98. Utah maintains 513 active ER Visit (Moderate) providers across the state, offering patients substantial options from Salt Lake City's urban medical centers to rural community hospitals throughout the Intermountain region.
Average
$135
Median
$98
Lowest
$80
Highest
$228
Providers
513
5% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Utah?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $85 | $139 | 511 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $150 | $317 | 534 |
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 Utah
These hospitals in Utah are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
HEBER CITY, UT
CEDAR CITY, UT
NORTH LOGAN, UT
ST GEORGE, UT
PARK CITY, UT
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 Utah
Utah's healthcare costs run approximately 2% below national averages, benefiting from the state's competitive insurance marketplace and efficient provider networks concentrated along the Wasatch Front. The state's unique geography creates distinct cost patterns, with urban Salt Lake City and surrounding counties offering abundant provider options while rural areas face limited emergency care access and higher per-visit costs.
Urban vs. Rural Provider Availability
Salt Lake City, Provo, and Ogden metropolitan areas contain most of Utah's 513 ER Visit (Moderate) providers, creating competitive pricing and shorter wait times for patients. Rural counties in southern and eastern Utah have fewer emergency facilities, sometimes requiring patients to travel significant distances for specialized care. This geographic disparity affects costs, with rural facilities often charging higher rates due to lower patient volumes and higher operational overhead.
Facility Type and Overhead Costs
Hospital-based emergency departments in Utah typically charge higher facility fees than urgent care centers or freestanding emergency facilities that can handle moderate-severity cases. Major health systems like Intermountain Healthcare and University of Utah Health operate numerous emergency facilities with standardized pricing structures across their networks. Independent urgent care centers often offer lower-cost alternatives for moderate conditions that don't require full emergency department resources.
Insurance Market Competition in Utah
SelectHealth, Blue Cross Blue Shield of Utah, and UnitedHealthcare dominate Utah's insurance market, creating competitive negotiated rates for emergency services. This multi-payer competition helps keep costs reasonable compared to states with less insurer competition. The presence of multiple strong regional and national insurers gives Utah providers stable reimbursement rates while encouraging competitive pricing.
Physician Supply and Demand in Utah
Utah's 513 active ER Visit (Moderate) providers create adequate supply for the state's population, particularly in urban areas along the Wasatch Front. This provider availability helps maintain reasonable pricing and reduces wait times for moderate-severity emergency cases. Rural areas experience physician shortages that can drive up costs, but telemedicine initiatives and mobile emergency services help bridge some access gaps.
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 Utah
What is the average cost of a ER Visit (Moderate) visit in Utah without insurance?
Does Utah Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Utah?
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 Utah?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Utah?
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 |