Cost of a ER Visit (Moderate) Visit
in Vermont
Reviewed by Momentary Medical Group West PC
Vermont's small but concentrated healthcare market, dominated by a few major health systems across the Green Mountain State's rural landscape, creates unique pricing patterns for emergency care. Patients seeking an ER Visit (Moderate) in Vermont typically encounter negotiated rates ranging from $80 to $257, with a median cost of $132 based on transparency data from 354 active providers. Vermont maintains many qualified emergency medicine providers across its hospitals and medical centers, allowing patients to browse all available options when selecting care that fits their insurance network and budget.
Average
$156
Median
$132
Lowest
$80
Highest
$257
Providers
354
10% above national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Vermont?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $53 | $96 | $171 | 356 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $98 | $194 | $356 | 351 |
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 Vermont
Vermont's healthcare costs run approximately 15% above national averages, driven by the state's small population spread across rural areas and limited provider competition. The Green Mountain State's challenging geography and seasonal population fluctuations create unique cost pressures for emergency services throughout the region.
Urban vs. Rural Provider Availability
Vermont's emergency care concentrates around Burlington and Montpelier, while rural areas depend on critical access hospitals that may have higher per-visit costs due to lower patient volumes. The state's mountainous terrain and winter weather conditions can affect patient transport costs and emergency department utilization patterns. Rural emergency departments often struggle with physician staffing, leading to higher locum tenens costs that get reflected in patient bills.
Facility Type and Overhead Costs
Hospital-based emergency departments dominate Vermont's emergency care landscape, with facilities like UVM Medical Center and Central Vermont Medical Center setting regional pricing standards. Independent emergency medicine groups contract with most Vermont hospitals, creating separate physician billing alongside facility charges. The state's older hospital infrastructure often results in higher operational costs compared to newer facilities in other regions.
Insurance Market Competition in Vermont
BCBS VT and MVP Health Care control the majority of Vermont's commercial insurance market, limiting competitive pressure on negotiated rates with emergency providers. This concentrated insurer market can lead to higher negotiated rates since providers have fewer payers to work with across the small state. Vermont's insurance exchange offers limited carrier options compared to larger states, reducing competitive pricing pressure on emergency services.
Physician Supply and Demand in Vermont
With 354 active ER Visit (Moderate) providers serving Vermont's population of roughly 645,000, the state maintains reasonable emergency physician availability relative to its size. However, many providers work part-time or seasonal schedules, particularly in resort areas, creating periodic staffing shortages that can drive up locum coverage costs. The state's rural nature means emergency physicians often cover multiple facilities, affecting both availability and pricing structures across different regions.
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 Vermont
What is the average cost of a ER Visit (Moderate) visit in Vermont without insurance?
Does Vermont Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Vermont?
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 |