Cost of a ER Visit (Moderate) Visit
in Washington
Reviewed by Momentary Medical Group West PC
Washington's emergency departments serve one of the nation's most geographically diverse populations, from Seattle's urban core to the remote Olympic Peninsula. ER Visit (Moderate) costs across the state typically range from $80 to $259, with a median negotiated rate of $143 based on transparency data from over 7,000 active providers. Washington maintains strong emergency care infrastructure with numerous in-network options for patients seeking moderate-severity emergency treatment throughout the Puget Sound region and beyond.
Average
$161
Median
$143
Lowest
$80
Highest
$259
Providers
7,139
13% above national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in Washington?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $57 | $80 | $167 | 7,024 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $80 | $214 | $379 | 7,033 |
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 Washington
These hospitals in Washington are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
SPOKANE, WA
CLARKSTON, WA
PULLMAN, WA
PORT TOWNSEND, WA
PROSSER, WA
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 Washington
Washington's emergency care costs run approximately 10% above national averages, driven by the state's high cost of living and concentration of advanced medical facilities in urban corridors. The dramatic geography spanning from coastal regions to mountainous terrain creates unique access challenges that influence emergency care pricing and availability.
Urban vs. Rural Provider Availability
Seattle and Spokane metropolitan areas contain the majority of Washington's emergency departments, while rural counties like Ferry and Garfield rely on critical access hospitals with limited emergency capabilities. This geographic concentration forces rural residents to travel significant distances for complex emergency care, often resulting in higher transport costs and delayed treatment times.
Facility Type and Overhead Costs
Hospital-based emergency departments in Washington carry higher overhead costs than freestanding emergency centers, particularly at major academic medical centers like UW Medicine and MultiCare Health System. These teaching hospitals maintain 24/7 specialist coverage and advanced diagnostic capabilities that increase operational costs but provide comprehensive care for moderate-severity emergencies.
Insurance Market Competition in Washington
Washington's competitive insurance landscape with Premera, Regence, Kaiser Permanente, and UnitedHealthcare creates varied negotiated rate structures for emergency services. The state's robust insurance exchange and strong regulatory environment help maintain competitive pricing, though urban markets typically see better negotiated rates due to higher patient volumes and provider competition.
Physician Supply and Demand in Washington
With over 7,000 emergency care providers across the state, Washington maintains adequate physician supply in metropolitan areas but faces shortages in rural emergency departments. This supply distribution affects both pricing and wait times, with rural emergency departments sometimes staffing physicians through temporary contracts that can increase per-visit costs while urban centers benefit from competitive physician markets.
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 Washington
What is the average cost of a ER Visit (Moderate) visit in Washington without insurance?
Does Washington Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) near me in Washington?
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 Washington?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in Washington?
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 |
