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Emergency Room Visit Cost (2026): $173–$245

Typical cost

$173–$245

Most people don't pay these prices.

Your actual cost depends on your deductible, coinsurance, and where you are in your plan.

👉 The same Emergency Room Visit could cost you $0 or $245.

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Your actual cost depends on your insurance type, facility choice, and deductible status. Prices reflect 2026 national averages.

Quick navigation: · National Emergency Room Visit Cost Guide · How deductibles affect your cost · Calculate my out-of-pocket cost →

Emergency room (ER) visit costs are billed using Evaluation & Management (E/M) levels 1–5, with level 3–4 visits being most common. The facility fee (hospital charge) is separate from the physician fee.


Emergency Room Visit Cost by State

Compare prices across all 50 states. Prices shown are the 25th–70th percentile range from hospital-reported data — the range where most patients' actual charges fall.


Why Emergency Room Visit Costs Vary

  • Visit level: Level 1 (minor) costs $150–$300; Level 5 (critical) costs $500–$1,000+ in facility fees alone.
  • Additional services: Labs, imaging, and procedures ordered during the visit are billed separately and often exceed the E/M fee.
  • Facility overhead: Large urban trauma centers charge 50–100% more than community hospital ERs.
  • Out-of-network risk: ER physicians are often out-of-network even when the hospital is in-network — federal surprise billing protections apply.

Bottom line: Where you get care matters more than almost any other factor. Two hospitals 10 miles apart can charge 3–5× different prices for the same procedure.


How to Use This Data

These prices come from hospital price transparency files that hospitals are required by law to publish. They represent the range of what hospitals declare as their charges — actual negotiated rates with insurers are typically 40–60% lower.

If you have insurance: Your out-of-pocket cost is determined by your deductible, coinsurance, and your insurer's negotiated rate with the specific facility. Call your insurer for a pre-service cost estimate before scheduling.

If you are uninsured: Call 2–3 facilities directly and ask for their self-pay or cash-pay rate. Most facilities offer 20–50% discounts off list prices for upfront payment.

If you received a bill: Upload it to CostKits to compare what you were charged against what other facilities in your state reported.


How Insurance Affects the Cost of This Procedure

Understanding these insurance concepts can help you estimate what you may actually pay for this procedure.

Emergency Room Visit Cost by State

Data source: CMS Hospital Price Transparency Machine-Readable Files. Prices represent hospital-declared charges and do not include physician fees, anesthesia, or other separately-billed services.

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published May 10, 2026 · Updated May 10, 2026

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