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Emergency Room Visit Cost in California (2026 Price Guide)

What does a emergency room visit cost in California?

You could pay $197 or $368 for the same emergency room visit in California — depending entirely on which facility you choose. The median cash price across 119 reporting hospitals is $237. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across California hospitals:
  • Bottom 25% of hospitals: under $196
  • Median: $237
  • Above median (top 30%): $368+

That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two patients in Orange:
  • Patient A (high-cost facility): ~$368
  • Patient B (lower-cost facility): ~$197
Same procedure. Same week. $171 difference.

Cheapest Emergency Room Visit Providers in California

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
12 Kern Medical Center Bakersfield, CA $164 -$73
13 Martin Luther King, Jr Los Angeles MLKLA Healthcare Corporation Los Angeles, CA $164 -$73
14 Southern Humboldt Community Healthcare District Garberville, CA $165 -$72
15 University of California Davis Medical Center Sacramento, CA $171 -$66
16 Contra Costa County Matrinez, CA $173 -$64
17 RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER Downey, CA $174 -$63
18 Bakersfield Memorial Hospital Bakersfield, CA $174 -$63
19 Northridge Hospital Medical Center Northridge, CA $176 -$61

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Emergency Room Visit costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $821, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $240. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$237
Deductible met — 20% coinsurance ~$47
Out-of-network provider $521+

Based on the state median of $237. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should shop prices directly — the same way you'd compare any major purchase
  • Insurance may not get you a better deal than the cash price
  • The cheapest facility can save you $184+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in California start around $196 or below. Most hospitals cluster between $196 and $446. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Mercy Hospital in Bakersfield (cash price from $151); Resnick Neuropsychiatric Hospital at UCLA in Los Angeles (cash price from $152); Woodland Memorial Hospital in Woodland (cash price from $152). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where emergency room visit costs vary in California

Each pin represents a hospital that filed price transparency data. Green pins are below the state cash-price average; red are above. Click any pin for facility name and price details.

Below state avg Above state avg Click a pin for facility details.

Estimate YOUR exact out-of-pocket cost →

Quick decision guide:
  • Best value hospitals (lowest prices): Hollywood Presbyterian Medical Center: $53; Fresno Surgical Hospital: $68; Mercy Hospital: $151
  • Most expensive: American Hospital Management Corporation: ~$1,642; Temecula Valley Hospital: ~$1,481

→ Choosing the right facility can save $184+ vs. the state median.

California Emergency Room Visit prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Hollywood Presbyterian Medical Center Los Angeles, CA $53 -$184 $53
#2 Fresno Surgical Hospital Fresno, CA $68 -$169 $68–$121
#3 Mercy Hospital Bakersfield, CA $151 -$86 $408–$8,188
#4 Resnick Neuropsychiatric Hospital at UCLA Los Angeles, CA $152 -$85 $85–$460
#5 Woodland Memorial Hospital Woodland, CA $152 -$85 $556–$20,093
#6 Mercy San Juan Medical Center Carmichael, CA $152 -$85 $556–$20,093
#7 Stanford Health Care Stanford, CA $153 -$84 $105–$1,668
#8 MOUNTAIN COMMUNTIES HEALTHCARE DISTRICT Po Box 1229, CA $154 -$83 $56–$3,782
#9 OLIVE VIEW-UCLA MEDICAL CENTER Sylmar, CA $155 -$82 $50–$988
#10 Mammoth Hospital Mammoth Lakes, CA $159 -$78 $228–$2,081
#11 Methodist Hospital of Sacramento Sacramento, CA $160 -$77 $556–$20,093
#12 Kern Medical Center Bakersfield, CA $164 -$73 $70–$5,294
#13 Martin Luther King, Jr Los Angeles MLKLA Healthcare Corporation Los Angeles, CA $164 -$73 $56–$16,838
#14 Southern Humboldt Community Healthcare District Garberville, CA $165 -$72 $89–$7,252
#15 University of California Davis Medical Center Sacramento, CA $171 -$66 $69–$203
▼ Show 104 more California hospitals
#16 Contra Costa County Matrinez, CA $173 -$64 $76–$2,195
#17 RANCHO LOS AMIGOS NATIONAL REHABILITATION CENTER Downey, CA $174 -$63 $71–$988
#18 Bakersfield Memorial Hospital Bakersfield, CA $174 -$63 $476–$8,188
#19 Northridge Hospital Medical Center Northridge, CA $176 -$61 $634–$15,718
#20 MemorialCare Orange Coast Medical Center Fountain Valley, CA $177 -$60 $97–$956
#21 Sherman Oaks Hospital CA $196 -$41 $77–$5,000
#22 Encino Hospital Medical Center CA $196 -$41 $250–$5,000
#23 Centinela Hospital Medical Center CA $196 -$41 $128–$5,000
#24 Shasta Regional Medical Center CA $196 -$41 $157–$3,407
#25 St Francis Medical Center CA $196 -$41 $375–$6,500
#26 Desert Valley Hospital CA $196 -$41 $518–$5,312
#27 San Dimas Community Hospital CA $196 -$41 $754–$7,580
#28 Montclair Hospital Medical Center CA $196 -$41 $754–$7,580
#29 Chino Valley Medical Center CA $196 -$41 $754–$7,580
#30 West Anaheim Medical Center CA $196 -$41 $832–$7,235
#31 La Palma Intercommunity Hospital CA $196 -$41 $832–$7,235
#32 Huntington Beach Hospital CA $196 -$41 $832–$7,235
#33 Garden Grove Hospital Medical Center CA $196 -$41 $832–$7,235
#34 Paradise Valley Hospital CA $196 -$41 $286–$9,240
#35 Providence Health System - Southern California Torrance, CA $197 -$40 $108–$1,062
#36 St Joseph Health Northern California LLC Eureka, CA $197 -$40 $108–$1,062
#37 UCI Health - Placentia Linda Orange, CA $197 -$40 $108–$1,062
#38 Tarzana Medical Center LLC Tarzana, CA $197 -$40 $108–$1,062
#39 St Mary Medical Center Apple Valley, CA $197 -$40 $108–$1,062
#40 UCI Health - Lakewood Orange, CA $197 -$40 $108–$1,062
#41 UCI Health - Los Alamitos Orange, CA $197 -$40 $108–$1,062
#42 UCI Health - Fountain Valley Orange, CA $197 -$40 $108–$1,062
#43 Regents of the University of California at Irvine Hospital Orange, CA $197 -$40 $108–$1,062
#44 Providence Health System - Southern California San Pedro, CA $197 -$40 $108–$1,062
#45 Sutter Davis Hospital Davis, CA $199 -$38 $109–$1,072
#46 Glendale Memorial Hospital and Health Center Glendale, CA $204 -$33 $627–$10,275
#47 NorCal HealthConnect LLC Healdsburg, CA $206 -$31 $113–$1,112
#48 NorCal HealthConnect LLC Petaluma, CA $206 -$31 $113–$1,113
#49 St Joseph Health Northern California LLC Santa Rosa, CA $213 -$24 $117–$1,149
#50 UCSF Benioff Childrens Oakland Oakland, CA $216 -$21 $119–$1,166
#51 Mercy Hospital of Folsom Folsom, CA $216 -$21 $556–$20,093
#52 St Joseph Health Northern California LLC Napa, CA $218 -$19 $119–$1,172
#53 Ucsf Medical Center Box 0296, CA $224 -$13 $123–$1,208
#54 UCSF Langely Porter Psychiatic Hospital Flr 7, CA $224 -$13 $123–$1,208
#55 Stanford Health Care Tri-Valley Pleasanton, CA $224 -$13 $123–$1,208
#56 San Gorgonio Memorial Hospital Banning, CA $228 -$9 $299–$10,093
#57 MemorialCare Saddleback Medical Center Laguna Hills, CA $228 -$9 $70–$690
#58 Long Beach Memorial Medical Center Long Beach, CA $228 -$9 $70–$690
#59 John C Fremont Healthcare District Mariposa, CA $233 -$4 $254–$1,836
#60 Mark Twain Medical Center San Andreas, CA $237 +$0 $62–$5,781
#61 USC Arcadia Hospital CA $240 +$3 $686–$5,219
#62 St. Mary Medical Center - Long Beach Long Beach, CA $245 +$8 $571–$7,343
#63 Mountains Community Hospital CA $248 +$11 $156–$4,211
#64 Alta Newport Hospital, LLC Tustin, CA $250 +$13 $88–$9,679
#65 Ridgecrest Regional Hospital CA $257 +$20 $485–$5,885
#66 St. Bernardine Medical Center San Bernardino, CA $271 +$34 $250–$14,418
#67 Eastern Plumas Health Care CA $278 +$41 $348–$2,523
#68 Mercy General Hospital Sacramento, CA $296 +$59 $556–$20,093
#69 PIH Health Downey Hospital CA $302 +$65 $3,493–$9,655
#70 Tri-City Medical Center Oceanside, CA $304 +$67 $508–$7,500
#71 Banner Lassen Medical Center Susanville, CA $311 +$74 $342–$2,604
#72 PIH Health Whittier Hospital CA $323 +$86 $4,990–$16,947
#73 Marian Regional Medical Center Santa Maria, CA $324 +$87 $759–$7,430
#74 Sierra Nevada Memorial Hospital Grass Valley, CA $324 +$87 $596–$8,685
#75 Community Hospital of San Bernardino San Bernardino, CA $334 +$97 $855–$9,106
#76 French Hospital Medical Center San Luis Obispo, CA $335 +$98 $856–$7,985
#77 Childrens Hospital Los Angeles CA $344 +$107 $860–$3,086
#78 Enloe Medical Center CA $350 +$113 $779–$16,022
#79 Marian Regional Medical Center - Arroyo Grande Campus Arroyo Grande, CA $350 +$113 $819–$7,430
#80 Kaweah Delta Health Care District CA $350 +$113 $362–$5,939
#81 St. John's Hospital Camarillo Camarillo, CA $351 +$114 $847–$7,715
#82 St. Joseph's Medical Center of Stockton Stockton, CA $351 +$114 $1,195–$14,699
#83 Alameda Health System Oakland, CA $368 +$131 $737–$8,803
#84 Alameda Health System San Leandro, CA $368 +$131 $737–$8,803
#85 St. John's Regional Medical Center Oxnard, CA $370 +$133 $847–$7,715
#86 Bear Valley Healthcare District Po Box 1649, CA $394 +$157 $163–$3,325
#87 Mercy Medical Center Redding Redding, CA $418 +$181 $826–$22,368
#88 WATSONVILLE COMMUNITY HOSPITAL Watsonville, CA $429 +$192 $217–$9,156
#89 St. Elizabeth Community Hospital Red Bluff, CA $442 +$205 $757–$8,825
#90 Saint Agnes Medical Center Fresno, CA $450 +$213 $450–$9,871
#91 John Muir Health Concord, CA $454 +$217 $1,010–$15,134
#92 John Muir Health Walnut Creek, CA $454 +$217 $1,010–$15,134
#93 Rady Children's Hospital - San Diego San Diego, CA $461 +$224 $615–$5,400
#94 Hoag Memorial Hospital Presbyterian Newport Beach, CA $468 +$231 $720–$3,588
#95 San Bernardino County Colton, CA $478 +$241 $478–$8,218
#96 Cedars-Sinai Marina Hospital Marina Del Rey, CA $487 +$250 $750–$7,883
#97 California Hospital Medical Center Los Angeles, CA $517 +$280 $1,067–$7,733
#98 MarinHealth Medical Center Greenbrae, CA $526 +$289 $877–$16,240
#99 Henry Mayo Newhall Hospital Valencia, CA $527 +$290 $527–$15,001
#100 Dominican Hospital Santa Cruz, CA $540 +$303 $1,200–$13,899
#101 Barton Memorial Hospital South Lake Tahoe, CA $553 +$316 $790–$10,132
#102 Alhambra Hospital Medical Center CA $566 +$329 $83–$2,575
#103 Mercy Medical Center Merced Merced, CA $570 +$333 $1,108–$13,223
#104 Hi-Desert Medical Center Joshua Tree, CA $576 +$339 $769–$11,597
#105 Sequoia Hospital Redwood City, CA $606 +$369 $1,665–$14,956
#106 Mercy Medical Center Mt. Shasta Mt Shasta, CA $609 +$372 $783–$7,114
#107 Antelope Valley Medical Center Lancaster, CA $612 +$375 $612–$7,350
#108 USC Verdugo Hills Hospital Glendale, CA $612 +$375 $612–$5,311
#109 Pomona Valley Hospital Medical Center Pomona, CA $612 +$375 $612–$6,133
#110 Palomar Medical Center Escondido Escondido, CA $636 +$399 $1,060–$7,157
#111 Palomar Medical Center Poway Poway, CA $636 +$399 $1,060–$7,157
#112 Southwest Healthcare Temecula, CA $708 +$471 $1,771–$17,972
#113 Palmdale Regional Medical Center Palmdale, CA $744 +$507 $1,861–$20,535
#114 Corona Regional Medical Center Corona, CA $986 +$749 $2,464–$21,130
#115 Sacramento Sierra Rehabilitation Hospital CA $1,092 +$855 $1,092
#116 St. Mary's Medical Center - San Francisco San Francisco, CA $1,388 +$1,151 $1,388–$14,560
#117 Saint Francis Memorial Hospital San Francisco, CA $1,438 +$1,201 $1,438–$15,375
#118 Temecula Valley Hospital Temecula, CA $1,481 +$1,244 $1,481–$16,427
#119 American Hospital Management Corporation Arcata, CA $1,642 +$1,405 $131–$10,089

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in California:

Where you can save the most on emergency room visit in California

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Hollywood Presbyterian Medical Center Los Angeles, CA $53 -$184
Fresno Surgical Hospital Fresno, CA $68 -$169
Mercy Hospital Bakersfield, CA $151 -$86
Resnick Neuropsychiatric Hospital at UCLA Los Angeles, CA $152 -$85
Woodland Memorial Hospital Woodland, CA $152 -$85

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive emergency room visit providers in California

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
American Hospital Management Corporation Arcata, CA $1,642 +$1,405
Temecula Valley Hospital Temecula, CA $1,481 +$1,244
Saint Francis Memorial Hospital San Francisco, CA $1,438 +$1,201
St. Mary's Medical Center - San Francisco San Francisco, CA $1,388 +$1,151
Sacramento Sierra Rehabilitation Hospital CA $1,092 +$855

Why prices vary this much

A small number of hospitals (6) report very high prices above $821, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Among the cities with the most reporting hospitals, Orange has a median reported price of $197 across 5 facilities, while facilities in Los Angeles tend to report lower prices (median: $158). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare emergency room visit costs in nearby states

Explore all emergency room visit cost data

See emergency room visit costs across all states


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

Other Procedure Costs in California

Interested in understanding healthcare costs and managing your medical expenses?

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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