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Emergency Room Visit Cost in Missouri (2026 Price Guide)

What does a emergency room visit cost in Missouri?

You could pay $153 or $258 for the same emergency room visit in Missouri — depending entirely on which facility you choose. The median cash price across 57 reporting hospitals is $195. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across Missouri hospitals:
  • Bottom 25% of hospitals: under $153
  • Median: $195
  • Above median (top 30%): $258+

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

Example — two patients in Kansas City:
  • Patient A (high-cost facility): ~$258
  • Patient B (lower-cost facility): ~$153
Same procedure. Same week. $105 difference.

Cheapest Emergency Room Visit Providers in Missouri

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

# Facility City Price vs Median
4 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC WALMART CLINIC Dexter, MO $152 -$43
5 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC FAMILY MEDICINE OF DEXTER Dexter, MO $152 -$43
6 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC BLOOMFIELD CLINIC North Bloomfield, MO $152 -$43
7 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC BERNIE CLINIC Bernie, MO $152 -$43
8 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC NEW MADRID CLINIC New Madrid, MO $152 -$43
9 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC MALDEN CLINIC Malden, MO $152 -$43
10 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC SIKESTON CLINIC Sikeston, MO $152 -$43
11 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC FAMILY MEDICINE OF POPLAR BLUFF Poplar Bluff, MO $152 -$43

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 $500, 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 $196. 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) ~$195
Deductible met — 20% coinsurance ~$39
Out-of-network provider $429+

Based on the state median of $195. 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 $88+ vs. the median.

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

Lower-cost options in Missouri start around $153 or below. Most hospitals cluster between $153 and $292. 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: Cedar County Memorial Hospital in El Dorado Springs (cash price from $151); Golden Valley Memorial Healthcare in Clinton (cash price from $151); SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC WALMART CLINIC in Dexter (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 Missouri

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): RESEARCH PSYCHIATRIC CENTER: $107; Cedar County Memorial Hospital: $151; Golden Valley Memorial Healthcare: $151
  • Most expensive: Mercy Rehabilitation Hospital South: ~$1,092; Mercy Rehabilitation Hospital St. Louis: ~$1,071

→ Choosing the right facility can save $88+ vs. the state median.

Missouri 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 RESEARCH PSYCHIATRIC CENTER Kansas City, MO $107 -$88 $107–$124
#2 Cedar County Memorial Hospital El Dorado Springs, MO $151 -$44 $248–$1,311
#3 Golden Valley Memorial Healthcare Clinton, MO $151 -$44 $56–$2,750
#4 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC WALMART CLINIC Dexter, MO $152 -$43 $51–$677
#5 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC FAMILY MEDICINE OF DEXTER Dexter, MO $152 -$43 $51–$677
#6 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC BLOOMFIELD CLINIC North Bloomfield, MO $152 -$43 $51–$677
#7 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC BERNIE CLINIC Bernie, MO $152 -$43 $51–$677
#8 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC NEW MADRID CLINIC New Madrid, MO $152 -$43 $51–$677
#9 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC MALDEN CLINIC Malden, MO $152 -$43 $51–$677
#10 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC SIKESTON CLINIC Sikeston, MO $152 -$43 $51–$677
#11 SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC FAMILY MEDICINE OF POPLAR BLUFF Poplar Bluff, MO $152 -$43 $51–$677
#12 Ssm Health St. Mary's Hospital - Jefferson City Jefferson City, MO $152 -$43 $84–$822
#13 Mercy St Louis MO $153 -$42 $173–$7,733
#14 St Marys Medical Center MO $153 -$42 $532–$5,326
#15 St Joseph Medical Center MO $153 -$42 $632–$4,261
▼ Show 42 more Missouri hospitals
#16 Ssm Health St. Clare Hospital - Fenton Fenton, MO $153 -$42 $84–$827
#17 Ssm Health St. Mary's Hospital - St. Louis Richmond Heights, MO $153 -$42 $84–$827
#18 Ssm Health St. Joseph Hospital-St Charles Saint Charles, MO $153 -$42 $84–$827
#19 Ssm Health Depaul Hospital St. Louis Bridgeton, MO $153 -$42 $84–$827
#20 Ssm Health St. Joseph Hospital-Lake Saint Louis Lake Saint Louis, MO $153 -$42 $84–$827
#21 Ozarks Medical Center MO $155 -$40 $52–$627
#22 Iron County Medical Center Pilot Knob, MO $159 -$36 $78–$2,006
#23 Nevada City Hospital Nevada, MO $162 -$33 $184–$2,960
#24 Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO $172 -$23 $84–$449
#25 Putnam County Memorial Hospital Unionville, MO $177 -$18 $63–$2,536
#26 New Liberty Hospital Corporation Liberty, MO $180 -$15 $73–$792
#27 LE Cox Medical Centers Springfield, MO $186 -$9 $386–$4,464
#28 Cass Regional Medical Center Harrisonville, MO $188 -$7 $93–$4,238
#29 Citizens Memorial Hospital Bolivar, MO $190 -$5 $73–$2,487
#30 Harrison County Community Hospital District Bethany, MO $195 +$0 $130–$1,650
#31 University Health Lakewood Medical Center MO $198 +$3 $361–$4,195
#32 University Health Truman Medical Center MO $198 +$3 $361–$4,195
#33 Community Hospital Association, Inc. Fairfax, MO $200 +$5 $75–$1,900
#34 Ssm Health Saint Louis University Hospital Saint Louis, MO $211 +$16 $74–$270
#35 Phelps Health Rolla, MO $211 +$16 $301–$4,110
#36 St. Lukes Hospital Chesterfield, MO $213 +$18 $126–$4,478
#37 Cox Barton County Hospital Lamar, MO $216 +$21 $148–$4,464
#38 Oklahoma Spine Hospital, LLC Kansas City, MO $221 +$26 $120–$580
#39 Hannibal Regional Hospital Hannibal, MO $234 +$39 $390–$4,132
#40 Boone Hospital Center Columbia, MO $240 +$45 $144–$400
#41 Parkland Health Center Farmington, MO $258 +$63 $430–$3,873
#42 Missouri Baptist Sullivan Hospital Sullivan, MO $258 +$63 $430–$3,873
#43 Bates County Memorial Hospital Butler, MO $281 +$86 $402–$2,936
#44 Lake Regional Health System MO $284 +$89 $385–$7,023
#45 Mercy Springfield MO $301 +$106 $464–$8,951
#46 Mercy Springfield MO $301 +$106 $464–$8,951
#47 Cox Medical Center Branson Branson, MO $312 +$117 $386–$4,464
#48 Barnes Jewish Hospital St. Louis, MO $340 +$145 $567–$6,670
#49 Archview ER Hospital LLC MO $400 +$205 $962–$4,708
#50 St Louis Childrens Hospital Saint Louis, MO $473 +$278 $789–$6,849
#51 Progress West Hospital O'Fallon, MO $568 +$373 $948–$6,853
#52 Barnes Jewish St. Peters Hospital St. Peters, MO $568 +$373 $948–$6,853
#53 Pershing Memorial Hospital Brookfield, MO $627 +$432 $627
#54 Madison Medical Center Fredericktown, MO $1,016 +$821 $813
#55 Mercy Rehabilitation Hospital St. Louis MO $1,071 +$876 $1,071
#56 Mercy Rehabilitation Hospital Springfield LLC MO $1,071 +$876 $1,071
#57 Mercy Rehabilitation Hospital South MO $1,092 +$897 $1,092

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 Missouri:

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

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
RESEARCH PSYCHIATRIC CENTER Kansas City, MO $107 -$88
Cedar County Memorial Hospital El Dorado Springs, MO $151 -$44
Golden Valley Memorial Healthcare Clinton, MO $151 -$44
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC WALMART CLINIC Dexter, MO $152 -$43
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC FAMILY MEDICINE OF DEXTER Dexter, MO $152 -$43

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 Missouri

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
Mercy Rehabilitation Hospital South MO $1,092 +$897
Mercy Rehabilitation Hospital St. Louis MO $1,071 +$876
Mercy Rehabilitation Hospital Springfield LLC MO $1,071 +$876
Madison Medical Center Fredericktown, MO $1,016 +$821
Pershing Memorial Hospital Brookfield, MO $627 +$432

Why prices vary this much

A small number of hospitals (9) report very high prices above $500, 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, Kansas City has a median reported price of $164 across 2 facilities, while facilities in Dexter tend to report lower prices (median: $152). 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 Missouri

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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