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Emergency Room Visit

An evaluation and management visit to the emergency department, ranging from low to high severity. Includes physician assessment, triage, and basic diagnostics.

Price Comparison
Average Cost (Uninsured)$2,900
Average Cost (Insured)$1,400
Fair Price Range$400 – $1,800
Medicare Reimbursement$530
Detailed Breakdown

Average Cost (Insured)

$1,400

Average Cost (Uninsured)

$2,900

Medicare Reimbursement Rate

$530

Fair Price Range

$400 – $1,800

Common CPT Codes

9928199282992839928499285
Negotiation Tips
  • ER visits are commonly coded at the highest severity level (99285) even for moderate issues -- request the coding documentation to verify the level matches your visit
  • Ask for an itemized bill to check for duplicate charges such as separate facility fees and physician fees for the same service
  • Medicare pays about $530 for a mid-level ER visit -- use this as leverage to negotiate the price down
  • If you were admitted from the ER, the ER charges may be bundled into your inpatient stay -- verify you are not being double-billed

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