▸ Procedure · emergency · CPT 99281
ED visit level 1
What US hospitals charge for ed visit level 1 — negotiated rates by payer + state-by-state pricing.
Hospitals
1,305
Rate rows
58,181
Neg. median
$140
Neg. min
$1
Neg. max
$43,770
Cash median
$178.33
Across 1,305 US hospitals publishing MRFs, the negotiated rate for ED visit level 1 ranges from $1 to $43,770, with a median of $140. Half of all rates fall between $67.31 and $305.03. Cash-pay patients typically pay $178.33; hospital list (gross) prices median $350.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 809 | 4152 | $111.17 |
| Aetna | 720 | 3603 | $150.6 |
| Blue Cross Blue Shield | 661 | 4648 | $110.4 |
| Cigna | 619 | 2382 | $201.51 |
| Humana | 600 | 1343 | $85.42 |
| Multiplan | 387 | 1114 | $328.25 |
| First Health | 329 | 804 | $332 |
| WellCare | 278 | 473 | $65.72 |
| Medicare | 256 | 1107 | $77.78 |
| Molina | 248 | 561 | $83.82 |
| Medicaid | 198 | 1276 | $16.72 |
| Ambetter | 198 | 320 | $138.19 |
| Anthem BCBS | 188 | 1100 | $192.3 |
| TRICARE | 92 | 323 | $89.32 |
| amerihealth caritas | 85 | 130 | $43.76 |
| amerihealth | 76 | 114 | $209.74 |
| medcost | 71 | 253 | $210.42 |
| private health care systems | 65 | 130 | $320.99 |
| Medicare Advantage | 65 | 246 | $82 |
| medica | 63 | 789 | $129.07 |
| Oscar Health | 62 | 75 | $137.68 |
| Health Net | 60 | 217 | $261.47 |
| upmc health plan | 59 | 180 | $108.24 |
| CareSource | 58 | 69 | $137.2 |
| private healthcare systems | 53 | 350 | $431.66 |
| Kaiser Permanente | 52 | 112 | $110.3 |
| alliance | 51 | 111 | $44.19 |
| healthsmart | 51 | 130 | $260 |
| wellpoint | 51 | 87 | $98.79 |
| geisinger | 50 | 87 | $255.94 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 3 | $703.25 |
| AL | 29 | $125 |
| AR | 4 | $36.52 |
| AZ | 10 | $93.85 |
| CA | 40 | $151.09 |
| CO | 6 | $51.36 |
| DE | 2 | $255.57 |
| FL | 2 | $137.63 |
| GA | 9 | $93.85 |
| HI | 10 | $176.76 |
| IA | 27 | $65.64 |
| IL | 49 | $137.68 |
| IN | 19 | $33.3 |
| KS | 16 | $114 |
| KY | 15 | $66.51 |
| LA | 6 | $137.28 |
| MA | 11 | $251.77 |
| MD | 24 | $16.43 |
| ME | 5 | $83.2 |
| MI | 28 | $88.38 |
| MN | 32 | $297.42 |
| MO | 16 | $321.63 |
| MS | 11 | $90.36 |
| NC | 27 | $165.84 |
| ND | 8 | $109.5 |
| NE | 4 | $131.34 |
| NJ | 13 | $400 |
| NM | 6 | $110.29 |
| NV | 7 | $210.54 |
| NY | 10 | $43.35 |
| OH | 29 | $190.82 |
| OK | 12 | $411.97 |
| PA | 54 | $168.15 |
| PR | 5 | $182 |
| SC | 16 | $18.09 |
| SD | 5 | $299.86 |
| TN | 15 | $87.27 |
| TX | 61 | $158 |
| VA | 9 | $275.62 |
| VT | 6 | $84.46 |
| WA | 4 | $156.67 |
| WI | 35 | $289.1 |
| WV | 20 | $109.47 |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.
| Hospital | City | ST | Negotiated median |
|---|---|---|---|
| Metro Nashville General Hospital | NASHVILLE | TN | $10.59 |
| PAM REHAB HOSPITAL OF DOVER | DOVER | DE | $10.92 |
| Mercy Hospital of Buffalo | — | — | $11.18 |
| Kenmore Mercy Hospital | — | — | $11.5 |
| MARY BLACK MEMORIAL HOSPITAL | SPARTANBURG | SC | $11.5 |
| Mount St. Mary's Hospital | — | — | $11.5 |
| Sisters of Charity Hospital - St. Joseph Campus | — | — | $12.04 |
| Sisters of Charity Hospital | — | — | $12.04 |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | PLATTSBURGH | NY | $15.27 |
| Greater Baltimore Medical Center (GBMC) | TOWSON | MD | $16.01 |
| FREDRICK FERRIS THOMPSON HOSPITAL | CANANDAIGUA | NY | $16.53 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | SAN ANTONIO | TX | $17.01 |
| Mcdowell Arh Hospital | MCDOWELL | KY | $17.69 |
| McDowell ARH Hospital | — | — | $17.69 |
| ST JAMES HOSPITAL | — | — | $18.95 |
| NICHOLAS H NOYES MEMORIAL HOSPITAL | — | — | $19.44 |
| Arh Our Lady Of The Way | MARTIN | KY | $20.4 |
| McLaren Caro Region | — | — | $20.7 |
| Alice Hyde Medical Center | MALONE | NY | $21.55 |
| Alice Hyde Medical Center | — | — | $21.55 |