Level 1 ER visit cost in Rochester, NY
In Rochester, NY, 10 hospitals list a cash price for emergency room visit, level 1 of 5, minor problem that may not need a doctor: from $110.00 to $348.97, with a median of $279.02. The lowest listed price is at Orleans Community Health — $169.02 less than the median here. Across New York, the median is $249.31 at 105 hospitals.
- The median here, $279.02, is 25% above the US median of $222.62.
- That is 3.2× Medicare's 2026 national rate for the same service ($86.15).
- Rochester, NY ranks 2nd of 2 metro areas in New York by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Cash prices at 10 facilities across 7 cities for code 99281, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 8, 2026; the hospital files themselves were last updated between Dec 12, 2024 and Aug 27, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Rochester, NY.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Orleans Community Health lowest Medina, NY · (585) 798-8111 LEVEL I+1 more line at this price File of Dec 12, 2024 · source file | $110.00 | $275.00 | $110.00–$275.00 | 60% |
| Geneva General Hospital Geneva, NY · (315) 787-4175 ED VISIT NO QHP PRESENT+1 more line at this price File of Aug 27, 2026 · source file | $125.04 | $312.58 | $96.84–$265.69 | 60% |
| Nicholas H. Noyes Memorial Hospital Dansville, NY · (585) 335-6001 HB Medical Visit Fee I File of Jan 1, 2026 · source file | $130.00 | — | — | — |
| F.F. Thompson Hospital one side Canandaigua, NY · (585) 396-6000 HB Medical Visit Fee I - Left Before Eval File of Jan 1, 2026 · source file | $192.00 | — | — | — |
| F.F. Thompson Hospital Canandaigua, NY · (585) 396-6000 HB Medical Visit Fee I File of Jan 1, 2026 · source file | $194.00 | — | — | — |
| Clifton Springs Hospital And Clinic Clifton Springs, NY · (315) 462-9561 HC EMERGENCY DEPT E_M VISIT_LEVEL I File of Apr 1, 2026 · source file | $214.43 | $329.89 | — | 35% |
| The Unity Hospital of Rochester Rochester, NY · (585) 723-7000 HC EMERGENCY DEPT E_M VISIT_LEVEL I File of Apr 1, 2026 · source file | $343.60 | $429.50 | — | 20% |
| Highland Hospital one side Rochester, NY · (585) 341-6711 HB Medical Visit Fee I - Left Before Eval File of Jul 1, 2026 · source file | $348.50 | — | $42.30–$330.00 | — |
| Strong Memorial Hospital one side Rochester, NY · (585) 275-2121 HB Medical Visit Fee I - Left Before Eval File of Jul 1, 2026 · source file | $348.50 | — | $49.53–$397.17 | — |
| Rochester General Hospital Rochester, NY · (585) 922-4000 HC EMERGENCY DEPT E_M VISIT_LEVEL I File of Apr 1, 2026 · source file | $348.97 | $536.88 | — | 35% |
| Newark-Wayne Community Hospital Newark, NY · (315) 332-2022 HC EMERGENCY DEPT E_M VISIT_LEVEL I File of Apr 1, 2026 · source file | $348.97 | $536.88 | — | 35% |
| Highland Hospital Rochester, NY · (585) 341-6711 HB Medical Visit Fee I File of Jul 1, 2026 · source file | $452.20 | — | $66.68–$520.00 | — |
| Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Medical Visit Fee I File of Jul 1, 2026 · source file | $549.95 | — | $78.09–$520.00 | — |
| Strong Memorial Hospital Rochester, NY · (585) 275-2121 HB Cpep Triage/Screening-Level 1 File of Jul 1, 2026 · source file | $611.15 | — | $86.85–$579.00 | — |
Outpatient: lowest $110.00, median $279.02, highest $348.97 — a 3.2× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $279.02. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 3 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What level 1 ER visit is, what the price covers and why prices differ: Level 1 ER visit explained.