Level 4 ER visit cost in Cleveland, OH
In Cleveland, OH, 23 hospitals list a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $107.10 to $2,864.25, with a median of $1,638.00. The lowest listed price is at Metrohealth System — $1,530.90 less than the median here. Across Ohio, the median is $1,334.25 at 80 hospitals.
Cash prices at 23 facilities across 19 cities for code 99284, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Jul 14, 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 Cleveland, OH.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Emerg Dept E/M Moderate Mdm | $107.10 | $306.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System lowest Cleveland, OH · (216) 778-7089 Provider Burn Ed-Lvl 4 | $107.10 | $306.00 | — | 65% | Apr 1, 2026 source file |
| Metrohealth System Cleveland, OH · (216) 778-7089 Level 4 Emerg Dept Visit | $742.00 | $2,120.00 | — | 65% | Apr 1, 2026 source file |
| Uhhs Memorial Hospital of Geneva Geneva, OH · (440) 415-0151 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,031.25 | $1,375.00 | $275.00–$2,465.00 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Conneaut, OH · (440) 593-1131 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,031.25 | $1,375.00 | $426.25–$2,392.00 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,096.50 | $1,462.00 | $394.76–$1,315.80 | 25% | Jul 14, 2026 source file |
| UH Cleveland Medical Center Cleveland, OH · (216) 844-1000 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,096.50 | $1,462.00 | $394.74–$4,180.00 | 25% | Jul 14, 2026 source file |
| Southwest General Health Center Middleburg Heights, OH · (440) 816-8000 99284 ED LEVEL 4 | $1,169.25 | $1,559.00 | $169.74–$1,908.00 | 25% | Jul 1, 2026 source file |
| Parma Community General Hospital Parma, OH · (440) 743-3000 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $394.76–$2,392.00 | 25% | Jul 14, 2026 source file |
| UH St John Medical Center Westlake, OH · (440) 835-8000 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $426.30–$2,392.00 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $393.16–$2,392.00 | 25% | Jul 14, 2026 source file |
| Lake Health Beachwood Medical Center Beachwood, OH · (216) 545-4800 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $394.76–$2,392.00 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Willoughby, OH HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $394.76–$2,392.00 | 25% | Jul 14, 2026 source file |
| University Hospitals Health System Elyria, OH · (440) 329-7500 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $394.76–$2,691.00 | 25% | Jul 14, 2026 source file |
| UH Regional Hospitals Chardon, OH · (440) 285-6246 HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,334.25 | $1,779.00 | $394.76–$2,392.00 | 25% | Jul 14, 2026 source file |
| Mercy Health Allen Hospital Oberlin, OH · (440) 334-7039 HC ER Level 4 | $1,638.00 | $2,730.00 | — | 40% | — source file |
| Cleveland Clinic Avon Hospital Avon, OH · (440) 695-5000 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $58.51–$2,408.00 | 35% | Jun 15, 2026 source file |
| South Pointe Hospital Warrensville Heights, OH · (216) 491-6523 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $62.46–$2,408.00 | 35% | Jun 15, 2026 source file |
| Lodi Community Hospital Lodi, OH · (330) 948-1222 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $830.87–$2,644.20 | 35% | Jun 15, 2026 source file |
| Marymount Hospital Garfield Heights, OH · (216) 587-8210 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $52.93–$2,408.00 | 35% | Jun 15, 2026 source file |
| Lutheran Hospital Cleveland, OH · (216) 696-4300 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $830.87–$2,644.20 | 35% | Jun 15, 2026 source file |
| Medina Hospital Medina, OH · (330) 725-1000 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $54.91–$2,408.00 | 35% | Jun 15, 2026 source file |
| Hillcrest Hospital Mayfield Heights, OH · (440) 312-4500 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $830.87–$2,644.20 | 35% | Jun 15, 2026 source file |
| Fairview Hospital Cleveland, OH · (216) 476-7000 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $56.32–$2,735.00 | 35% | Jun 15, 2026 source file |
| The Cleveland Clinic Foundation Cleveland, OH · (216) 952-9829 EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $68.73–$3,196.00 | 35% | Jun 16, 2026 source file |
| Cleveland Clinic Health System - East Region Euclid, OH EMERGENCY DEPARTMENT VISIT MODERATE MDM | $1,909.70 | $2,938.00 | $830.87–$2,644.20 | 35% | Jun 15, 2026 source file |
| Summa Health System Akron, OH · (330) 375-3000 Hc Ed Level 4 Emergency Exam | $2,864.25 | $2,864.25 | — | — | Apr 1, 2026 source file |
Outpatient: lowest $107.10, median $1,638.00, highest $2,864.25 — a 26.7× difference within the same market.
As an inpatient, the same code is billed by 23 facilities here, median $1,638.00. 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 20 of 20 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 it is
This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.
What the price covers
The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.