Level 4 ER visit cost in Richmond, VA
In Richmond, VA, 11 hospitals list a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $1,482.00 to $4,337.00, with a median of $4,337.00. The lowest listed price is at Bon Secours Southside Medical Center — $2,855.00 less than the median here. Across Virginia, the median is $909.50 at 66 hospitals.
- The median here, $4,337.00, is 316% above the US median of $1,043.20.
- That is 10.2× Medicare's 2026 national rate for the same service ($426.30).
- Richmond, VA ranks 2nd of 2 metro areas in Virginia by median, cheapest first.
- 6 of 11 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 11 facilities across 6 cities for code 99284, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 31, 2026; the hospital files themselves were last updated between Apr 1, 2026 and Sep 1, 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 Richmond, VA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Bon Secours Southside Medical Center lowest Petersburg, VA · (804) 765-5000 HC ER Level 4+1 more line at this price File of Apr 1, 2026 · source file | $1,482.00 | $4,940.00 | — | 70% |
| Bon Secours Memorial Regional Medical Center Mechanicsville, VA · (804) 764-6000 HC ER Level 4 File of Apr 1, 2026 · source file | $1,929.60 | $3,216.00 | — | 40% |
| Bon Secours Richmond Community Hospital Richmond, VA · (804) 225-1701 HC ER Level 4 File of Apr 1, 2026 · source file | $1,929.60 | $3,216.00 | — | 40% |
| Bon Secours St Francis Medical Center Midlothian, VA · (804) 594-7400 HC ER Level 4 File of Apr 1, 2026 · source file | $1,929.60 | $3,216.00 | — | 40% |
| Bon Secours St Marys Hospital of Richmond Richmond, VA · (804) 285-2011 HC ER Level 4 File of Apr 1, 2026 · source file | $1,929.60 | $3,216.00 | — | 40% |
| Bon Secours St Marys Hospital of Richmond Richmond, VA · (804) 285-2011 HC OB ER Level 4 File of Apr 1, 2026 · source file | $2,848.20 | $4,747.00 | — | 40% |
| Bon Secours Memorial Regional Medical Center Mechanicsville, VA · (804) 764-6000 HC OB ER Level 4 File of Apr 1, 2026 · source file | $2,848.20 | $4,747.00 | — | 40% |
| Bon Secours St Francis Medical Center Midlothian, VA · (804) 594-7400 HC OB ER Level 4 File of Apr 1, 2026 · source file | $2,848.20 | $4,747.00 | — | 40% |
| Johnston-Willis Hospital Richmond, VA · (804) 483-0000 LVL 4 EMER DEPT File of Sep 1, 2026 · source file | $4,337.00 | $4,337.00 | $902.10–$3,903.30 | — |
| Parham Doctors Hospital Richmond, VA · (804) 289-4500 LVL 4 EMER DEPT File of Sep 1, 2026 · source file | $4,337.00 | $4,337.00 | $902.10–$3,903.30 | — |
| Retreat Doctors Hospital Richmond, VA · (804) 289-4500 LVL 4 EMER DEPT File of Sep 1, 2026 · source file | $4,337.00 | $4,337.00 | $2,602.20–$3,903.30 | — |
| Henrico Doctors Hospital - Forest Mechanicsville, VA · (804) 289-4500 LVL 4 EMER DEPT File of Sep 1, 2026 · source file | $4,337.00 | $4,337.00 | $902.10–$3,903.30 | — |
| Tricities Hospital Prince George, VA · (804) 541-1600 LVL 4 EMER DEPT File of Sep 1, 2026 · source file | $4,337.00 | $4,337.00 | $902.10–$3,903.30 | — |
| Chippenham Hospital Chesterfield, VA · (804) 483-0000 LVL 4 EMER DEPT File of Sep 1, 2026 · source file | $4,337.00 | $4,337.00 | $902.10–$3,903.30 | — |
| Bon Secours Southside Medical Center Petersburg, VA · (804) 765-5000 HC ER Level 4 File of Apr 1, 2026 · source file | $16,121.68 | $26,869.47 | $2,039.56–$2,080.35 | 40% |
Outpatient: lowest $1,482.00, median $4,337.00, highest $4,337.00 — a 2.9× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $1,929.60. 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 0 of 6 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 4 ER visit is, what the price covers and why prices differ: Level 4 ER visit explained.