Level 5 ER visit cost in Fresno, CA
In Fresno, CA, 4 hospitals list a cash price for emergency room visit, level 5 of 5, high-complexity problem: from $4,119.60 to $5,050.40, with a median of $4,635.28. The lowest listed price is at Madera Community Hospital — $515.68 less than the median here. Across California, the median is $3,284.32 at 98 hospitals.
Cash prices at 4 facilities across 3 cities for code 99285, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 24, 2026; the hospital files themselves were last updated between Jun 15, 2026 and Jul 30, 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 Fresno, CA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Madera Community Hospital lowest Madera, CA · (559) 706-8226 Emergency department visit with high level of medical decision making | $4,119.60 | $6,866.00 | $155.03–$842.55 | 40% | Jul 30, 2026 source file |
| Kaiser Foundation Hospital - Fresno Fresno, CA · (559) 448-4500 EMERGENCY DEPARTMENT VISIT HIGH MDM | $4,220.16 | $7,536.00 | $4,555.00 | 44% | — source file |
| Fresno Community Hospital and Medical Center Clovis, CA · (559) 324-4000 ED-EXTENDED #5 | $5,050.40 | $6,313.00 | $108.08–$10,732.10 | 20% | Jun 15, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 ED-EXTENDED #5 | $5,050.40 | $6,313.00 | $108.08–$6,944.30 | 20% | Jun 18, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 ED-EXTENDED #5 | $5,050.40 | $6,313.00 | $108.08–$6,944.30 | 20% | Jun 16, 2026 source file |
| Fresno Community Hospital and Medical Center Fresno, CA · (559) 459-6000 ED-EXTENDED #5 | $5,050.40 | $6,313.00 | $108.08–$6,944.30 | 20% | Jun 18, 2026 source file |
Outpatient: lowest $4,119.60, median $4,635.28, highest $5,050.40 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $4,635.28. 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 1 it is 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 highest of five emergency department visit levels, used for a serious problem that needs complex evaluation and treatment, often with a hospital admission or transfer. 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.