Level 1 ER visit cost in North Carolina
In North Carolina, 37 hospitals publish a cash price for emergency room visit, level 1 of 5, minor problem that may not need a doctor: from $25.20 to $401.00, with a median of $178.33. The lowest price is at ECU Health North Hospital (Roanoke Rapids). The highest price is 15.9× the lowest.
Outpatient cash prices, one line per hospital — its lowest listed price for code 99281. Prices for both sides of the body and inpatient prices are not mixed in. Collected Sep 24, 2026.
Hospitals in North Carolina, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| ECU Health North Hospital lowest Roanoke Rapids · Roanoke Rapids, NC OB ED Level 0 Returns or Rechecks-OB ED | $25.20 | $45.00 | Apr 1, 2026 source file |
| East Carolina Health-Bertie Windsor · Windsor, NC OB ED Level 0 Returns or Rechecks-OB ED | $38.08 | $68.00 | Apr 1, 2026 source file |
| Duke University Hospital Raleigh · Raleigh-Cary, NC Emergency Department Visit May Not Req Phys/Qhp | $54.00 | $108.00 | — source file |
| Duke University Hospital Durham · Durham, NC Emergency Department Visit May Not Req Phys/Qhp | $54.00 | $108.00 | — source file |
| Duke Regional Hospital Durham · Durham-Chapel Hill, NC Emergency Department Visit May Not Req Phys/Qhp | $54.00 | $108.00 | — source file |
| Vidant Chowan Hospital Edenton · Edenton, NC ED Level 0 Returns or Rechecks-ED | $73.92 | $132.00 | Apr 1, 2026 source file |
| AdventHealth Polk Columbus · Columbus, NC HC CAH II ED VISIT LIMITED/MINOR PROB | $107.52 | $107.52 | Apr 1, 2026 source file |
| The Outer Banks Hospital Nags Head · Kill Devil Hills, NC OB ED Level 0 Returns or Rechecks-OB ED | $120.40 | $215.00 | Apr 1, 2026 source file |
| Vidant Duplin Hospital Kenansville · Kenansville, NC OB ED Level 0 Returns or Rechecks-OB ED | $120.40 | $215.00 | Apr 1, 2026 source file |
| Sentara Albemarle Regional Medical Center Elizabeth City · Elizabeth City, NC Level I - Er Dept Visit | $122.50 | $245.00 | Apr 1, 2026 source file |
| East Carolina Health Ahoskie · Ahoskie, NC ED Level 0 Returns or Rechecks-ED | $131.04 | $234.00 | Apr 1, 2026 source file |
| Duke Health Lake Norman Hospital Mooresville · Charlotte-Concord-Gastonia, NC-SC ED Visit Level 1 | $160.92 | $596.00 | — source file |
| Hugh Chatham Memorial Hospital Elkin · Mount Airy, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $169.50 | $339.00 | Jul 16, 2026 source file |
| Wilkes Regional Medical Center North Wilkesboro · North Wilkesboro, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $169.50 | $339.00 | Oct 8, 2025 source file |
| ECU Health Medical Center one side Greenville · Greenville, NC Left Without Treatment | $178.08 | $336.00 | Apr 1, 2026 source file |
| Pitt County Memorial Hospital one side Washington · Washington, NC Left Without Treatment | $178.08 | $336.00 | Apr 1, 2026 source file |
| Atrium Health Anson Wadesboro · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 1, 2025 source file |
| Atrium Health Cleveland Shelby · Shelby-Kings Mountain, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 1, 2025 source file |
| Atrium Health Lincoln Lincolnton · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 1, 2025 source file |
| Atrium Health Pineville Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 5, 2025 source file |
| Atrium Health Union Monroe · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 4, 2025 source file |
| Carolinas Medical Center Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 4, 2025 source file |
| Carolinas Medical Center-Northeast Concord · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 1, 2025 source file |
| Carolinas Rehabilitation Charlotte · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Belmont · Charlotte-Concord-Gastonia, NC-SC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 5, 2025 source file |
| Carolinas Rehabilitation Concord · Concord, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $178.33 | $356.65 | Dec 5, 2025 source file |
| Vidant Edgecombe Hospital one side Tarboro · Rocky Mount, NC Left Without Treatment | $188.16 | $336.00 | Apr 1, 2026 source file |
| Lexington Medical Center Lexington · Winston-Salem, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $198.00 | $396.00 | Oct 8, 2025 source file |
| Erlanger Murphy Medical Center Murphy · Murphy, NC HC Emergency Care I | $308.70 | $441.00 | Jan 25, 2026 source file |
| High Point Regional Health High Point · Greensboro-High Point, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $316.50 | $633.00 | Oct 8, 2025 source file |
| North Carolina Baptist Hospital Bermuda Run · Winston-Salem, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $320.00 | $640.00 | Oct 21, 2025 source file |
| Stanly Regional Medical Center Albermarle · Albemarle, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $335.00 | $670.00 | Sep 15, 2026 source file |
| North Carolina Baptist Hospital Winston Salem · Winston-Salem, NC HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $338.00 | $676.00 | Oct 8, 2025 source file |
| AdventHealth Hendersonville one side Hendersonville · Asheville, NC HC EMERGENCY DEPT VISIT LEFT BEFORE SEEING PROVIDER | $400.00 | $400.00 | Apr 1, 2026 source file |
| Gaston Memorial Hospital Gastonia · Charlotte-Concord-Gastonia, NC-SC HCHG EMERGENCY DEPT LEVEL I | $401.00 | $401.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly · Charlotte-Concord-Gastonia, NC-SC HCHG OB ED LEV I | $401.00 | $401.00 | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont · Charlotte-Concord-Gastonia, NC-SC HCHG OB ED LEV I | $401.00 | $401.00 | May 11, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Charlotte-Concord-Gastonia, NC-SC | 12 | $160.92 | $178.33 |
| Winston-Salem, NC | 3 | $198.00 | $320.00 |
| Ahoskie, NC | 1 | $131.04 | $131.04 |
| Albemarle, NC | 1 | $335.00 | $335.00 |
| Asheville, NC | 1 | $400.00 | $400.00 |
| Columbus, NC | 1 | $107.52 | $107.52 |
| Concord, NC | 1 | $178.33 | $178.33 |
| Durham, NC | 1 | $54.00 | $54.00 |
| Durham-Chapel Hill, NC | 1 | $54.00 | $54.00 |
| Edenton, NC | 1 | $73.92 | $73.92 |
| Elizabeth City, NC | 1 | $122.50 | $122.50 |
| Greensboro-High Point, NC | 1 | $316.50 | $316.50 |
| Greenville, NC | 1 | $178.08 | $178.08 |
| Kenansville, NC | 1 | $120.40 | $120.40 |
| Kill Devil Hills, NC | 1 | $120.40 | $120.40 |
| Murphy, NC | 1 | $308.70 | $308.70 |
| Mount Airy, NC | 1 | $169.50 | $169.50 |
| North Wilkesboro, NC | 1 | $169.50 | $169.50 |
| Raleigh-Cary, NC | 1 | $54.00 | $54.00 |
| Roanoke Rapids, NC | 1 | $25.20 | $25.20 |
| Rocky Mount, NC | 1 | $188.16 | $188.16 |
| Shelby-Kings Mountain, NC | 1 | $178.33 | $178.33 |
| Windsor, NC | 1 | $38.08 | $38.08 |
| Washington, NC | 1 | $178.08 | $178.08 |
What it is
This is the lowest of five emergency department visit levels, used for a minor problem that needs little care. Since 2023 this level may apply even when no physician or similar clinician needs to see the patient. 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.
Emergency room visit, level 1 of 5, minor problem that may not need a doctor in other states
- Alabama$347.09
- Alaska$220.61
- Arizona$327.57
- Arkansas$117.00
- California$420.68
- Colorado$303.71
- Connecticut$113.08
- Delaware$408.02
- Florida$283.20
- Georgia$224.25
- Hawaii$289.50
- Idaho$383.00
- Illinois$165.60
- Indiana$176.18
- Iowa$40.80
- Kansas$181.44
- Kentucky$342.67
- Louisiana$56.80
- Maine$73.44
- Maryland$120.53
- Massachusetts$364.00
- Michigan$126.54
- Minnesota$205.28
- Mississippi$92.40
- Missouri$112.45
- Montana$72.60
- Nebraska$126.48
- Nevada$107.60
- New Hampshire$118.35
- New Jersey$117.49
- New Mexico$125.70
- New York$134.00
- North Dakota$184.23
- Ohio$292.80
- Oklahoma$141.62
- Oregon$103.10
- Pennsylvania$252.60
- Rhode Island$314.40
- South Carolina$284.00
- South Dakota$296.00
- Tennessee$97.32
- Texas$239.79
- Utah$408.71
- Vermont$36.00
- Virginia$152.40
- Washington$234.36
- West Virginia$146.00
- Wisconsin$110.50
- Wyoming$260.82
Median cash price across the state's hospitals.