Level 4 ER visit cost in Alabama
In Alabama, 44 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $200.00 to $4,521.00, with a median of $569.75. The lowest price is at Troy Regional Medical Center (Troy). The highest price is 22.6× the lowest.
- The median here, $569.75, is 45% below the US median of $1,043.20.
- That is 1.3× Medicare's 2026 national rate for the same service ($426.30).
- Alabama ranks 5th of 50 states by median, cheapest first.
- 17 of 44 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 99284. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 8, 2026. See them on a map
Lowest$200.00Troy Regional Medical Center
Median$569.75half of hospitals charge less
Highest$4,521.00in Alabama
Lowest saves$369.75vs the median
Hospitals in Alabama, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Troy Regional Medical Center lowest Troy · Troy, AL ER VISIT LEV4 | $200.00 | $1,125.00 | Dec 31, 2024 source file |
| Medical Center Enterprise Enterprise · Enterprise, AL EXTENDED ED VISIT | $254.28 | $2,825.29 | Apr 1, 2026 source file |
| Baptist Medical Center East Montgomery · Montgomery, AL E/R LEVEL IV VISIT | $256.80 | $428.00 | Dec 30, 2025 source file |
| Baptist Medical Center South Montgomery · Montgomery, AL E/R LEVEL IV VISIT | $257.70 | $429.50 | Dec 30, 2025 source file |
| Medical Center Barbour Eufaula · Eufaula, AL-GA ER VISIT LEV4 W/MOD | $262.50 | $525.00 | Mar 29, 2026 source file |
| Coosa Valley Medical Center Sylacauga · Talladega-Sylacauga, AL Er Fee-level 4 | $274.00 | $1,140.00 | — source file |
| Tanner Medical Center - East Alabama Wedowee · Wedowee, AL EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $274.40 | $686.00 | Mar 24, 2026 source file |
| Riverview Regional Medical Center Gadsden · Gadsden, AL Hc Ed Level 4 | $372.00 | $1,865.90 | Sep 1, 2026 source file |
| Athens Limestone Hospital Athens · Huntsville, AL ER VISIT: DETAILED | $400.00 | $400.00 | Mar 25, 2026 source file |
| DeKalb Regional Medical Center Fort Payne · Fort Payne, AL ER VISIT: DETAILED | $400.00 | $400.00 | Aug 20, 2026 source file |
| East Alabama Medical Center Opelika · Auburn-Opelika, AL ER Extensive | $429.00 | $780.00 | Jan 1, 2026 source file |
| Dch Regional Medical Center Tuscaloosa · Tuscaloosa, AL LEVEL IV | $449.50 | $899.00 | Mar 26, 2026 source file |
| Fayette Medical Center Fayette · Fayette, AL LEVEL IV | $449.50 | $899.00 | Mar 26, 2026 source file |
| Hale County Hospital Greensboro · Tuscaloosa, AL ER DETAILED | $456.00 | $570.00 | Apr 1, 2026 source file |
| Crestwood Medical Center Huntsville · Huntsville, AL ED-EXTENDED ED VISIT | $481.87 | $2,677.06 | Jan 1, 2026 source file |
| Flowers Hospital Dothan · Dothan, AL EXTENDED ED VISIT | $488.59 | $3,257.28 | Apr 1, 2026 source file |
| Whitfield Regional Hospital Demopolis · Demopolis, AL E/M Moderate Visit Facility | $498.00 | $830.00 | Apr 1, 2026 source file |
| Highlands Medical Center Scottsboro · Scottsboro, AL EMERGENCY DEPT VISIT MOD MDM | $541.80 | $774.00 | May 11, 2026 source file |
| The Children's Hospital of Alabama Birmingham · Birmingham, AL HC Emergency Department Level 4 Visit High/Urgent Severity | $544.38 | $1,266.00 | Mar 31, 2026 source file |
| The Children's Hospital of Alabama – Benjamin Russell Hospital Birmingham · Birmingham, AL HC Emergency Department Level 4 Visit High/Urgent Severity | $544.38 | $1,266.00 | Mar 31, 2026 source file |
| Bibb Medical Center Centreville · Birmingham, AL ER VISIT LEVEL 4 W/PROC | $550.00 | $550.00 | Nov 1, 2025 source file |
| Marion Regional Medical Center Hamilton · Hamilton, AL HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $569.75 | $1,325.00 | Apr 1, 2026 source file |
| North Mississippi Health Services-South Marion Winfield · Winfield, AL HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $569.75 | $1,325.00 | Apr 1, 2026 source file |
| UAB Medical West Bessemer · Birmingham, AL ER Level IV | $666.75 | $889.00 | Jun 22, 2026 source file |
| Grandview Medical Center Birmingham · Birmingham, AL EXTENDED ED VISIT | $731.70 | $4,878.00 | Apr 1, 2026 source file |
| Ochsner Choctaw General Butler · Butler, AL HC EMER ROOM LEVEL IV | $912.00 | $1,200.00 | Apr 1, 2026 source file |
| Helen Keller Hospital Sheffield · Florence-Muscle Shoals, AL EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | Mar 27, 2026 source file |
| Marshall Medical Center North Guntersville · Albertville, AL EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | Apr 13, 2026 source file |
| Marshall Medical Centers Boaz · Albertville, AL EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | Apr 13, 2026 source file |
| Red Bay Hospital Red Bay · Russellville, AL EMERGENCY DEPT VISIT MOD MDM | $1,029.00 | $1,029.00 | Mar 27, 2026 source file |
| Decatur Morgan Hospital West Decatur · Decatur, AL EMERGENCY LEVEL IV | $1,030.38 | $1,030.38 | Mar 23, 2026 source file |
| Decatur Morgan Hospital - Decatur Campus Decatur · Decatur, AL EMERGENCY LEVEL IV | $1,030.38 | $1,030.38 | Mar 23, 2026 source file |
| Decatur Morgan Hospital - Parkway Campus Decatur · Decatur, AL EMERGENCY LEVEL IV | $1,030.38 | $1,030.38 | Mar 23, 2026 source file |
| Gadsden Regional Medical Center Gadsden · Gadsden, AL EXTENDED ED VISIT | $1,204.35 | $10,036.21 | Apr 1, 2026 source file |
| Baldwin Health Foley · Daphne-Fairhope-Foley, AL ED-EXTENDED ED VISIT | $1,267.26 | $7,040.35 | Apr 1, 2026 source file |
| Floyd Cherokee Medical Center Centre · Centre, AL HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,545.50 | $3,091.00 | Oct 30, 2026 source file |
| Southeast Health Medical Center Dothan · Dothan, AL EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $2,715.61 | $6,789.02 | Nov 4, 2026 source file |
| Huntsville Hospital Huntsville · Huntsville, AL SINUS, ACLRT SYS ILLUMINATION | $3,070.00 | $3,070.00 | Mar 27, 2026 source file |
| Huntsville Hospital Madison · Huntsville, AL SINUS, ACLRT SYS ILLUMINATION | $3,070.00 | $3,070.00 | Mar 27, 2026 source file |
| Baptist Health Citizens Hospital Talladega · Talladega-Sylacauga, AL Hb Emergency Department Level 4 Visit High/Urgent Severity | $3,669.00 | $3,669.00 | Apr 1, 2026 source file |
| Baptist Health Princeton Hospital Birmingham · Birmingham, AL Hb Emergency Department Level 4 Visit High/Urgent Severity | $3,669.00 | $3,669.00 | Apr 1, 2026 source file |
| Baptist Health Shelby Hospital Alabaster · Birmingham, AL Hb Emergency Department Level 4 Visit High/Urgent Severity | $3,669.00 | $3,669.00 | Apr 1, 2026 source file |
| Baptist Health Walker Hospital Jasper · Birmingham, AL Hb Emergency Department Level 4 Visit High/Urgent Severity | $3,669.00 | $3,669.00 | Apr 1, 2026 source file |
| Baptist Health Brookwood Hospital Birmingham · Birmingham, AL Hb Emergency Department Level 4 Visit High/Urgent Severity | $4,521.00 | $4,521.00 | Apr 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Birmingham, AL | 9 | $544.38 | $731.70 |
| Huntsville, AL | 4 | $400.00 | $1,775.94 |
| Decatur, AL | 3 | $1,030.38 | $1,030.38 |
| Albertville, AL | 2 | $1,029.00 | $1,029.00 |
| Dothan, AL | 2 | $488.59 | $1,602.10 |
| Gadsden, AL | 2 | $372.00 | $788.18 |
| Montgomery, AL | 2 | $256.80 | $257.25 |
| Talladega-Sylacauga, AL | 2 | $274.00 | $1,971.50 |
| Tuscaloosa, AL | 2 | $449.50 | $452.75 |
| Auburn-Opelika, AL | 1 | $429.00 | $429.00 |
| Butler, AL | 1 | $912.00 | $912.00 |
| Centre, AL | 1 | $1,545.50 | $1,545.50 |
| Demopolis, AL | 1 | $498.00 | $498.00 |
| Daphne-Fairhope-Foley, AL | 1 | $1,267.26 | $1,267.26 |
| Enterprise, AL | 1 | $254.28 | $254.28 |
| Eufaula, AL-GA | 1 | $262.50 | $262.50 |
| Fayette, AL | 1 | $449.50 | $449.50 |
| Florence-Muscle Shoals, AL | 1 | $1,029.00 | $1,029.00 |
| Fort Payne, AL | 1 | $400.00 | $400.00 |
| Hamilton, AL | 1 | $569.75 | $569.75 |
| Russellville, AL | 1 | $1,029.00 | $1,029.00 |
| Scottsboro, AL | 1 | $541.80 | $541.80 |
| Troy, AL | 1 | $200.00 | $200.00 |
| Wedowee, AL | 1 | $274.40 | $274.40 |
| Winfield, AL | 1 | $569.75 | $569.75 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What level 4 ER visit is, what the price covers and why prices differ: Level 4 ER visit explained.
Emergency room visit, level 4 of 5, moderate-complexity problem in other states
- Alaska$1,349.00
- Arizona$1,139.29
- Arkansas$665.08
- California$2,712.64
- Colorado$1,682.05
- Connecticut$2,386.00
- Delaware$1,402.31
- District of Columbia$1,761.66, 3 hospitals
- Florida$2,481.34
- Georgia$800.40
- Hawaii$2,052.18
- Idaho$1,288.50
- Illinois$1,144.08
- Indiana$1,183.71
- Iowa$697.81
- Kansas$844.00
- Kentucky$920.25
- Louisiana$425.11
- Maine$696.10
- Maryland$525.39
- Massachusetts$1,267.35
- Michigan$1,055.60
- Minnesota$786.83
- Mississippi$559.44
- Missouri$911.04
- Montana$850.18
- Nebraska$975.00
- Nevada$1,650.00
- New Hampshire$928.70
- New Jersey$550.67
- New Mexico$857.10
- New York$843.75
- North Carolina$1,231.80
- North Dakota$810.00
- Ohio$1,328.63
- Oklahoma$757.95
- Oregon$1,329.25
- Pennsylvania$1,223.40
- Puerto Rico$1,042.50, 4 hospitals
- Rhode Island$1,119.60
- South Carolina$1,494.45
- South Dakota$1,090.80
- Tennessee$721.20
- Texas$1,291.00
- Utah$3,729.47
- Vermont$965.60
- Virginia$909.50
- Washington$1,350.94
- West Virginia$686.00
- Wisconsin$922.65
- Wyoming$1,187.80
Median cash price across the state's hospitals.