Level 4 ER visit cost in Maryland
In Maryland, 15 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $132.02 to $1,781.45, with a median of $525.39. The lowest price is at Atlantic General Hospital (Berlin). The highest price is 13.5× the lowest.
- The median here, $525.39, is 50% below the US median of $1,043.20.
- That is 1.2× Medicare's 2026 national rate for the same service ($426.30).
- Maryland ranks 2nd of 50 states by median, cheapest first.
- 1 of 15 hospitals list a cash price equal to their full list price, with no self-pay discount.
Why Maryland prices look low: Maryland is the only state where a commission (the HSCRC) sets hospital rates for every payer, so its hospitals publish prices far below the rest of the country. A separate physician fee may still apply.
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
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 Oct 29, 2026. See them on a map
Lowest$132.02Atlantic General Hospital
Median$525.39half of hospitals charge less
Highest$1,781.45in Maryland
Lowest saves$393.37vs the median
Hospitals in Maryland, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Atlantic General Hospital lowest Berlin · Ocean Pines, MD Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making | $132.02 | $528.07 | Apr 10, 2026 source file |
| MedStar Harbor Hospital Baltimore · Baltimore-Columbia-Towson, MD A CATEGORY LEVEL 4 | $472.56 | $482.20 | Apr 1, 2026 source file |
| Meritus Medical Center Hagerstown · Hagerstown-Martinsburg, MD-WV HC Emergency Visit Category IV - Intensive | $475.73 | $485.44 | Jun 10, 2026 source file |
| TidalHealth Peninsula Salisbury · Salisbury, MD HC ER-INTENSIVE VISIT | $482.13 | $491.97 | Mar 19, 2026 source file |
| UPMC Western Maryland Cumberland · Cumberland, MD-WV CATEG 4 - INTENSIVE | $489.60 | $816.00 | Mar 2, 2026 source file |
| Frederick Health Hospital Frederick · Washington-Arlington-Alexandria, DC-VA-MD-WV ED SERVICE CLASS IV | $492.80 | $502.86 | Mar 17, 2025 source file |
| MedStar Franklin Square Medical Center Baltimore · Baltimore-Columbia-Towson, MD A CATEGORY LEVEL 4 | $494.17 | $504.25 | Apr 1, 2026 source file |
| Greater Baltimore Medical Center Towson · Baltimore-Columbia-Towson, MD HC Intensive-Safe Visit | $525.39 | $536.11 | Jul 1, 2026 source file |
| MedStar Union Memorial Hospital Baltimore · Baltimore-Columbia-Towson, MD A CATEGORY LEVEL 4 | $546.59 | $557.74 | Apr 1, 2026 source file |
| MedStar Southern Hospital Center Clinton · Washington-Arlington-Alexandria, DC-VA-MD-WV A CATEGORY LEVEL 4 | $566.22 | $577.78 | Apr 1, 2026 source file |
| Mercy Medical Center Baltimore · Baltimore-Columbia-Towson, MD HC EMERGENCY DEPARTMENT VISIT LEVEL IV | $568.57 | $580.17 | Jan 1, 2026 source file |
| MedStar St. Mary's Hospital Leonardtown · Lexington Park, MD A CATEGORY LEVEL 4 | $594.61 | $606.74 | Apr 1, 2026 source file |
| MedStar Good Samaritan Hospital Baltimore · Baltimore-Columbia-Towson, MD A CATEGORY LEVEL 4 | $621.34 | $634.02 | Apr 1, 2026 source file |
| MedStar Montgomery Medical Center Olney · Washington-Arlington-Alexandria, DC-VA-MD-WV A CATEGORY LEVEL 4 | $655.44 | $668.82 | Apr 1, 2026 source file |
| Union Hospital of Cecil County Elkton · Philadelphia-Camden-Wilmington, PA-NJ-DE-MD ED SERVICES LEVEL 4 | $1,781.45 | $1,781.45 | 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 |
|---|---|---|---|
| Baltimore-Columbia-Towson, MD | 6 | $472.56 | $535.99 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 3 | $492.80 | $566.22 |
| Cumberland, MD-WV | 1 | $489.60 | $489.60 |
| Hagerstown-Martinsburg, MD-WV | 1 | $475.73 | $475.73 |
| Lexington Park, MD | 1 | $594.61 | $594.61 |
| Ocean Pines, MD | 1 | $132.02 | $132.02 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 1 | $1,781.45 | $1,781.45 |
| Salisbury, MD | 1 | $482.13 | $482.13 |
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
- Alabama$569.75
- 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
- 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.