Level 4 ER visit cost in Michigan
In Michigan, 92 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $214.75 to $3,030.75, with a median of $1,055.60. The lowest price is at University of Michigan Health-Sparrow Eaton (Charlotte). The highest price is 14.1× the lowest.
- The median here, $1,055.60, is about the same as the US median of $1,043.20.
- That is 2.5× Medicare's 2026 national rate for the same service ($426.30).
- Michigan ranks 26th of 50 states by median, cheapest first.
- 23 of 92 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$214.75University of Michigan Health-Sparrow Eaton
Median$1,055.60half of hospitals charge less
Highest$3,030.75in Michigan
Lowest saves$840.85vs the median
Hospitals in Michigan, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| University of Michigan Health-Sparrow Eaton lowest Charlotte · Lansing-East Lansing, MI HB Emergency Dept Visit,Level IV | $214.75 | $859.00 | Apr 1, 2026 source file |
| McKenzie Memorial Hospital Sandusky · Sandusky, MI ER DEPT VISIT MOD COMPLEXHIGH SEVERITY | $237.60 | $297.00 | May 31, 2025 source file |
| University of Michigan Health-Sparrow Ionia Ionia · Grand Rapids-Wyoming-Kentwood, MI HB Emergency Dept Visit,Level IV | $238.75 | $955.00 | Apr 1, 2026 source file |
| Sturgis Hospital Sturgis · Sturgis, MI LEVEL IV EMERGENCY ROOM | $293.15 | $451.00 | Apr 6, 2026 source file |
| Eaton Rapids Medical Center Eaton Rapids · Lansing-East Lansing, MI EMERGENCY ROOM LEVEL 4 | $294.65 | $589.30 | Jul 1, 2026 source file |
| McLaren Thumb Region Bad Axe · Bad Axe, MI Emergency Dept Visit Level IV | $309.50 | $619.00 | Dec 31, 2025 source file |
| Baraga County Memorial Hospital Lanse · Lanse, MI ER DOCTOR EXTENDED SERVICE | $314.00 | $314.00 | Jun 23, 2026 source file |
| University of Michigan Health-Sparrow Clinton St. Johns · Lansing-East Lansing, MI HB Emergency Dept Visit,Level IV | $329.25 | $1,317.00 | Apr 1, 2026 source file |
| Henry Ford Rochester Hospital Rochester · Detroit-Warren-Dearborn, MI PF OB-ED ER VISIT LEVEL IV | $372.24 | $792.00 | Jan 1, 2026 source file |
| University of Michigan Health-Sparrow Lansing Lansing · Lansing-East Lansing, MI HB Emergency Dept Visit,Level IV | $392.75 | $1,571.00 | Apr 1, 2026 source file |
| McLaren Macomb Mount Clemens · Detroit-Warren-Dearborn, MI Emergency Dept Visit Level IV | $413.00 | $826.00 | Dec 31, 2025 source file |
| University of Michigan Health-Sparrow Carson Carson City · Grand Rapids-Wyoming-Kentwood, MI HB Emergency Dept Visit,Level IV | $421.00 | $1,684.00 | Apr 1, 2026 source file |
| McLaren Central Michigan Mount Pleasant · Mount Pleasant, MI Emergency Dept Visit Level IV | $432.00 | $864.00 | Dec 31, 2025 source file |
| Bell Hospital Ishpeming · Marquette, MI 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 | $443.53 | $739.22 | Jul 10, 2026 source file |
| McLaren Bay Region Bay City · Bay City, MI Emergency Dept Visit Level IV | $449.50 | $899.00 | Dec 31, 2025 source file |
| McLaren Oakland Pontiac · Detroit-Warren-Dearborn, MI Emergency Dept Visit Level IV | $477.50 | $955.00 | Dec 31, 2025 source file |
| Harbor Beach Community Hospital Harbor Beach · Harbor Beach, MI ER HIGH NO IMMEDIATE THREAT | $512.25 | $683.00 | May 1, 2026 source file |
| Beacon Allegan Allegan · Holland, MI ED LEVEL 4 FAC | $513.86 | $1,048.70 | Jan 1, 2026 source file |
| Holland Community Hospital Holland · Holland, MI Emergency department visit with moderate level of medical decision making | $516.60 | $861.00 | Sep 21, 2026 source file |
| Munson Healthcare Charlevoix Hospital Charlevoix · Charlevoix, MI TRAUMA ACT NO PRENOTIF ER E/M LV4 | $542.30 | $638.00 | Apr 17, 2026 source file |
| Henry Ford Health Hospital Detroit · Detroit-Warren-Dearborn, MI HB EMERGENCY ROOM VISIT LEVEL 4 | $573.75 | $1,731.00 | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield · Detroit-Warren-Dearborn, MI HB EMERGENCY ROOM VISIT LEVEL 4 | $573.75 | $1,731.00 | Jun 28, 2026 source file |
| McLaren Caro Region Caro · Caro, MI Emergency Dept Visit Level IV | $595.00 | $1,190.00 | Dec 31, 2025 source file |
| Helen Newberry Joy Hospital Newberry · Newberry, MI Emergency department visit with moderate level of medical decision making | $604.17 | $959.00 | Sep 2, 2026 source file |
| McLaren Port Huron Port Huron · Detroit-Warren-Dearborn, MI EMERGENCY DEPT VISIT | $640.37 | $1,280.73 | Dec 31, 2025 source file |
| Kalkaska Memorial Health Center Kalkaska · Traverse City, MI TRAUMA ACT PRENOTIFICA ER E/M LV4 | $641.75 | $755.00 | Apr 17, 2026 source file |
| Covenant Medical Center Cooper Saginaw · Saginaw, MI HCHG OB ER LEVEL 4 | $709.80 | $1,014.00 | May 15, 2026 source file |
| Covenant Medical Center Saginaw · Saginaw, MI HCHG OB ER LEVEL 4 | $709.80 | $1,014.00 | May 15, 2026 source file |
| McLaren Greater Lansing Lansing · Lansing-East Lansing, MI Emergency Dept Visit Level IV | $715.00 | $1,430.00 | Dec 31, 2025 source file |
| McLaren Flint Flint · Flint, MI Emergency Dept Visit Level IV | $720.00 | $1,440.00 | Dec 31, 2025 source file |
| Deckerville Community Hospital Deckerville · Deckerville, MI ED Level 4/Intermediate | $720.48 | $948.00 | Jan 1, 2026 source file |
| Hillsdale Hospital Hillsdale · Hillsdale, MI EMERGENCY ROOM 4 | $747.15 | $879.00 | Jan 23, 2026 source file |
| Three Rivers Health Three Rivers · Sturgis, MI ED Level 4 (Extended) (9-13) | $773.50 | $1,190.00 | Jan 1, 2026 source file |
| Mackinac Straits Hospital and Health Center Saint Ignace · Saint Ignace, MI Emergency department visit with moderate level of medical decision making | $795.60 | $1,326.00 | Oct 15, 2026 source file |
| McLaren Northern Michigan Petoskey · Petoskey, MI Emergency Dept Visit Level IV | $820.00 | $1,640.00 | Dec 31, 2025 source file |
| University of Michigan Health Ann Arbor · Ann Arbor, MI HC-ER Visit-Level 4 Sane | $880.80 | $2,202.00 | Mar 31, 2026 source file |
| Henry Ford Genesys Hospital Grand Blanc Twp · Flint, MI HP ER TIER 4 E&M | $885.36 | $2,108.00 | Jan 1, 2026 source file |
| Mercy Health Partners, Mercy Campus Muskogen · Muskegon-Norton Shores, MI HC ED Type a Level 4 OB Triage | $897.65 | $1,381.00 | Mar 31, 2026 source file |
| Mercy Health Saint Marys Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC ED Type a Level 4 OB Triage | $897.65 | $1,381.00 | Mar 31, 2026 source file |
| Mercy Health Lakeshore Campus Shelby · Shelby, MI HC ED Type a Level 4 | $933.40 | $1,436.00 | Mar 31, 2026 source file |
| Ascension River District Hospital East China Township · Detroit-Warren-Dearborn, MI ED LEVEL 4 W/PROC 99284 | $938.00 | $1,675.00 | Jan 1, 2026 source file |
| Henry Ford Health St John Hospital Detroit · Detroit-Warren-Dearborn, MI ED LEVEL 4, W/PROCEDURE | $997.92 | $1,782.00 | Jan 1, 2026 source file |
| Henry Ford Health Madison Heights · Detroit-Warren-Dearborn, MI ED LEVEL 4, W/PROCEDURE | $1,027.04 | $1,834.00 | Jan 1, 2026 source file |
| Henry Ford Health Warren Hospital Warren · Detroit-Warren-Dearborn, MI ED LEVEL 4 W/PROC 99284 | $1,027.04 | $1,834.00 | Jan 1, 2026 source file |
| McLaren Lapeer Region Lapeer · Detroit-Warren-Dearborn, MI Emergency Dept Visit Level IV | $1,037.50 | $2,075.00 | Dec 31, 2025 source file |
| Aspirus Iron River Hospital Iron River · Iron River, MI Fac Emergency Level IV | $1,055.60 | $1,624.00 | Apr 1, 2026 source file |
| Aspirus Ironwood Hospital Ironwood · Ironwood, MI Fac Emergency Level IV | $1,055.60 | $1,624.00 | Apr 1, 2026 source file |
| Aspirus Keweenaw Hospital Laurium · Houghton, MI Fac Emergency Level IV | $1,055.60 | $1,624.00 | Apr 1, 2026 source file |
| Munson Healthcare Manistee Hospital Manistee · Manistee, MI ED visit for the EM of a patient which requires these three key components | $1,142.40 | $1,344.00 | Apr 17, 2026 source file |
| Munson Healthcare Cadillac Cadillac · Cadillac, MI MMC LV1 TRAUMA PRENOTIFICATION ER E/M LV4 | $1,144.10 | $1,346.00 | Apr 17, 2026 source file |
| Trinity Health Grand Haven Hospital Grand Haven · Grand Rapids-Wyoming-Kentwood, MI ER HOSP FEE LEVEL 4 | $1,166.00 | $1,166.00 | Nov 21, 2025 source file |
| Munson Healthcare Otsego Memorial Hospital Gaylord · Gaylord, MI ED visit for the EM of a patient which requires these three key components | $1,166.20 | $1,372.00 | Apr 17, 2026 source file |
| Munson Medical Center Traverse City · Traverse City, MI MMC LV2 TRAUMA NO PRENOTIFICATION ER E/M LV4 | $1,177.25 | $1,385.00 | Apr 17, 2026 source file |
| UP Health System - Portage Hancock · Houghton, MI 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 | $1,185.91 | $1,976.51 | Jul 14, 2026 source file |
| Paul Oliver Memorial Hospital Frankfort · Traverse City, MI TRAUMA ACT PRENOTIFICA ER E/M LV4 | $1,228.25 | $1,445.00 | Apr 17, 2026 source file |
| Henry Ford Providence Novi Hospital - Novi Campus Novi · Detroit-Warren-Dearborn, MI L&D ER VISIT-LEVEL IV | $1,235.92 | $2,207.00 | Jan 1, 2026 source file |
| Henry Ford Providence Southfield Hospital Southfield · Detroit-Warren-Dearborn, MI LDRP ED VISIT-LEVEL IV | $1,235.92 | $2,207.00 | Jan 1, 2026 source file |
| Corewell Health Big Rapids Hospital Big Rapids · Big Rapids, MI Hc Ed Visit Category 4 | $1,238.00 | $1,238.00 | Apr 1, 2026 source file |
| Corewell Health Gerber Hospital Fremont · Fremont, MI Hc Ed Visit Category 4 | $1,238.00 | $1,238.00 | Apr 1, 2026 source file |
| Corewell Health Greenville Hospital Greenville · Grand Rapids-Wyoming-Kentwood, MI Hc Ed Visit Category 4 | $1,238.00 | $1,238.00 | Apr 1, 2026 source file |
| Corewell Health Ludington Hospital Ludington · Ludington, MI Hc Ed Visit Category 4 | $1,238.00 | $1,238.00 | Apr 1, 2026 source file |
| Corewell Health Reed City Hospital Reed City · Reed City, MI Hc Ed Visit Category 4 | $1,238.00 | $1,238.00 | Apr 1, 2026 source file |
| Corewell Health Zeeland Community Hospital Zeeland · Grand Rapids-Wyoming-Kentwood, MI Hc Ed Visit Category 4 | $1,238.00 | $1,238.00 | Apr 1, 2026 source file |
| Munson Healthcare Grayling Grayling · Grayling, MI MMC LV2 TRAUMA PRENOTIFICATION ER E/M LV4 | $1,258.85 | $1,481.00 | Apr 17, 2026 source file |
| Uphs Marquette Dlp Hospital Marquette · Marquette, MI 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 | $1,259.26 | $2,098.77 | Jul 14, 2026 source file |
| St Joseph Mercy Ann Arbor Ypsilanti · Ypsilanti, MI HC ED Type a Level 4 Sane_Safe | $1,272.70 | $1,958.00 | Mar 31, 2026 source file |
| St Joseph Mercy Chelsea Chelsea · Ann Arbor, MI HC ED Type a Level 4 Sane_Safe | $1,272.70 | $1,958.00 | Mar 31, 2026 source file |
| St Joseph Mercy Livingston Hospital Brighton · Detroit-Warren-Dearborn, MI HC ED Type a Level 4 Sane_Safe | $1,272.70 | $1,958.00 | Mar 31, 2026 source file |
| St Joseph Mercy Oakland Pontiac · Detroit-Warren-Dearborn, MI HC ED Type a Level 4 OB Triage | $1,272.70 | $1,958.00 | Mar 31, 2026 source file |
| St Mary Mercy Livonia Livonia · Detroit-Warren-Dearborn, MI HC ED Type a Level 4 Sane_Safe | $1,272.70 | $1,958.00 | Mar 31, 2026 source file |
| Corewell Health Blodgett Hospital East Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI Hc Ed Visit Category 4 | $1,325.00 | $1,325.00 | Apr 1, 2026 source file |
| Corewell Health Blodgett Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC ED VISIT CATEGORY 4 | $1,325.00 | $1,325.00 | May 1, 2026 source file |
| Corewell Health Butterworth Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI Hc Ed Visit Category 4 | $1,325.00 | $1,325.00 | Apr 1, 2026 source file |
| Sheridan Community Hospital Sheridan · Grand Rapids-Wyoming-Kentwood, MI EMERGENCY LEVEL IV | $1,487.20 | $1,859.00 | Apr 22, 2026 source file |
| Corewell Health Watervliet Hospital Watervliet · Niles, MI HC ED VISIT CATEGORY 4 | $1,626.00 | $1,626.00 | May 1, 2026 source file |
| Lakeland Hospital, St Joseph St Joseph · Niles, MI HC ED VISIT CATEGORY 4 | $1,626.00 | $1,626.00 | May 1, 2026 source file |
| Corewell Health Pennock Hospital Hastings · Grand Rapids-Wyoming-Kentwood, MI HC ED VISIT CATEGORY 4 | $1,846.00 | $1,846.00 | May 1, 2026 source file |
| Memorial Healthcare Owosso · Owosso, MI ER DEPT TREATMENT LEVEL 4 | $2,100.00 | $2,625.00 | Apr 1, 2026 source file |
| Beaumont Hospital - Dearborn Dearborn · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Beaumont Hospital - Grosse Pointe Grosse Pointe · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Beaumont Hospital - Taylor Taylor · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Beaumont Hospital Royal Oak Royal Oak · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Beaumont Hospital, Troy Troy · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Corewell Health Farmington Hills Hospital Farmington Hills · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Corewell Health Trenton Hospital Trenton · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| Corewell Health Wayne Hospital Wayne · Detroit-Warren-Dearborn, MI HC ED VISIT CATEGORY 4 | $2,235.00 | $2,235.00 | May 1, 2026 source file |
| VHS Childrens Hospital of Michigan Detroit · Detroit-Warren-Dearborn, MI ER VISIT LVL IV | $2,242.50 | $2,990.00 | Apr 6, 2026 source file |
| Corewell Helen Devos Childrens Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC ED VISIT CATEGORY 4 | $2,338.00 | $2,338.00 | May 1, 2026 source file |
| VHS Sinai Grace Hospital Detroit · Detroit-Warren-Dearborn, MI OB ER VISIT LVL IV | $2,465.25 | $3,287.00 | Apr 8, 2026 source file |
| VHS Huron Valley-Sinai Hospital Commerce Charter Twp · Detroit-Warren-Dearborn, MI OB ER VISIT LVL IV | $2,619.75 | $3,493.00 | May 20, 2026 source file |
| VHS Detroit Receiving Hospital Detroit · Detroit-Warren-Dearborn, MI ER VISIT LVL IV | $2,877.00 | $3,836.00 | Apr 7, 2026 source file |
| Harper University Hospital Detroit · Detroit-Warren-Dearborn, MI ER VISIT LVL IV | $3,030.75 | $4,041.00 | Sep 2, 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 |
|---|---|---|---|
| Detroit-Warren-Dearborn, MI | 29 | $372.24 | $1,272.70 |
| Grand Rapids-Wyoming-Kentwood, MI | 12 | $238.75 | $1,281.50 |
| Lansing-East Lansing, MI | 5 | $214.75 | $329.25 |
| Traverse City, MI | 3 | $641.75 | $1,177.25 |
| Ann Arbor, MI | 2 | $880.80 | $1,076.75 |
| Flint, MI | 2 | $720.00 | $802.68 |
| Holland, MI | 2 | $513.86 | $515.23 |
| Houghton, MI | 2 | $1,055.60 | $1,120.76 |
| Marquette, MI | 2 | $443.53 | $851.40 |
| Niles, MI | 2 | $1,626.00 | $1,626.00 |
| Saginaw, MI | 2 | $709.80 | $709.80 |
| Sturgis, MI | 2 | $293.15 | $533.32 |
| Bad Axe, MI | 1 | $309.50 | $309.50 |
| Bay City, MI | 1 | $449.50 | $449.50 |
| Big Rapids, MI | 1 | $1,238.00 | $1,238.00 |
| Caro, MI | 1 | $595.00 | $595.00 |
| Charlevoix, MI | 1 | $542.30 | $542.30 |
| Cadillac, MI | 1 | $1,144.10 | $1,144.10 |
| Deckerville, MI | 1 | $720.48 | $720.48 |
| Fremont, MI | 1 | $1,238.00 | $1,238.00 |
| Gaylord, MI | 1 | $1,166.20 | $1,166.20 |
| Grayling, MI | 1 | $1,258.85 | $1,258.85 |
| Harbor Beach, MI | 1 | $512.25 | $512.25 |
| Hillsdale, MI | 1 | $747.15 | $747.15 |
| Iron River, MI | 1 | $1,055.60 | $1,055.60 |
| Ironwood, MI | 1 | $1,055.60 | $1,055.60 |
| Lanse, MI | 1 | $314.00 | $314.00 |
| Ludington, MI | 1 | $1,238.00 | $1,238.00 |
| Manistee, MI | 1 | $1,142.40 | $1,142.40 |
| Mount Pleasant, MI | 1 | $432.00 | $432.00 |
| Muskegon-Norton Shores, MI | 1 | $897.65 | $897.65 |
| Newberry, MI | 1 | $604.17 | $604.17 |
| Owosso, MI | 1 | $2,100.00 | $2,100.00 |
| Petoskey, MI | 1 | $820.00 | $820.00 |
| Reed City, MI | 1 | $1,238.00 | $1,238.00 |
| Saint Ignace, MI | 1 | $795.60 | $795.60 |
| Sandusky, MI | 1 | $237.60 | $237.60 |
| Shelby, MI | 1 | $933.40 | $933.40 |
| Ypsilanti, MI | 1 | $1,272.70 | $1,272.70 |
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
- Maryland$525.39
- Massachusetts$1,267.35
- 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.