Level 4 ER visit cost in Missouri
In Missouri, 64 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $190.80 to $5,409.49, with a median of $911.04. The lowest price is at Madison Medical Center (Fredericktown). The highest price is 28.4× the lowest.
- The median here, $911.04, is 13% below the US median of $1,043.20.
- That is 2.1× Medicare's 2026 national rate for the same service ($426.30).
- Missouri ranks 20th of 50 states by median, cheapest first.
- 8 of 64 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$190.80Madison Medical Center
Median$911.04half of hospitals charge less
Highest$5,409.49in Missouri
Lowest saves$720.24vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Madison Medical Center lowest Fredericktown · Fredericktown, MO E/R VISIT-DETAIL HIST. MOD COMPLEX | $190.80 | $212.00 | Oct 13, 2026 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO EMERGENCY DEPT VISIT MOD MDM | $224.50 | $449.00 | May 19, 2026 source file |
| Texas County Memorial Hospital Houston · Houston, MO HSPTLST EMERGENCY ROOM E&M MOD | $248.50 | $355.00 | Jul 17, 2026 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO EMERGENCY DEPT VISIT MOD MDM | $319.98 | $533.30 | Jul 1, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Ed Level 4 | $415.00 | $2,137.53 | Mar 17, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO 99284 - Level 4 | $443.63 | $2,112.53 | Apr 1, 2026 source file |
| Community Hospital Association Fairfax · Fairfax, MO E R LEVEL IV MOD 25 | $455.00 | $650.00 | Aug 21, 2026 source file |
| Missouri Delta Medical Center Sikeston · Sikeston, MO Emergency Room V High | $470.19 | $1,880.75 | Aug 7, 2026 source file |
| Cox Medical Center Branson Branson · Branson, MO EMERGENCY DEPT VISIT MOD MDM | $499.35 | $2,199.76 | Apr 24, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MODERATE MDM, CC | $520.00 | $650.00 | May 5, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO LEVEL IV | $526.50 | $810.00 | Oct 8, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO EMERGENCY DEPT VISIT MOD MDM | $554.34 | $2,199.76 | Apr 24, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS ED IV | $581.00 | $2,083.00 | Jul 9, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO ED LEVEL 4 | $589.40 | $842.00 | Oct 24, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Emergency department visit with moderate level of medical decision making | $608.10 | $1,013.50 | Oct 28, 2026 source file |
| Northeast Regional Medical Center Kirksville · Kirksville, MO EXTENDED ED VISIT | $620.90 | $2,587.08 | Apr 1, 2026 source file |
| Nevada City Hospital Nevada · Nevada, MO ER LEVEL 4 | $664.65 | $1,477.00 | Jan 14, 2025 source file |
| Cox-Monett Hospital Monett · Monett, MO EMERGENCY DEPT VISIT MOD MDM | $670.93 | $2,199.76 | Apr 24, 2026 source file |
| NKC Health North Kansas City · Kansas City, MO-KS ER Level 4 | $671.35 | $2,315.00 | Mar 6, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO EMERGENCY DEPT VISIT MOD MDM | $701.72 | $2,199.76 | Apr 24, 2026 source file |
| Mercy Perry Perryville · Perryville, MO ED Visit Care Level 4 | $720.20 | $1,108.00 | Mar 12, 2026 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS ED Visit Care Level 4 | $731.90 | $1,126.00 | Jun 9, 2026 source file |
| Mercy St. Francis Hospital Mountain View · West Plains, MO ED Visit Care Level 4 | $741.65 | $1,141.00 | Jun 10, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS FACILITY FEE - LEVEL IV | $741.82 | $1,854.56 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS SANE LEVEL 4 | $741.82 | $1,854.56 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS FACILITY FEE - LEVEL IV | $741.82 | $1,854.56 | Sep 1, 2026 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO ED Visit Care Level 4 | $750.75 | $1,155.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO ED Visit Care Level 4 | $753.35 | $1,159.00 | Jun 10, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL ED Visit Care Level 4 | $815.10 | $1,254.00 | Jun 10, 2026 source file |
| Lakewood Medical Center Kansas City · Kansas City, MO-KS ED LEVEL 4 | $843.15 | $1,533.00 | Aug 5, 2026 source file |
| University Health Truman Medical Center Kansas City · Kansas City, MO-KS ED Level 4 | $843.15 | $1,533.00 | Aug 5, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $872.40 | $1,090.50 | Mar 25, 2026 source file |
| Fitzgibbon Hospital Marshall · Marshall, MO Emergency department visit with moderate level of medical decision making | $949.68 | $1,187.10 | Feb 2, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL ED Visit Care Level 4 | $980.20 | $1,508.00 | Jun 10, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS EMERGENCY SERVICES LEVEL IV | $1,033.08 | $1,475.82 | Apr 20, 2026 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,105.00 | $1,300.00 | Sep 26, 2025 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO ER URGENT | $1,145.00 | $1,145.00 | Jul 1, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL ED Visit Care Level 4 | $1,248.65 | $1,921.00 | Jun 4, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO ED Visit Care Level 4 | $1,277.90 | $1,966.00 | Jun 10, 2026 source file |
| Phelps Health Rolla · Rolla, MO EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,311.44 | $1,873.49 | Feb 26, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO ED Visit Care Level 4 | $1,313.00 | $2,020.00 | Jun 11, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL ED Visit Care Level 4 | $1,342.25 | $2,065.00 | Jun 10, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO ED Visit Care Level 4 | $1,430.00 | $2,200.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO ED Visit Care Level 4 | $1,430.00 | $2,200.00 | Jun 4, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS LVL 4 EMERGENCY ROOM | $1,477.92 | $3,079.00 | Apr 1, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO 99284 - FAC ED Level 4 Room Charge | $1,480.50 | $1,480.50 | Apr 1, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO ED LEVEL 4 INTERMED | $1,482.00 | $2,470.00 | Apr 1, 2026 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO EXTENDED ED VISIT | $1,484.57 | $5,498.41 | Apr 1, 2026 source file |
| Cass Regional Medical Center Harrisonville · Kansas City, MO-KS SANE/SAFE/CPAFE | $1,486.10 | $2,123.00 | Apr 7, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO ER VISIT LEVEL IV-EC | $1,512.00 | $2,520.00 | Dec 15, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $1,530.00 | $1,800.00 | Sep 26, 2025 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO Emergency dept lv iv w/trauma | $1,748.40 | $5,828.00 | Oct 15, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL ED Visit Care Level 4 | $1,836.90 | $2,826.00 | Jun 10, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Class Iv Room | $1,841.00 | $1,841.00 | Apr 1, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL ED Visit Care Level 4 | $1,993.22 | $3,066.50 | Jun 11, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $2,040.00 | $2,400.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY | $2,040.00 | $2,400.00 | Sep 26, 2025 source file |
| Bothwell Regional Health Center Sedalia · Sedalia, MO EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $2,121.00 | $2,828.00 | Mar 26, 2026 source file |
| Lafayette Regional Health Center Lexington · Kansas City, MO-KS 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 | $2,574.98 | $2,574.98 | Sep 1, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS ED Visit Care Level 4 | $2,757.23 | $4,241.90 | Jun 9, 2026 source file |
| Centerpoint Medical Center Independence · Kansas City, MO-KS LVL 4 EMER DEPT | $4,208.36 | $4,208.36 | Sep 1, 2026 source file |
| Lee's Summit Medical Center Lee's Summit · Kansas City, MO-KS 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 | $4,370.12 | $4,370.12 | Sep 1, 2026 source file |
| Research Medical Center Kansas City · Kansas City, MO-KS LVL 4 EMER DEPT | $5,202.81 | $5,202.81 | Sep 1, 2026 source file |
| Belton Regional Medical Center Kansas City · Kansas City, MO-KS 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 | $5,409.49 | $5,409.49 | Sep 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 |
|---|---|---|---|
| Kansas City, MO-KS | 13 | $415.00 | $1,477.92 |
| Joplin, MO-KS | 5 | $731.90 | $741.82 |
| St. Louis, MO-IL | 5 | $815.10 | $1,248.65 |
| Springfield, MO | 4 | $554.34 | $1,151.20 |
| Cape Girardeau, MO-IL | 2 | $1,841.00 | $1,917.11 |
| Columbia, MO | 2 | $1,482.00 | $1,497.00 |
| St. Joseph, MO-KS | 2 | $2,040.00 | $2,040.00 |
| Albany, MO | 1 | $1,105.00 | $1,105.00 |
| Aurora, MO | 1 | $750.75 | $750.75 |
| Bethany, MO | 1 | $526.50 | $526.50 |
| Branson, MO | 1 | $499.35 | $499.35 |
| Cassville, MO | 1 | $753.35 | $753.35 |
| Clinton, MO | 1 | $319.98 | $319.98 |
| Dexter, MO | 1 | $1,313.00 | $1,313.00 |
| Fairfax, MO | 1 | $455.00 | $455.00 |
| Fredericktown, MO | 1 | $190.80 | $190.80 |
| Hermann, MO | 1 | $608.10 | $608.10 |
| Houston, MO | 1 | $248.50 | $248.50 |
| Kirksville, MO | 1 | $620.90 | $620.90 |
| Lamar, MO | 1 | $701.72 | $701.72 |
| Lousiana, MO | 1 | $520.00 | $520.00 |
| Lebanon, MO | 1 | $1,277.90 | $1,277.90 |
| Memphis, MO | 1 | $589.40 | $589.40 |
| Milan, MO | 1 | $1,145.00 | $1,145.00 |
| Monett, MO | 1 | $670.93 | $670.93 |
| Marshall, MO | 1 | $949.68 | $949.68 |
| Maryville, MO | 1 | $1,530.00 | $1,530.00 |
| Moberly, MO | 1 | $1,484.57 | $1,484.57 |
| Nevada, MO | 1 | $664.65 | $664.65 |
| Osage Beach, MO | 1 | $1,748.40 | $1,748.40 |
| Perryville, MO | 1 | $720.20 | $720.20 |
| Poplar Bluff, MO | 1 | $443.63 | $443.63 |
| Rolla, MO | 1 | $1,311.44 | $1,311.44 |
| Ste. Genevieve, MO | 1 | $224.50 | $224.50 |
| Sedalia, MO | 1 | $2,121.00 | $2,121.00 |
| Sikeston, MO | 1 | $470.19 | $470.19 |
| Warrensburg, MO | 1 | $1,480.50 | $1,480.50 |
| West Plains, MO | 1 | $741.65 | $741.65 |
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
- Michigan$1,055.60
- Minnesota$786.83
- Mississippi$559.44
- 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.