Level 4 ER visit cost in Nebraska
In Nebraska, 49 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $323.00 to $4,501.42, with a median of $975.00. The lowest price is at Kearney County Hospital (Minden). The highest price is 13.9× the lowest.
- The median here, $975.00, is 7% below the US median of $1,043.20.
- That is 2.3× Medicare's 2026 national rate for the same service ($426.30).
- Nebraska ranks 25th of 50 states by median, cheapest first.
- 13 of 49 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 10, 2026. See them on a map
Lowest$323.00Kearney County Hospital
Median$975.00half of hospitals charge less
Highest$4,501.42in Nebraska
Lowest saves$652.00vs the median
Hospitals in Nebraska, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Kearney County Hospital lowest Minden · Kearney, NE 99284level 4 | $323.00 | $816.00 | — source file |
| Tri Valley Health System Cambridge · Cambridge, NE Emergency department visit with moderate level of medical decision making | $478.80 | $532.00 | Oct 2, 2026 source file |
| Providence Medical Center Wayne · Wayne, NE 99284 - Level 4 - Lynx Visit Level | $575.45 | $677.00 | Oct 20, 2026 source file |
| Garden County Health Services Oshkosh · Oshkosh, NE Er Level 4 | $581.00 | $854.00 | — source file |
| Chadron Community Hospital Chadron · Chadron, NE 99284 Ed Visit E&m Patient, Lev 4, Req Med Approp Hstry/exam/moderate Mdm, Cc | $600.00 | $857.00 | — source file |
| Harlan County Health System Alma · Alma, NE Emergency department visit with moderate level of medical decision making | $619.20 | $774.00 | Oct 15, 2026 source file |
| Saint Elizabeth Regional Medical Center Lincoln · Lincoln, NE HC ER LEVEL 4 CEN | $668.16 | $1,392.00 | Sep 30, 2026 source file |
| Saint Francis Medical Center Grand Island · Grand Island, NE HC ER LEVEL 4 CEN | $687.12 | $1,227.00 | Sep 30, 2026 source file |
| Pawnee County Memorial Hospital Pawnee City · Pawnee City, NE Er Serv Fee Lvl 4 | $692.00 | $865.00 | — source file |
| Memorial Community Hospital Blair · Omaha, NE-IA Emergency department visit with moderate level of medical decision making | $711.95 | $889.94 | Jul 15, 2026 source file |
| Beatrice Community Hospital Beatrice · Beatrice, NE Hc Er Visit Mod Complex Detailed Lev Iv | $725.00 | $725.00 | — source file |
| West Holt Memorial Hospital Atkinson · Atkinson, NE Er Level Iv | $740.00 | $925.00 | — source file |
| Saunders Medical Center Wahoo · Omaha, NE-IA ER LEVEL IV | $743.25 | $991.00 | Mar 31, 2026 source file |
| Callaway District Hospital Callaway · Callaway, NE 99284 Trauma Evaluation Techfee | $788.00 | $875.00 | — source file |
| Community Hospital - McCook McCook · McCook, NE EMERGENCY ROOM MODERATE S | $789.30 | $877.00 | Dec 27, 2025 source file |
| Rock County Hospital Bassett · Bassett, NE 99284level 4 | $843.00 | $887.00 | — source file |
| St. Mary's Community Hospital Nebraska City · Nebraska City, NE HC ER LEVEL 4 CEN | $867.56 | $1,058.00 | Sep 30, 2026 source file |
| Phelps Memorial Health Center Holdrege · Holdrege, NE Emergency department visit with moderate level of medical decision making | $875.70 | $973.00 | Feb 16, 2026 source file |
| Gothenburg Health Gothenburg · Lexington, NE 99284fac Ed Level 4 Room Charge | $878.00 | $975.00 | — source file |
| Cozad Community Hospital Cozad · Lexington, NE Emergency Rm 25 Detailed | $889.00 | $988.00 | — source file |
| Nemaha County Hospital Auburn · Auburn, NE ER VISIT -4 | $930.00 | $930.00 | Jun 1, 2026 source file |
| Valley County Hospital Ord · Ord, NE ER LEVEL 4 | $936.00 | $1,040.00 | Jun 15, 2026 source file |
| Howard County Medical Center St. Paul · Grand Island, NE EMERGENCY SERVICE-LEVEL 4 | $942.00 | $942.00 | Oct 14, 2026 source file |
| Lexington Regional Health Center Lexington · Lexington, NE 99284 ED VISIT E&M PATIENT, LEV 4, REQ MED APPROP HSTRY/EXAM/MOD | $948.48 | $988.00 | Dec 28, 2025 source file |
| Bellevue Medical Center Bellevue · Omaha, NE-IA Emergency department visit with moderate level of medical decision making | $975.00 | $1,500.00 | Aug 10, 2026 source file |
| Nebraska Medical Center Omaha · Omaha, NE-IA Emergency department visit with moderate level of medical decision making | $975.00 | $1,500.00 | Aug 10, 2026 source file |
| Box Butte General Hospital Alliance · Alliance, NE EMERGENCY DEPT VISIT MOD MDM | $985.60 | $1,232.00 | Aug 18, 2026 source file |
| Alegent Health Memorial Hospital, Schuyler Schuyler · Columbus, NE HC ER LEVEL 4 CEN | $998.76 | $1,218.00 | Sep 30, 2026 source file |
| Syracuse Area Health Syracuse · Syracuse, NE 99284 Ed Visit E&m Patient, Lev 4, Req Med Approp Hstry/exam/moderate Mdm, Cc | $1,000.00 | $1,000.00 | — source file |
| Chase County Hospital Imperial · Imperial, NE 99284 Emergent Care Level 4 Manual -Tech | $1,010.00 | $1,010.00 | — source file |
| CHI Health Plainview Hospital Plainview · Norfolk, NE HC ER LEVEL 4 CEN | $1,047.48 | $1,218.00 | Sep 30, 2026 source file |
| Nebraska Methodist Hospital Omaha · Omaha, NE-IA ER Procedure Level 4 | $1,056.60 | $2,935.00 | Feb 14, 2026 source file |
| Memorial Health Care Systems Seward · Lincoln, NE Emergency department visit with moderate level of medical decision making | $1,060.00 | $1,060.00 | Jul 15, 2026 source file |
| Alegent Health Immanuel Medical Center Omaha · Omaha, NE-IA HC ER LEVEL 4 CEN | $1,062.96 | $2,472.00 | Sep 30, 2026 source file |
| CHI Health Bergan Mercy Omaha · Omaha, NE-IA HC ER LEVEL 4 CEN | $1,062.96 | $2,472.00 | Sep 30, 2026 source file |
| CHI Health Lakeside Omaha · Omaha, NE-IA HC ER LEVEL 4 CEN | $1,062.96 | $2,472.00 | Sep 30, 2026 source file |
| CHI Health Midlands Papillion · Omaha, NE-IA HC ER LEVEL 4 CEN | $1,062.96 | $2,472.00 | Sep 30, 2026 source file |
| York General Hospital York · York, NE Emergency department visit with moderate level of medical decision making | $1,065.50 | $1,065.50 | Jul 22, 2026 source file |
| Regional West Medical Center Scottsbluff · Scottsbluff, NE HB EMERG LEVEL 4 | $1,092.00 | $1,820.00 | Mar 17, 2026 source file |
| Kimball County Hospital Kimball · Kimball, NE Emergency department visit with moderate level of medical decision making | $1,094.44 | $1,094.44 | Oct 12, 2026 source file |
| Good Samaritan Hospital Kearney · Kearney, NE HC ER LEVEL 4 CEN | $1,165.80 | $2,010.00 | Sep 30, 2026 source file |
| Osmond General Hospital Osmond · Norfolk, NE Emergency department visit with moderate level of medical decision making | $1,225.00 | $1,225.00 | Aug 5, 2026 source file |
| Butler County Health David City · David City, NE 99284 Ed Visit E&m Patient, Lev 4, Req Med Approp Hstry/exam/moderate Mdm, Cc | $1,295.00 | $1,295.00 | — source file |
| Gordon Memorial Hospital Gordon · Gordon, NE Category Iv (Extended) | $1,350.00 | $1,350.00 | — source file |
| St Francis Memorial Hospital West Point · West Point, NE 99284 - FAC ED Level 4 Room Charge | $1,390.00 | $1,390.00 | Mar 18, 2026 source file |
| Mary Lanning Healthcare Hastings · Hastings, NE Emergency department visit with moderate level of medical decision making | $1,497.77 | $1,664.19 | Oct 14, 2026 source file |
| Columbus Community Hospital Columbus · Columbus, NE EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,520.00 | $1,600.00 | Mar 30, 2026 source file |
| Banner Ogallala Community Hospital Ogallala · Ogallala, NE ED VISIT LEVEL 4 | $2,004.83 | $1,106.00 | Oct 13, 2026 source file |
| Methodist Fremont Health Fremont · Fremont, NE EMERGENCY DEPARTMENT VISIT MODERATE MDM | $4,501.42 | $12,166.00 | Feb 16, 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 |
|---|---|---|---|
| Omaha, NE-IA | 9 | $711.95 | $1,056.60 |
| Lexington, NE | 3 | $878.00 | $889.00 |
| Columbus, NE | 2 | $998.76 | $1,259.38 |
| Grand Island, NE | 2 | $687.12 | $814.56 |
| Kearney, NE | 2 | $323.00 | $744.40 |
| Lincoln, NE | 2 | $668.16 | $864.08 |
| Norfolk, NE | 2 | $1,047.48 | $1,136.24 |
| Alliance, NE | 1 | $985.60 | $985.60 |
| Alma, NE | 1 | $619.20 | $619.20 |
| Atkinson, NE | 1 | $740.00 | $740.00 |
| Auburn, NE | 1 | $930.00 | $930.00 |
| Bassett, NE | 1 | $843.00 | $843.00 |
| Beatrice, NE | 1 | $725.00 | $725.00 |
| Callaway, NE | 1 | $788.00 | $788.00 |
| Cambridge, NE | 1 | $478.80 | $478.80 |
| Chadron, NE | 1 | $600.00 | $600.00 |
| David City, NE | 1 | $1,295.00 | $1,295.00 |
| Fremont, NE | 1 | $4,501.42 | $4,501.42 |
| Gordon, NE | 1 | $1,350.00 | $1,350.00 |
| Holdrege, NE | 1 | $875.70 | $875.70 |
| Hastings, NE | 1 | $1,497.77 | $1,497.77 |
| Imperial, NE | 1 | $1,010.00 | $1,010.00 |
| Kimball, NE | 1 | $1,094.44 | $1,094.44 |
| McCook, NE | 1 | $789.30 | $789.30 |
| Nebraska City, NE | 1 | $867.56 | $867.56 |
| Ogallala, NE | 1 | $2,004.83 | $2,004.83 |
| Ord, NE | 1 | $936.00 | $936.00 |
| Oshkosh, NE | 1 | $581.00 | $581.00 |
| Pawnee City, NE | 1 | $692.00 | $692.00 |
| Scottsbluff, NE | 1 | $1,092.00 | $1,092.00 |
| Syracuse, NE | 1 | $1,000.00 | $1,000.00 |
| Wayne, NE | 1 | $575.45 | $575.45 |
| West Point, NE | 1 | $1,390.00 | $1,390.00 |
| York, NE | 1 | $1,065.50 | $1,065.50 |
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
- Missouri$911.04
- Montana$850.18
- 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.