Level 4 ER visit cost in Virginia
In Virginia, 37 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $294.63 to $2,373.71, with a median of $909.50. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 8.1× the lowest.
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 Sep 23, 2026.
Lowest$294.63Dickenson Community Hospital + 1 more
Median$909.50half pay less
Highest$2,373.71in Virginia
Lowest saves$614.87vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC ED FAC VISIT LEVEL 4 | $294.63 | $1,281.00 | Mar 23, 2026 source file |
| Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC ED FAC VISIT LEVEL 4 | $294.63 | $1,281.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC ED FAC VISIT LEVEL 4 | $300.30 | $2,002.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC ED FAC VISIT LEVEL 4 | $300.30 | $2,002.00 | — source file |
| Russell County Hospital Lebanon · Lebanon, VA HC ED FAC VISIT LEVEL 4 | $300.30 | $2,002.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC ED FAC VISIT LEVEL 4 | $300.30 | $2,002.00 | — source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Ed Level Iv - Er Dept Visit | $631.00 | $1,262.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Ed Level Iv - Er Dept Visit | $631.00 | $1,262.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Ed Level Iv - Er Dept Visit | $644.50 | $1,289.00 | Apr 1, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC ER Level 4 | $857.40 | $1,429.00 | — source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC ER Level 4 | $898.80 | $1,498.00 | — source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC ER Level 4 | $898.80 | $1,498.00 | — source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC ER Level 4 | $898.80 | $1,498.00 | — source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Level 4 Emergency Care | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | — source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC Ed Level Iv - Er Dept Visit | $909.50 | $1,819.00 | Apr 1, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA 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 | $979.20 | $2,448.00 | — source file |
| Sovah Health - Martinsville Martinsville · Martinsville, VA 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 | $979.20 | $2,448.00 | — source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL 4 E&M ED | $1,458.50 | $2,917.00 | — source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL 4 E&M ED | $1,458.50 | $2,917.00 | — source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL 4 E&M ED | $1,458.50 | $2,917.00 | — source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL 4 E&M ED | $1,458.50 | $2,917.00 | — source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC LEVEL 4 E&M ED | $1,458.50 | $2,917.00 | — source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Er Level 4 | $1,477.74 | $2,462.90 | — source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC OB ER Level 4 | $1,482.00 | $4,940.00 | — source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC ER Level 4 | $1,534.20 | $5,114.00 | — source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC ER Level 4 | $1,619.40 | $5,398.00 | — source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC ER Level 4 | $1,929.60 | $3,216.00 | — source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC ER Level 4 | $1,929.60 | $3,216.00 | — source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC ER Level 4 | $1,929.60 | $3,216.00 | — source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC ER Level 4 | $1,929.60 | $3,216.00 | — source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC LEVEL 4-EXTENDED VISIT | $2,373.71 | $2,637.45 | Mar 17, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 10 | $898.80 | $909.50 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 6 | $909.50 | $1,458.50 |
| Richmond, VA | 5 | $1,482.00 | $1,929.60 |
| Big Stone Gap, VA | 1 | $300.30 | $300.30 |
| Clintwood, VA | 1 | $294.63 | $294.63 |
| Charlottesville, VA | 1 | $631.00 | $631.00 |
| Danville, VA | 1 | $979.20 | $979.20 |
| Emporia, VA | 1 | $1,534.20 | $1,534.20 |
| Harrisonburg, VA | 1 | $631.00 | $631.00 |
| Kilmarnock, VA | 1 | $857.40 | $857.40 |
| Kingsport-Bristol, TN-VA | 1 | $300.30 | $300.30 |
| Lebanon, VA | 1 | $300.30 | $300.30 |
| Marion, VA | 1 | $300.30 | $300.30 |
| Martinsville, VA | 1 | $979.20 | $979.20 |
| Pennington Gap, VA | 1 | $294.63 | $294.63 |
| Roanoke, VA | 1 | $1,619.40 | $1,619.40 |
| South Boston, VA | 1 | $644.50 | $644.50 |
| Suffolk, VA | 1 | $909.50 | $909.50 |
| Staunton-Stuarts Draft, VA | 1 | $909.50 | $909.50 |
What it is
This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.
What the price covers
The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.
Emergency room visit, level 4 of 5, moderate-complexity problem in other states
- Alabama$3,070.00
- Alaska$845.13
- Arizona$1,172.49
- Arkansas$450.75
- California$1,968.81
- Colorado$1,913.19
- Connecticut$510.00
- Delaware$1,354.46
- Florida$2,110.35
- Georgia$875.16
- Hawaii$1,655.40
- Idaho$1,851.00
- Illinois$1,110.00
- Indiana$1,238.40
- Iowa$253.00
- Kansas$1,477.92
- Kentucky$1,347.19
- Louisiana$344.64
- Maine$411.00
- Maryland$482.13
- Massachusetts$1,105.00
- Michigan$938.00
- Minnesota$736.85
- Mississippi$291.20
- Missouri$412.10
- Montana$367.23
- Nebraska$467.38
- Nevada$775.85
- New Hampshire$249.56
- New Jersey$535.09
- New Mexico$639.93
- New York$473.60
- North Carolina$1,554.56
- North Dakota$808.77
- Ohio$1,334.25
- Oklahoma$512.05
- Oregon$451.13
- Pennsylvania$944.00
- Rhode Island$1,119.60
- South Carolina$1,385.50
- South Dakota$1,204.00
- Tennessee$330.00
- Texas$1,273.68
- Utah$1,784.24
- Vermont$239.61
- Washington$1,256.36
- West Virginia$637.00
- Wisconsin$595.00
- Wyoming$1,371.62
Median cash price across the state's hospitals.