Level 4 ER visit cost in Washington
In Washington, 56 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $224.00 to $9,176.30, with a median of $1,389.50. The lowest price is at Providence Mount Carmel Hospital (Colville) and 1 other hospital. The highest price is 41.0× the lowest.
- The median here, $1,389.50, is 33% above the US median of $1,041.86.
- That is 3.3× Medicare's 2026 national rate for the same service ($426.30).
- Washington ranks 41st of 50 states by median, cheapest first.
- 4 of 56 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care 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 Nov 12, 2026. See them on a map
Lowest$224.00Providence Mount Carmel Hospital + 1 more
Median$1,389.50half of hospitals charge less
Highest$9,176.30in Washington
Lowest saves$1,165.50vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence Mount Carmel Hospital lowest Colville · Spokane-Spokane Valley, WA HC PR ED 99284 VISIT MODERATE MDM CDM | $224.00 | $320.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital lowest Chewelah · Spokane-Spokane Valley, WA HC PR ED 99284 VISIT MODERATE MDM CDM | $224.00 | $320.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC ED FAC E&M VISIT LEVEL 4 CDM | $305.25 | $407.00 | Oct 23, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Emergency department visit with moderate level of medical decision making | $733.88 | $978.50 | Jul 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $772.85 | $1,189.00 | Mar 20, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Emergency department visit with moderate level of medical decision making | $779.02 | $865.58 | Sep 14, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC ED SEXUAL ASSAULT EXAM CDM | $865.92 | $1,804.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC ED BH FAC E&M LEVEL 4 CDM | $865.92 | $1,804.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC ED FAC E&M VISIT LEVEL 4 CDM | $865.92 | $1,804.00 | Apr 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $875.00 | $1,250.00 | Feb 24, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Emergency department visit with moderate level of medical decision making | $928.20 | $1,092.00 | Oct 7, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Emergency department visit with moderate level of medical decision making | $1,021.60 | $1,277.00 | Jun 29, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED OB FAC E&M VISIT LEVEL 4 CDM | $1,024.80 | $1,464.00 | Apr 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Emergency department visit level 4 | $1,032.80 | $1,291.00 | Jun 24, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC VISIT-ED,LEVEL IV | $1,039.86 | $1,386.48 | Jun 1, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Emergency department visit with moderate level of medical decision making | $1,122.20 | $1,122.20 | May 27, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC ED FAC E&M VISIT LEVEL 4 CDM | $1,169.30 | $2,126.00 | Jan 1, 2025 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Emergency department visit with moderate level of medical decision making | $1,185.84 | $2,196.00 | Aug 31, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,218.78 | $4,226.00 | Sep 30, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc High Level Obed Visits-Level 4 | $1,261.50 | $2,523.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,285.13 | $4,226.00 | Sep 30, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED OB FAC E&M VISIT LEVEL 4 CDM | $1,285.90 | $1,837.00 | Apr 1, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,286.40 | $4,226.00 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,299.50 | $4,226.00 | Sep 30, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Emergency department visit with moderate level of medical decision making | $1,308.82 | $2,111.00 | May 18, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC ED FAC E&M VISIT LEVEL 4 CDM | $1,329.12 | $2,556.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Emergency department visit with moderate level of medical decision making | $1,372.75 | $1,615.00 | Jun 9, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,384.87 | $4,226.00 | Sep 30, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED OB FAC E&M VISIT LEVEL 4 CDM | $1,394.12 | $2,681.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED FAC E&M VISIT LEVEL 4 CDM | $1,394.32 | $2,681.38 | Apr 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA E/M ER Level 4 Fac | $1,428.00 | $1,785.00 | Dec 2, 2024 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC ED Level 4 | $1,475.10 | $1,639.00 | Aug 10, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA ER Visit Mod Level MDM Fac | $1,523.20 | $1,904.00 | May 15, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA EMERGENCY DEPT VISIT | $1,529.74 | $3,824.36 | Jul 10, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,551.79 | $4,226.00 | Sep 30, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,573.65 | $2,421.00 | Mar 21, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC ER Level 4 | $1,582.70 | $3,056.00 | Sep 30, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 99284 Emergency Department Visit Level 4 | $1,599.00 | $2,132.00 | Mar 10, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED FAC E&M VISIT LEVEL 4 CDM | $1,612.10 | $2,303.00 | Apr 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC HIGH LEVEL ED VISITS-LEVEL 4 | $1,620.63 | $2,794.19 | Apr 14, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,634.10 | $2,514.00 | Mar 21, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,636.05 | $2,517.00 | Mar 21, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED SEXUAL ASSAULT EXAM CDM | $1,662.50 | $2,375.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Emergency department visit with moderate level of medical decision making | $1,672.00 | $2,090.00 | Aug 6, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC ER LEVEL 4 | $1,694.40 | $2,118.00 | Mar 26, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC SERVICE LEVEL 4 ED | $1,701.70 | $2,618.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Emergency department visit level 4 | $1,764.00 | $1,764.00 | Jan 4, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,806.35 | $2,779.00 | Mar 20, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Emergency department visit with moderate level of medical decision making | $1,820.80 | $2,276.00 | Oct 27, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Emergency department visit with moderate level of medical decision making | $1,875.71 | $1,875.71 | Sep 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA FACILITY USE-EMERGENCY ROOM, LEVEL 4 | $1,888.80 | $2,361.00 | Apr 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC ER LEVEL 4 | $1,937.60 | $2,422.00 | Mar 26, 2026 source file |
| Commonspirit Washington Community Care Silverdale · Bremerton-Silverdale-Port Orchard, WA HC ER FACILITY LEVEL 4 | $2,044.54 | $4,226.00 | Sep 30, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA ED FACILITY LEVEL 4 | $2,159.10 | $2,540.12 | Sep 14, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA ER Visit Level 4 | $3,744.60 | $3,744.60 | Mar 31, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Emergency Department Visit Moderate Mdm | $9,176.30 | $13,109.00 | Mar 12, 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 17 | $865.92 | $1,329.12 |
| Spokane-Spokane Valley, WA | 4 | $224.00 | $624.40 |
| Kennewick-Richland, WA | 3 | $1,169.30 | $1,529.74 |
| Wenatchee-East Wenatchee, WA | 3 | $1,475.10 | $1,523.20 |
| Centralia, WA | 2 | $1,308.82 | $1,351.57 |
| Moses Lake, WA | 2 | $1,122.20 | $1,443.10 |
| Mount Vernon-Anacortes, WA | 2 | $1,573.65 | $1,755.62 |
| Othello, WA | 2 | $733.88 | $886.87 |
| Port Townsend, WA | 2 | $1,672.00 | $1,746.40 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $1,701.70 | $1,754.02 |
| Pullman, WA | 2 | $1,021.60 | $1,197.18 |
| Aberdeen, WA | 1 | $1,185.84 | $1,185.84 |
| Bellingham, WA | 1 | $1,636.05 | $1,636.05 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $2,044.54 | $2,044.54 |
| Davenport, WA | 1 | $779.02 | $779.02 |
| Ellensburg, WA | 1 | $928.20 | $928.20 |
| Friday Harbor, WA | 1 | $772.85 | $772.85 |
| Goldendale, WA | 1 | $1,428.00 | $1,428.00 |
| Ilwaco, WA | 1 | $305.25 | $305.25 |
| Longview-Kelso, WA | 1 | $1,634.10 | $1,634.10 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,394.12 | $1,394.12 |
| Port Angeles, WA | 1 | $1,032.80 | $1,032.80 |
| Republic, WA | 1 | $2,159.10 | $2,159.10 |
| South Bend, WA | 1 | $875.00 | $875.00 |
| Shelton, WA | 1 | $1,599.00 | $1,599.00 |
| Walla Walla, WA | 1 | $1,612.10 | $1,612.10 |
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$559.88
- 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$542.56
- 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$868.55
- North Carolina$1,231.80
- North Dakota$810.00
- Ohio$1,328.63
- Oklahoma$757.95
- Oregon$1,329.25
- Pennsylvania$1,233.60
- 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$1,309.76
- Utah$3,729.47
- Vermont$965.60
- Virginia$909.50
- West Virginia$686.00
- Wisconsin$922.65
- Wyoming$1,187.80
Median cash price across the state's hospitals.