Level 4 ER visit cost in Washington
In Washington, 32 hospitals publish a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $205.80 to $3,744.60, with a median of $1,256.36. The lowest price is at Providence St Mary Medical Center (Walla Walla). The highest price is 18.2× 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$205.80Providence St Mary Medical Center
Median$1,256.36half pay less
Highest$3,744.60in Washington
Lowest saves$1,050.56vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence St Mary Medical Center lowest Walla Walla · Walla Walla, WA HC PR ED 99284 VISIT MODERATE MDM CDM | $205.80 | $294.00 | Apr 1, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA PR EMERGENCY DEPARTMENT VISIT FOR THE EVAL AND MANAGEMENT OF A PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY AND/OR EXAMINATION AND MODERATE LEVEL OF MEDICAL DECISION MAKING. | $218.62 | $291.50 | Jun 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA PR EMERGENCY DEPARTMENT VISIT MODERATE MDM | $219.05 | $337.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital 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 Chewelah · Spokane-Spokane Valley, WA HC PR ED 99284 VISIT MODERATE MDM CDM | $224.00 | $320.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR ED 99284 VISIT MODERATE MDM CDM | $304.20 | $585.00 | Apr 1, 2026 source file |
| Central Washington Health Services Association Wenatchee · Wenatchee-East Wenatchee, WA Emergency Department Visit Moderate Mdm | $377.10 | $419.00 | — source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Emergency department visit with moderate level of medical decision making | $697.60 | $872.00 | Aug 6, 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 | — 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 / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC ED SEXUAL ASSAULT EXAM CDM | $865.92 | $1,804.00 | Apr 1, 2026 source file |
| Providence Holy Family 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 |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,149.22 | $3,987.00 | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,212.65 | $3,987.00 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,217.46 | $3,987.00 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,251.22 | $3,987.00 | Feb 28, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc High Level Ed Visits-Level 4 | $1,261.50 | $2,523.00 | Apr 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA ED - LEVEL FOUR E & M, FAC | $1,298.97 | $2,547.00 | — source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,320.49 | $3,987.00 | Feb 28, 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 |
| Enumclaw Regional Hospital Association Enumclaw · Seattle-Tacoma-Bellevue, WA HC ER FACILITY LEVEL 4 | $1,408.87 | $3,987.00 | Feb 28, 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 | — source file |
| St. John Medical Center Longview · Longview-Kelso, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,634.10 | $2,514.00 | — source file |
| St. Joseph Medical Center Bellingham · Bellingham, WA EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,636.05 | $2,517.00 | — 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 |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC ER LEVEL 4 | $1,694.40 | $2,118.00 | — source file |
| Harrison Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC ER FACILITY LEVEL 4 | $1,759.66 | $3,987.00 | Feb 28, 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 | — source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA EMERGENCY DEPARTMENT VISIT MODERATE MDM | $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 | — source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA ER Visit Level 4 | $3,744.60 | $3,744.60 | — source file |
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 | 14 | $304.20 | $1,256.36 |
| Spokane-Spokane Valley, WA | 3 | $224.00 | $224.00 |
| Mount Vernon-Anacortes, WA | 2 | $1,573.65 | $1,755.62 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $219.05 | $1,012.70 |
| Bellingham, WA | 1 | $1,636.05 | $1,636.05 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $1,759.66 | $1,759.66 |
| Centralia, WA | 1 | $1,394.32 | $1,394.32 |
| Friday Harbor, WA | 1 | $772.85 | $772.85 |
| Kennewick-Richland, WA | 1 | $1,662.50 | $1,662.50 |
| Longview-Kelso, WA | 1 | $1,634.10 | $1,634.10 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,394.12 | $1,394.12 |
| Othello, WA | 1 | $218.62 | $218.62 |
| Port Townsend, WA | 1 | $697.60 | $697.60 |
| Walla Walla, WA | 1 | $205.80 | $205.80 |
| Wenatchee-East Wenatchee, WA | 1 | $377.10 | $377.10 |
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
- Virginia$909.50
- West Virginia$637.00
- Wisconsin$595.00
- Wyoming$1,371.62
Median cash price across the state's hospitals.