ER Visit Cost in Austin, TX

Emergency department visits are medical encounters that take place in hospital emergency rooms where patients receive immediate evaluation and treatment. The facility fee covers the use of emergency department space, nursing staff, medical equipment, supplies, and hospital overhead costs during the visit. Emergency visits are categorized into different complexity levels based on the visit complexity required, history taking, physical examination performed, and resources utilized. The billing codes analyzed here are HCPCS 99283 for Level 3 moderate complexity visits, HCPCS 99284 for Level 4 high or urgent complexity visits, and HCPCS 99285 for Level 5 critical complexity visits. These prices come from CMS-mandated hospital price transparency files that hospitals must publish annually.

Data last updated: Unknown

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If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.

Do not delay emergency care based on cost.

ER Visit Level 3 (Moderate) (HCPCS 99283)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
BSW Emergency Medical Cen	$1,600.45	$960.27	$267.97	$1,040.29	Schedule →
BSW Medical Center Austin	$1,600.45	$960.27	$242.45	$2,730	Schedule →
BSW Medical Center Buda	$1,600.45	$960.27	$242.45	$2,730	Schedule →
BSW Medical Center Lakewa	$1,600.45	$960.27	$242.45	$2,730	Schedule →
BSW Medical Center Marble	$1,368.44	$821.06	$239.01	$2,730	Schedule →
BSW Medical Center Pfluge	$1,600.45	$960.27	$242.45	$2,730	Schedule →
BSW Medical Center Round	$1,600.45	$960.27	$242.45	$2,730	Schedule →
BSW Medical Center Taylor	$1,600.45	$960.27	$319.29	$2,730	Schedule →

ER Visit Level 4 (High/Urgent) (HCPCS 99284)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
BSW Emergency Medical Cen	$2,586.97	$1,552.18	$415.98	$1,681.53	Schedule →
BSW Medical Center Austin	$2,586.97	$1,552.18	$376.36	$3,901	Schedule →
BSW Medical Center Buda	$2,586.97	$1,552.18	$376.36	$3,901	Schedule →
BSW Medical Center Lakewa	$2,586.97	$1,552.18	$376.36	$3,901	Schedule →
BSW Medical Center Marble	$2,471.74	$1,483.04	$371.02	$3,901	Schedule →
BSW Medical Center Pfluge	$2,586.97	$1,552.18	$376.36	$3,901	Schedule →
BSW Medical Center Round	$2,586.97	$1,552.18	$376.36	$3,901	Schedule →
BSW Medical Center Taylor	$2,586.97	$1,552.18	$516.1	$3,901	Schedule →

ER Visit Level 5 (Critical) (HCPCS 99285)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
BSW Emergency Medical Cen	$3,669.06	$2,201.44	$603.27	$2,384.89	Schedule →
BSW Medical Center Austin	$3,669.06	$2,201.44	$545.81	$10,200	Schedule →
BSW Medical Center Buda	$3,669.06	$2,201.44	$545.81	$10,200	Schedule →
BSW Medical Center Lakewa	$3,669.06	$2,201.44	$545.81	$10,200	Schedule →
BSW Medical Center Marble	$3,669.06	$2,201.44	$538.06	$10,200	Schedule →
BSW Medical Center Pfluge	$3,669.06	$2,201.44	$545.81	$10,200	Schedule →
BSW Medical Center Round	$3,669.06	$2,201.44	$545.81	$10,200	Schedule →
BSW Medical Center Taylor	$3,669.06	$2,201.44	$731.98	$10,200	Schedule →

What These Prices Mean

Understanding the price columns: The gross charge represents the hospital's standard list price before any discounts. Cash prices are typically 60% of the gross charge at all facilities in this data. For example, BSW Medical Center Marble Falls charges a gross price of $1,368.44 for a Level 3 visit but offers a cash price of $821.06, representing a 40% discount. Most other facilities charge higher gross prices of $1,600.45 but still result in higher cash prices of $960.27 despite the same percentage discount. The insured range shows what different insurance plans actually pay, which can vary dramatically. Patients on high-deductible plans who have not met their deductible owe the negotiated insurance rate, not the gross charge. Code variations and complexity levels: Level 3 visits involve moderate complexity visit complexity, Level 4 visits require high or urgent complexity care, and Level 5 visits involve critical complexity situations. The price increases substantially with each level. At BSW Medical Center Austin, cash prices jump from $960.27 for Level 3 to $1,552.18 for Level 4, and $2,201.44 for Level 5 visits.

Why ER Visit Prices Vary

Hospital pricing structures: Gross charges vary between facilities, with BSW Medical Center Marble Falls setting lower list prices than other locations in the network. For Level 3 visits, gross charges range from $1,368.44 to $1,600.45, but this gap narrows when cash prices are applied, ranging from $821.06 to $960.27. All facilities apply the same 40% cash discount, bringing the cash price to 60% of the gross charge consistently across locations. This uniform discount structure suggests coordinated pricing policies within the health system. Facility type and alternatives: The data includes both full-service medical centers and a dedicated emergency medical center. All facilities maintain identical cash pricing structures despite different facility names and locations. Outpatient urgent care centers or freestanding emergency departments not included in this hospital data may have different pricing structures. The cash price range spans from $821.06 to $2,201.44 depending on the facility and visit complexity level.

Paying cash? Health insurance could lower your ER Visit cost.

Published cash prices on this page range from $821.06 to $2,201.44. Insurers on this page have negotiated rates starting from $242.45, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for ER Visit in Austin

How much does each insurance company pay for er visit at Austin hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
Baylor Scott & White Health Plan	$239.01	BSW Medical Center Marble Falls	$1,611.89	7
Superior Health Plan	$246.32	BSW Medical Center Marble Falls	$809.03	7
Humana	$251.59	BSW Medical Center Marble Falls	$2,568.34	7
TriWest Healthcare Alliance	$251.59	BSW Medical Center Marble Falls	$770.5	7
Blue Cross Blue Shield of Texas	$264.17	BSW Medical Center Marble Falls	$10,200	7
ProCare Advantage	$264.17	BSW Medical Center Marble Falls	$809.03	7
Aetna	$267.97	BSW Medical Center Lakeway	$6,465	7
UnitedHealthcare	$289.33	BSW Medical Center Marble Falls	$660.72	6

Rates shown are the lowest and highest negotiated rates each insurer has published across Austin hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for ER Visit Level 3 (Moderate) (HCPCS 99283) at BSW Medical Center Round , outpatient facility fee:

ER Visit Level 3 (Moderate) (99283), BSW Medical Center Round Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
Baylor Scott & White Health Plan	Medicare Advantage	$242.45
Baylor Scott & White Health Plan	Medicare Advantage	$242.45
Humana	Medicare	$255.21
Humana	Medicare	$255.21
Superior Health Plan	Medicare HMO/Medicare PPO	$255.21
Superior Health Plan	Medicare HMO/Medicare PPO	$255.21
TriWest	Community Care Network	$255.21
TriWest	Community Care Network	$255.21
CORVEL	Worker's Compensation	$267.36
CORVEL	Worker's Compensation	$267.36
Prime Health Services	Worker's Compensation	$267.36
Prime Health Services	Worker's Compensation	$267.36
American Health Plan	Medicare Advantage	$267.97
American Health Plan	Medicare Advantage	$267.97
Blue Cross Blue Shield	Medicare Advantage	$267.97
Blue Cross Blue Shield	Medicare Advantage	$267.97
HealthSpring	Medicare Advantage	$267.97
HealthSpring	Medicare Advantage	$267.97
ProCare Advantage	Medicare Advantage	$267.97
ProCare Advantage	Medicare Advantage	$267.97
United Healthcare	Medicare Advantage	$293.49
United Healthcare	Medicare Advantage	$293.49
Baylor Scott & White Health Plan	BSW Premier - Small Group	$306.25
Baylor Scott & White Health Plan	BSW Premier - Small Group	$306.25
Injury Management Organization	Med Select Network	$316.97
Injury Management Organization	Med Select Network	$316.97
Superior Health Plan	Medicaid	$320.09
Superior Health Plan	Medicaid	$320.09
Baylor Scott & White Health Plan	BSW Premier - Individual	$320.29
Baylor Scott & White Health Plan	BSW Premier - Individual	$320.29
CareWorks fka Rockport	Worker's Compensation	$381.54
CareWorks fka Rockport	Worker's Compensation	$381.54
Sedgwick	Preferred Network	$381.54
Sedgwick	Preferred Network	$381.54
Baylor Scott & White Health Plan	BSW Plus - Small Group	$421.1
Baylor Scott & White Health Plan	BSW Plus - Small Group	$421.1
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	$834.67
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	$834.67
QuikTrip	Employee Benefit Plan	$880.25
QuikTrip	Employee Benefit Plan	$880.25
QuikTrip	Employee Benefit Plan	$880.25
QuikTrip	Employee Benefit Plan	$880.25
MidCoast	Commercial	$880.25
MidCoast	Commercial	$880.25
MidCoast	Commercial	$880.25
MidCoast	Commercial	$880.25
Blue Cross Blue Shield	Blue Premier	$889
Blue Cross Blue Shield	Blue Premier	$889
Blue Cross Blue Shield	High Performance Network	$889
Blue Cross Blue Shield	High Performance Network	$889
Blue Cross Blue Shield	My BlueHealth	$889
Blue Cross Blue Shield	My BlueHealth	$889
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	$929.89
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	$929.89
Independent Medical System	Commercial PPO	$960.27
Independent Medical System	Commercial PPO	$960.27
Independent Medical System	Commercial PPO	$960.27
Independent Medical System	Commercial PPO	$960.27
University of Mary Hardin-Baylor	Commercial	$962
University of Mary Hardin-Baylor	Commercial	$962
Curative	Commercial	$1,040.29
Curative	Commercial	$1,040.29
Curative	Commercial	$1,040.29
Curative	Commercial	$1,040.29
Blue Cross Blue Shield	Blue Advantage	$1,099
Blue Cross Blue Shield	Blue Advantage	$1,099
First Health	PPO	$1,120.32
First Health	PPO	$1,120.32
First Health	PPO	$1,120.32
First Health	PPO	$1,120.32
Humana	Commercial PPO	$1,120.32
Humana	Commercial PPO	$1,120.32
BlueBell Creameries	Self Insured	$1,200.34
BlueBell Creameries	Self Insured	$1,200.34
HealthSmart	Accel Network	$1,200.34
HealthSmart	Accel Network	$1,200.34
HealthSmart	Preferred Network	$1,200.34
HealthSmart	Preferred Network	$1,200.34
Private Health Care System	PHCS Network	$1,200.34
Private Health Care System	PHCS Network	$1,200.34
Blue Cross Blue Shield	Blue Essentials (HMO)	$1,260
Blue Cross Blue Shield	Blue Essentials (HMO)	$1,260
Blue Cross Blue Shield	BlueChoice (PPO)	$1,323
Blue Cross Blue Shield	BlueChoice (PPO)	$1,323
Three Rivers	Three Rivers Provider Network	$1,440.4
Three Rivers	Three Rivers Provider Network	$1,440.4
Three Rivers	Three Rivers Provider Network	$1,440.4
Three Rivers	Three Rivers Provider Network	$1,440.4
Aetna	Commercial	$2,730
Aetna	Commercial	$2,730

Key finding: Baylor Scott & White Health Plan Medicare Advantage pays as little as $239.01 while Blue Cross Blue Shield BlueChoice PPO pays up to $10,200 for the same Level 5 critical visit.

How to Use This Information

✓ These are facility fees only. The physician's fee is billed separately.
✓ Contact your insurer or the hospital billing department for your specific out-of-pocket cost.
✓ Many hospitals offer financial assistance programs for patients who qualify.

Our methodology · Medical Disclaimer

What Patients Ask About ER Visit Costs

How much does a er visit cost without insurance in Austin?

Without insurance in Austin, emergency department visits range from $821.06 to $2,201.44 in cash prices. Level 3 moderate visits cost $821.06 at BSW Medical Center Marble Falls and $960.27 at all other locations. Level 4 high/urgent visits cost $1,483.04 at Marble Falls and $1,552.18 elsewhere. Level 5 critical visits cost $2,201.44 at all facilities that provide this service level. BSW Medical Center Marble Falls offers the lowest cash prices across all visit levels. These facility fees cover the emergency department resources and staff but are separate from physician fees, which emergency medicine doctors bill separately for their professional services during the visit.

Why is the gross charge so much higher than the cash price?

The gross charge represents the hospital's official list price, but almost no one pays this amount. All facilities in this data offer cash prices at exactly 60% of their gross charges, representing a consistent 40% discount. For instance, BSW Medical Center Austin lists a gross charge of $1,600.45 for a Level 3 visit but accepts $960.27 in cash. Even when hospitals have higher gross charges, they still result in higher cash prices due to the same percentage discount being applied to a higher starting amount. The gross charge serves as the baseline from which all other prices and discounts are calculated, but insurance companies negotiate significantly lower rates and cash patients receive automatic discounts.

Does insurance cover a er visit?

Insurance coverage for emergency department visits typically depends on your specific plan benefits and whether the visit meets your plan's coverage criteria. Based on negotiated rates in this data, insurance payments range dramatically from $239.01 to $10,200 for the same Level 5 visit depending on your insurer and plan type. Some insurance plans may require prior authorization for non-emergency situations, though true emergencies are generally exempt from this requirement. If you have a high-deductible health plan and have not yet met your annual deductible, you will owe the negotiated insurance rate rather than the gross charge, which can still represent significant savings compared to paying the full list price.

Are there additional fees beyond the er visit facility charge?

Yes, the facility fee shown here covers only the hospital's emergency department resources, staff, and overhead. Emergency medicine physicians bill separately for their professional services, including the medical evaluation, diagnosis, and treatment decisions made during your visit. If you receive additional services like laboratory tests, imaging studies, or procedures, these generate separate charges. Radiologists bill separately for interpreting any X-rays, CT scans, or other imaging performed. If specialists are consulted during your emergency visit, they may also bill separately for their services. The emergency department facility fee is distinct from these professional service fees, though all are typically processed through the hospital's billing system for convenience.

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Data Sources

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Heads up: source files are large

Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Ascension Seton Cedar Park

File updated: Unknown · Accessed by us: 2026-04-13

We are not affiliated with Ascension Seton Cedar Park. Published prices may not reflect your actual cost. Disclaimer