ER Visit Cost in Fort Myers-Cape Coral, FL
An emergency room visit involves a hospital team evaluating a patient on arrival, and the facility fee is the charge for the hospital's space, staff, equipment and supplies used during that visit. The visit is billed by level, and the result is a documented level of care along with any tests and results ordered during the stay. This page covers three billing codes: 99283 ER Visit Level 3 (Moderate), 99284 ER Visit Level 4 (High/Urgent) and 99285 ER Visit Level 5 (Critical). All prices come from the price transparency files that CMS requires hospitals to publish, and this page shows one hospital, HCA Florida Lehigh Hospital.
Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-09-01
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 | Cash Price | |
|---|---|---|
| HCA Lehigh * | $7,031.22 * | Schedule → |
ER Visit Level 4 (High/Urgent) (HCPCS 99284)
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| Hospital | Cash Price | |
|---|---|---|
| HCA Lehigh * | $9,437.20 * | Schedule → |
ER Visit Level 5 (Critical) (HCPCS 99285)
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| Hospital | Cash Price | |
|---|---|---|
| HCA Lehigh * | $12,993.92 * | Schedule → |
What These Prices Mean
The gross charge is the hospital's list price before any discount or insurer contract applies. The cash price is what a self-pay patient is quoted. At HCA Florida Lehigh Hospital, the cash price equals the gross charge for all three codes, so cash is 100% of gross and no self-pay discount is published. The 99283 gross and cash price is $7,031.22, the 99284 price is $9,437.20 and the 99285 price is $12,993.92. Insured rates are negotiated by each plan and are much lower in this file, with 99283 ranging from $877.03 to $5,273.41. People on a high-deductible plan who have not met the deductible usually pay the plan's negotiated rate rather than the gross charge.
How the three codes compare
The codes reflect the level of hospital resources used during the visit. Level 3 (99283) is labeled Moderate, Level 4 (99284) is labeled High/Urgent and Level 5 (99285) is labeled Critical. At HCA Florida Lehigh Hospital, the cash price moves from $7,031.22 for 99283 to $9,437.20 for 99284 and to $12,993.92 for 99285. Insured ranges follow the same order: $877.03 to $5,273.41 for 99283, $1,097.17 to $7,077.90 for 99284 and $1,535 to $9,745.44 for 99285.
Why ER Visit Prices Vary
This page includes one hospital from one health system, HCA Healthcare, so there are no differences between hospitals or systems to compare here. The cash and gross range runs from $7,031.22 for 99283 to $12,993.92 for 99285, and both figures are identical at every code. Because cash equals gross in all 3 rows, the file shows no discount policy for self-pay patients. In other locations, hospitals and systems can publish cash prices that sit well below gross charges, so a single hospital's pattern should not be read as typical for the whole area.
Plan-to-plan spread and other facilities
Outpatient centers, freestanding emergency facilities and other sites outside this dataset may price differently, and their figures are not shown here. Within this dataset, the payer table lists 51 published rates for 99283 at HCA Florida Lehigh Hospital. The lowest is $877.03 from Aetna and the highest is $5,273.41 from Evolutions Healthcare Systems. The highest rate is about 6x the lowest, which shows how much the negotiated rate can differ from one plan to another at the same hospital for the same code.
Paying cash? Health insurance could lower your ER Visit cost.
Published cash prices on this page range from $7,031.22 to $12,993.92 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $877.03 (HCA Florida Lehigh Hospital). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.
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.
What Insurers Actually Pay
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Published negotiated rates for ER Visit Level 3 (Moderate) (HCPCS 99283) at HCA Lehigh, outpatient facility fee:
ER Visit Level 3 (Moderate) (99283), HCA Lehigh Payer Rates
| Insurance Payer | Plan Type | Negotiated Rate |
|---|---|---|
| Aetna | QHP | $877.03 |
| United | OptionsPPO | $942.22 |
| Aetna | QHP | $1,040.62 |
| Aetna | QHP | $1,040.62 |
| United | OptionsPPO | $1,117.96 |
| United | OptionsPPO | $1,117.96 |
| Sunshine State Health Plan | QHP | $1,535 |
| Sunshine State Health Plan | QHP | $1,535 |
| Sunshine State Health Plan | QHP | $1,535 |
| Sunshine State Health Plan | QHP | $1,535 |
| Sunshine State Health Plan | QHP | $1,535 |
| Simply Healthcare | HIX | $1,542 |
| BCBS | BSL | $1,673 |
| BCBS | MBN | $1,673 |
| BCBS | SBN | $1,673 |
| Aetna | ASA | $1,777.77 |
| United | AllPayerAppendix | $1,918 |
| United | AllPayerAppendix | $1,918 |
| United | AllPayerAppendix | $1,918 |
| United | AllPayerAppendix | $1,918 |
| Aetna | ASA | $2,109.37 |
| Aetna | ASA | $2,109.37 |
| BCBS | HMO | $2,135 |
| BCBS | NWB | $2,154 |
| BCBS | PPO | $2,154 |
| Oscar | HIX | $2,180 |
| AmeriHealth Caritas | HIX | $2,607.40 |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,962.95 |
| Plotkin Health | COMM | $2,962.95 |
| AmeriHealth Caritas | HIX | $3,093.74 |
| AmeriHealth Caritas | HIX | $3,093.74 |
| BCBS | PHS | $3,151 |
| Evolutions Healthcare Systems | PrimeTier1 | $3,186 |
| Evolutions Healthcare Systems | PRIMENETWORK | $3,515.61 |
| Plotkin Health | COMM | $3,515.61 |
| Evolutions Healthcare Systems | PRIMENETWORK | $3,515.61 |
| Plotkin Health | COMM | $3,515.61 |
| Cigna | HMO | $3,951 |
| Cigna | PPO | $3,951 |
| Cigna | HMO | $3,951 |
| Cigna | PPO | $3,951 |
| Cigna | HMO | $3,951 |
| Cigna | PPO | $3,951 |
| Cigna | HMO | $3,951 |
| Cigna | PPO | $3,951 |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $4,444.43 |
| Evolutions Healthcare Systems | SELECTNETWORK | $4,444.43 |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $5,273.41 |
| Evolutions Healthcare Systems | SELECTNETWORK | $5,273.41 |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $5,273.41 |
| Evolutions Healthcare Systems | SELECTNETWORK | $5,273.41 |
Key finding: At HCA Florida Lehigh Hospital, 99283 insured rates run from $877.03 (Aetna) to $5,273.41 (Evolutions Healthcare Systems), about 6x apart, while the cash price is $7,031.22.
What to Do With These ER Visit Prices
Match the code to your bill. After a visit, find the ER level on the statement: 99283, 99284 or 99285. The hospital assigns it based on the care you received, so it cannot be chosen in advance. Ask the billing office to confirm which level was charged and what care it reflects. A higher level should line up with the care described in your records.
Compare against the numbers here. This page lists one hospital, HCA Florida Lehigh Hospital, with 3 price rows. For the level 3 visit (99283), cash is $7,031.22, and the insured range runs from $877.03 to $5,273.41. In other words, the published cash price sits above every insured rate listed for that code. If a bill or quote shows a figure near or above the cash price, you can ask how it was calculated.
Look at what is billed and by whom. The hospital facility charge is only one part. Check whether these appear on the itemized bill:
- Tests, imaging and medications listed as separate lines, not rolled into one amount
- A separate bill from the ER physician, which often comes from a different group than the hospital
- Other separate bills, such as radiology reads or lab work, that may arrive later
Blank or zero prices. This page has no missing gross charges and all 3 rows show a published cash price. If you see $0 or an empty field on any hospital page, that means the data is missing, not that the service is free.
Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. Assistance applications and discount requests can be made after the visit.
General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer
What Patients Ask About ER Visit Costs
How much does a er visit cost without insurance in Fort Myers-Cape Coral?
Based on the published files, cash prices for an ER visit on this page run from $7,031.22 to $12,993.92. Both come from HCA Florida Lehigh Hospital, the only hospital with data here: $7,031.22 for 99283 and $12,993.92 for 99285, with $9,437.20 for 99284. All 3 rows have a published cash price, so none are missing. These are facility charges only. Professional fees, such as those billed by the physicians who treat patients, are billed separately and are not included in these figures.
Why is the gross charge so much higher than the cash price?
At HCA Florida Lehigh Hospital, the gross charge is not much higher than the cash price. The two are the same for all three codes, so cash is 100% of gross. For 99283 both are $7,031.22, for 99284 both are $9,437.20 and for 99285 both are $12,993.92. The file publishes no self-pay discount. The large gap on this page is instead between the cash price and the insured rates, which are negotiated by plans and are lower, such as $877.03 to $5,273.41 for 99283. The gross charge is a list price that few payers pay in full.
Does insurance cover a er visit?
Whether insurance covers an ER visit depends on the specific plan, and this page does not state what any plan covers. The price files do show negotiated rates for insured patients at HCA Florida Lehigh Hospital: $877.03 to $5,273.41 for 99283, $1,097.17 to $7,077.90 for 99284 and $1,535 to $9,745.44 for 99285. In all 3 rows, the cash price is above every insured rate. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate until the deductible is met. Your plan documents show your actual cost sharing.
Are there additional fees beyond the er visit facility charge?
Yes. The facility charge on this page covers the hospital's side of the visit only. Separate bills often come from the emergency physician who evaluates and treats the patient, and from radiologists who read imaging. Pathologists or outside laboratories may bill for lab work, and ambulance transport is billed by the transport provider. Additional charges can also appear for tests, medications, supplies and any follow-up care. These bills may arrive from different companies and at different times, and they are not part of the prices listed here.
What is the cash price for a level 3 ER visit at HCA Florida Lehigh Hospital?
The published cash price for ER Visit Level 3 (99283) at HCA Florida Lehigh Hospital is $7,031.22. That matches the gross charge, so no self-pay discount is published for this code. The figure is a facility charge only and does not include separate physician or other professional fees.
What are the lowest and highest ER visit prices published in Fort Myers-Cape Coral?
On this page, the lowest published price is $7,031.22 for ER Visit Level 3 (99283) and the highest is $12,993.92 for ER Visit Level 5 (99285). Both come from HCA Florida Lehigh Hospital, the only hospital with data here. These are facility charges only, and no rows are missing a gross charge.
What is the difference between ER visit codes 99283, 99284 and 99285 in Fort Myers-Cape Coral?
This page lists three codes: 99283 (Level 3, Moderate), 99284 (Level 4, High/Urgent) and 99285 (Level 5, Critical). At HCA Florida Lehigh Hospital the cash price is $7,031.22 for 99283, $9,437.20 for 99284 and $12,993.92 for 99285. All are facility charges only.
Compare Other Procedures in Fort Myers-Cape Coral
Data Sources
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HCA Florida Lehigh Hospital
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Paige Laughlin
We are not affiliated with HCA Florida Lehigh Hospital. Published prices may not reflect your actual cost. Disclaimer
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