ER Visit Cost in Gainesville, FL

An emergency room visit involves an evaluation by emergency staff, which can include a physical exam, monitoring, and testing such as imaging or lab work, producing a clinical assessment and any results from those tests. The hospital facility fee covers the use of the department, nursing, equipment, and supplies, and it is billed separately from physician fees. This page covers three billing codes: 99283 (ER Visit Level 3, Moderate), 99284 (Level 4, High/Urgent), and 99285 (Level 5, Critical). The prices shown for three Gainesville hospitals come from the price transparency files that CMS requires hospitals to publish, and they reflect facility charges only.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 2026-09-01

ER Visit Level 3 (Moderate) (HCPCS 99283)

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Hospital Cash Price
HCA Gainesville * $8,381.70 * Schedule →
HCA North Florida * $8,381.70 * Schedule →
UF Health Shands $1,668.15 Schedule →
* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

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

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Hospital Cash Price
HCA Gainesville * $11,639.50 * Schedule →
HCA North Florida * $11,639.50 * Schedule →
UF Health Shands $2,110.35 Schedule →
* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

ER Visit Level 5 (Critical) (HCPCS 99285)

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Hospital Cash Price
HCA Gainesville * $12,987.01 * Schedule →
HCA North Florida * $12,987.01 * Schedule →
UF Health Shands $2,498.10 Schedule →
* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

What These Prices Mean

Gross, cash, and insured figures side by side
The gross charge is a hospital's full list price before any discount. The cash price is what a self-pay patient is quoted, and the insured range spans the rates negotiated with health plans. At UF Health Shands Hospital, cash is 55% of gross for all three codes, such as $1,668.15 against a $3,033 gross charge for 99283. At HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital, cash is 100% of gross, so no self-pay discount is published. People on a high-deductible plan who have not met their deductible usually pay the plan's negotiated rate, so the insured range is the relevant figure for them.

How the three codes step up in price
Code 99283 is the moderate level, 99284 is high or urgent, and 99285 is critical. At UF Health Shands Hospital, gross charges move from $3,033 to $3,837 to $4,542 across the three codes, and cash prices move from $1,668.15 to $2,110.35 to $2,498.10. At HCA Florida Gainesville Hospital, gross and cash are both $8,381.70 for 99283, $11,639.50 for 99284, and $12,987.01 for 99285. Insured ranges also shift by code, for example $1,575.76 to $3,771.77 for 99283 and $2,441.56 to $8,769 for 99285 at HCA Florida Gainesville Hospital.

Why ER Visit Prices Vary

Two systems, two discount approaches
The three hospitals belong to two systems: HCA Healthcare has two and UF Health has one. Gross charges run from $3,033 at UF Health Shands Hospital (99283) to $12,987.01 at HCA Florida Gainesville Hospital (99285), and the highest is about 4x the lowest. Two of the three hospitals, HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital, publish cash prices equal to gross. Excluding those, cash runs from $1,668.15 to $2,498.10, both at UF Health Shands Hospital. Counting all hospitals, the cash range extends from $1,668.15 to $12,987.01.

Other facilities and plan-to-plan spread
Outpatient centers, freestanding emergency facilities, and other sites outside this dataset may price differently. Within this page, insurer rates vary widely. The table of 144 published rates for 99283 at UF Health Shands Hospital runs from $277.94 for several plans to $2,729.70 for GEHA PPO entries, and the highest is about 10x the lowest. At HCA Florida North Florida Hospital, insured rates run from $70.30 to $11,688.31. At five of the nine price rows, cash is above every insured rate at that hospital.
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Paying cash? Health insurance could lower your ER Visit cost.

Published cash prices on this page range from $1,668.15 to $12,987.01 (including hospitals that publish cash equal to gross charge, marked with * in the table). The lowest insured rate in the price table is $70.30 (HCA Florida North Florida 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 UF Health Shands, outpatient facility fee:

ER Visit Level 3 (Moderate) (99283), UF Health Shands Payer Rates

Insurance Payer Plan Type Negotiated Rate
BCBS Medicare Advantage-HMO $277.94
Optum Behavioral Health Gov $277.94
VHA Gov $277.94
BCBS Medicare Advantage-HMO $277.94
Optum Behavioral Health Gov $277.94
VHA Gov $277.94
BCBS Medicare Advantage-HMO $277.94
Optum Behavioral Health Gov $277.94
VHA Gov $277.94
BCBS Medicare Advantage-PPO $285.06
Capital Health Plan Medicare HMO $285.06
Humana Medicare HMO $285.06
North Central Hospice Medicare $285.06
Wellcare MEDICARE ADV. $285.06
BCBS Medicare Advantage-PPO $285.06
Capital Health Plan Medicare HMO $285.06
Humana Medicare HMO $285.06
North Central Hospice Medicare $285.06
Wellcare MEDICARE ADV. $285.06
BCBS Medicare Advantage-PPO $285.06
Capital Health Plan Medicare HMO $285.06
Humana Medicare HMO $285.06
North Central Hospice Medicare $285.06
Wellcare MEDICARE ADV. $285.06
Humana Medicare Adv PPO $287.92
Humana Behavioral Health Medicare Advantage $287.92
Humana Medicare Adv PPO $287.92
Humana Behavioral Health Medicare Advantage $287.92
Humana Medicare Adv PPO $287.92
Humana Behavioral Health Medicare Advantage $287.92
Careplus MEDICARE ADV.-HMO $293.62
Careplus MEDICARE ADV.-HMO $293.62
Careplus MEDICARE ADV.-HMO $293.62
UHC Medicare Advantage $296.47
UHC Medicare Advantage $296.47
UHC Medicare Advantage $296.47
CARELON HEALTH MEDICARE ADVANTAGE $302.45
CARELON HEALTH MEDICARE ADVANTAGE $302.45
CARELON HEALTH MEDICARE ADVANTAGE $302.45
Positive Healthcare Partners Ryan White Members $305.73
Positive Healthcare Partners Ryan White Members $305.73
Positive Healthcare Partners Ryan White Members $305.73
AHF MCO OF FL Medicare HMO (SPN) $313.57
Devoted Health Plan Medicare HMO $313.57
Devoted Health Plan Medicare PPO $313.57
Freedom Health- Inc./Optimum HealthCare- Inc. Medicare Advantage $313.57
AHF MCO OF FL Medicare HMO (SPN) $313.57
Devoted Health Plan Medicare PPO $313.57
Devoted Health Plan Medicare HMO $313.57
Freedom Health- Inc./Optimum HealthCare- Inc. Medicare Advantage $313.57
AHF MCO OF FL Medicare HMO (SPN) $313.57
Devoted Health Plan Medicare PPO $313.57
Devoted Health Plan Medicare HMO $313.57
Freedom Health- Inc./Optimum HealthCare- Inc. Medicare Advantage $313.57
Ghilcrest County Inmate Services $347.42
Levy County Inmate Services $347.42
Ghilcrest County Inmate Services $347.42
Levy County Inmate Services $347.42
Ghilcrest County Inmate Services $347.42
Levy County Inmate Services $347.42
WellPath Inmate Services $444.70
WellPath Inmate Services $444.70
WellPath Inmate Services $444.70
Ambetter All Products $461.37
Ambetter All Products $461.37
Ambetter All Products $461.37
Florida Health Care Plan HMO $500.29
Florida Health Care Plan HMO $500.29
Florida Health Care Plan HMO $500.29
AVMED Select and Entrust Network $1,049.36
AVMED All Products $1,152.32
UAA Student Athletes $1,155.57
UAA Student Athletes $1,155.57
UAA Student Athletes $1,155.57
Aetna Better Health Medicaid HMO $1,213.20
Aetna Better Health Healthy Kids $1,213.20
AmeriHealth Caritas Florida Medicaid HMO $1,213.20
Humana MANAGED MEDICAID $1,213.20
Molina Medicaid HMO $1,213.20
Simply Healthcare MCD HMO $1,213.20
Sunshine State Health Plan Medicaid HMO $1,213.20
Aetna Better Health Medicaid HMO $1,213.20
Aetna Better Health Healthy Kids $1,213.20
AmeriHealth Caritas Florida Medicaid HMO $1,213.20
Humana MANAGED MEDICAID $1,213.20
Molina Medicaid HMO $1,213.20
Simply Healthcare MCD HMO $1,213.20
Sunshine State Health Plan Medicaid HMO $1,213.20
Aetna Better Health Medicaid HMO $1,213.20
Aetna Better Health Healthy Kids $1,213.20
AmeriHealth Caritas Florida Medicaid HMO $1,213.20
Humana MANAGED MEDICAID $1,213.20
Molina Medicaid HMO $1,213.20
Simply Healthcare MCD HMO $1,213.20
Sunshine State Health Plan Medicaid HMO $1,213.20
Northeast FL Hospital Self Insured $1,334.52
Northeast FL Hospital Self Insured $1,334.52
Northeast FL Hospital Self Insured $1,334.52
Capital Health Plan Commercial $1,516.50
Community Care Plan Florida Healthy Kids- Medicaid HMO $1,516.50
Capital Health Plan Commercial $1,516.50
Community Care Plan Florida Healthy Kids- Medicaid HMO $1,516.50
Capital Health Plan Commercial $1,516.50
Community Care Plan Florida Healthy Kids- Medicaid HMO $1,516.50
BCBS Gatorcare $1,737.98
BCBS Gatorcare $1,737.98
BCBS Gatorcare $1,737.98
BCBS Blue Select PPO $1,769.88
BCBS Blue Select PPO $1,769.88
BCBS Blue Select PPO $1,769.88
BCBS Commercial-HMO $1,967.45
BCBS Commercial-HMO $1,967.45
BCBS Commercial-HMO $1,967.45
BCBS NWB- PPO- CUF- JUF $2,049.77
BCBS NWB- PPO- CUF- JUF $2,049.77
BCBS NWB- PPO- CUF- JUF $2,049.77
Prime Health Services Inmate Services $2,123.10
Health First Medicare Advantage $2,123.10
Health First All Products $2,123.10
Prime Health Services Inmate Services $2,123.10
Health First Medicare Advantage $2,123.10
Health First All Products $2,123.10
Prime Health Services Inmate Services $2,123.10
Cigna ALL PRODUCTS $2,261.10
Archbold Medical Center PPO $2,274.75
GENEX Workers Comp $2,274.75
Health First Medicare Advantage $2,274.75
Health First All Products $2,274.75
Archbold Medical Center PPO $2,274.75
GENEX Workers Comp $2,274.75
Archbold Medical Center PPO $2,274.75
GENEX Workers Comp $2,274.75
BCBS PHS-PPS $2,355.38
BCBS PHS-PPS $2,355.38
BCBS PHS-PPS $2,355.38
Aetna Health ASA $2,499.19
Aetna Health ASA $2,499.19
Aetna Health ASA $2,499.19
Corvel Corp Workers Comp $2,578.05
Corvel Corp Workers Comp $2,578.05
Corvel Corp Workers Comp $2,578.05
GEHA PPO $2,729.70
GEHA PPO $2,729.70
GEHA PPO $2,729.70

Key finding: At UF Health Shands Hospital, published 99283 rates run from $277.94 for plans such as BCBS Medicare Advantage-HMO to $2,729.70 for GEHA PPO, about 10x apart.

What to Do With These ER Visit Prices

Confirm which of the three codes you were billed. After the visit, look on the itemized bill for 99283, 99284 or 99285. The hospital assigns the level based on the care you received, so you could not have chosen it in advance. If the level looks higher than the care you remember, you can ask the billing office to explain how it was assigned.

Measure your bill against the rows here. At HCA Florida Gainesville Hospital, the cash price for 99283 is $8,381.70, the same as its gross charge, while insured rates for that code run up to $3,771.77. At UF Health Shands Hospital, cash for the same code is $1,668.15, below its gross charge. If your bill shows a total near a gross figure, ask whether it is a full list price or a negotiated rate.

Expect and sort several bills. The facility fee comes from the hospital, and it is the figure these rows show. The ER physician often bills separately, and radiology or lab groups may send their own bills too. Check that tests, imaging and medications are itemized, not folded into one lump sum, and that nothing appears twice.

A note on blanks. This page has no missing gross or cash prices across its 9 rows. On other pages, a $0 or blank price means the data was not published, 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 Gainesville?

Based on the published files, cash prices on this page run from $1,668.15 at UF Health Shands Hospital (99283) to $12,987.01 at HCA Florida Gainesville Hospital (99285). All nine price rows have a published cash price, so none is missing. At HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital, the cash price equals the gross charge. At UF Health Shands Hospital, cash prices run from $1,668.15 to $2,498.10 across the three codes. These figures are facility charges only. Professional fees, such as the emergency physician's bill, are billed separately and are not included.

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

The gross charge is the hospital's full list price, while the cash price is the amount quoted to self-pay patients. At UF Health Shands Hospital, cash is 55% of gross for each code, for example $2,110.35 against a $3,837 gross charge for 99284. At HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital, cash is 100% of gross, so the two figures are the same and no self-pay discount is published. Gross charges on this page run from $3,033 to $12,987.01, and the highest is about 4x the lowest.

Does insurance cover a er visit?

Whether insurance applies to an ER visit depends on your specific plan, so the plan's own documents and your insurer are the sources for coverage details. The published insured rates on this page are negotiated amounts. At HCA Florida Gainesville Hospital, the 99283 insured range is $1,575.76 to $3,771.77, and at UF Health Shands Hospital it is $277.94 to $2,729.70. If you have a high-deductible plan and have not met your deductible, you usually pay the plan's negotiated rate for the facility charge.

Are there additional fees beyond the er visit facility charge?

Yes. The facility charge covers the hospital's department, staff, equipment, and supplies, but other bills are common. These can include a separate professional fee from the emergency physician, and bills from radiologists who read imaging. Laboratory work, imaging studies, medications, and supplies may be billed as separate line items on an itemized statement. Ambulance transport, if used, is typically billed by a different provider. Specialists consulted during the visit may also bill on their own. Requesting an itemized bill shows which charges apply.

What is the cash price for a level 3 ER visit at UF Health Shands Hospital?

UF Health Shands Hospital publishes a cash price of $1,668.15 for ER Visit Level 3 (Moderate), billing code 99283. That is 55% of its gross charge of $3,033. This is a facility charge only, so physician fees and other services are not included in these figures.

What are the lowest and highest published ER visit prices in Gainesville?

The cash prices on this page run from $1,668.15 at UF Health Shands Hospital (99283) to $12,987.01 at HCA Florida Gainesville Hospital (99285). These are facility charges only. Two of the three hospitals publish cash prices equal to their gross charges, which is why the top of the range is so high.

What does UnitedHealthcare pay for an ER visit in Gainesville, FL?

UnitedHealthcare rates on this page run from $296.47 at UF Health Shands Hospital to $8,769 at HCA Florida North Florida Hospital, with a median of $3,352.18 across 3 hospitals. The highest is about 30x the lowest. These are facility charges only and do not include separate professional fees.

What is the difference between billing codes 99283, 99284 and 99285 for ER visits?

The codes mark three ER visit levels: 99283 is Level 3 (Moderate), 99284 is Level 4 (High/Urgent) and 99285 is Level 5 (Critical). At UF Health Shands Hospital, the cash price is $1,668.15 for 99283, $2,110.35 for 99284 and $2,498.10 for 99285. These are facility charges only.

Do HCA Florida hospitals in Gainesville offer a discounted self-pay price for ER visits?

No discount is published. HCA Florida Gainesville Hospital and HCA Florida North Florida Hospital both list cash prices equal to gross charges, or 100% of gross. For example, 99283 is $8,381.70 at both hospitals. These are facility charges only, and insured rates listed on this page are lower, such as $1,575.76 as the lowest for 99283.

Compare Other Procedures in Gainesville

Data Sources

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HCA Florida Gainesville Hospital

File updated: 2026-09-01 · Accessed by us: 2026-10-15

Attested by: Brian T Cook

We are not affiliated with HCA Florida Gainesville Hospital. Published prices may not reflect your actual cost. Disclaimer

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HCA Florida North Florida Hospital

File updated: 2026-09-01 · Accessed by us: 2026-10-15

Attested by: Gabriel Bullaro

We are not affiliated with HCA Florida North Florida Hospital. Published prices may not reflect your actual cost. Disclaimer

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UF Health Shands Hospital

File updated: 2026-03-31 · Accessed by us: 2026-10-15

Attested by: Kent Bailey

We are not affiliated with UF Health Shands Hospital. Published prices may not reflect your actual cost. Disclaimer

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