Portland-Vancouver-Hillsboro, OR-WA MSA

Portland ER Visit Cost

This page is for uninsured patients or those with high deductibles who want to compare ER prices before they go. It's also useful after a visit for comparing charges and negotiating with the hospital. The ER level fee is typically one of the highest line items on a facility bill.

ER Level 1 Average Cash Price

ER level 1: Usually a very limited emergency department service. The services are provided by ancillary staff rather than the same physician or qualified health professional structure used for higher ED visit levels.

$234

4.48x Medicare rate

ER Level 2 Average Cash Price

ER level 2: Straightforward medical decision making: a minimal problem, no tests or records analyzed, and negligible risk from the management options considered.

$419

4.41x Medicare rate

ER Level 3 Average Cash Price

ER level 3: Low medical decision making: low-complexity problems such as multiple minor issues, a stable chronic problem, or a straightforward acute illness or injury, with limited data review and below-average management risk.

$878

5.13x Medicare rate

ER Level 4 Average Cash Price

ER level 4: Moderate medical decision making: a worsening chronic problem, multiple stable chronic problems, an undiagnosed higher-risk new problem, unexpected acute symptoms, or a complex injury, with moderate data workup and average management risk.

$1,233

4.81x Medicare rate

ER Level 5 Average Cash Price

ER level 5: High medical decision making: a severe chronic problem or an acute or chronic problem or injury that may threaten life or bodily function, with extensive data review and above-average management risk such as hospitalization or urgent high-risk treatment decisions.

$2,250

6.05x Medicare rate

Cash Price Coverage

9 of 16 ER locations

Last UpdatedJun 10, 2026

Big ER Bill? What To Do Now

ER Visit Cost without Insurance

ER visit costs can vary as they can include a facility fee, clinician bill, labs, imaging, medication, transport, and insurance-specific out-of-pocket responsibility. We compare ER cost based on one service every ER visit would have: Level of Emergency Department visit for the evaluation and management of a patient. These figures are source data points, not guarantees of the final bill.

Portland ER Cash Price Map

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Showing 1-5 of 16 ER locations

Showing 1-10 of 16 ER locations

Willamette Valley Medical CenterVoluntary non-profit - Private

ER service level cash price

ER level 1

Unavailable

No cash price

ER level 2

Unavailable

No cash price

ER level 3

Unavailable

No cash price

ER level 4

Unavailable

No cash price

ER level 5

Unavailable

No cash price

Overall rating: 2 stars
Dataset version: Unavailable

Adventist Health PortlandVoluntary non-profit - Church

ER service level cash price

ER level 1

$147

Below average

ER level 2

$273

Below average

ER level 3

$452

Below average

ER level 4

$856

Below average

ER level 5

$1,252

Below average

Overall rating: 4 stars
Dataset version: 2026-03-27

Legacy Emanuel Medical CenterVoluntary non-profit - Private

ER service level cash price

ER level 1

$218

Around average

ER level 2

$379

Around average

ER level 3

$940

Around average

ER level 4

$1,161

Around average

ER level 5

$1,743

Below average

Overall rating: 3 stars
Dataset version: 2026-04-01

Legacy Good Samaritan Medical CenterVoluntary non-profit - Private

ER service level cash price

ER level 1

$218

Around average

ER level 2

$379

Around average

ER level 3

$940

Around average

ER level 4

$1,161

Around average

ER level 5

$1,743

Below average

Overall rating: 4 stars
Dataset version: 2026-04-01

Legacy Meridian Park Medical CenterVoluntary non-profit - Private

ER service level cash price

ER level 1

$218

Around average

ER level 2

$379

Around average

ER level 3

$940

Around average

ER level 4

$1,161

Around average

ER level 5

$1,743

Below average

Overall rating: 2 stars
Dataset version: 2026-04-01

Emergency room cost data by facility
Facility Name	Overall Rating	ER service level cash price					Dataset Version
Facility Name	Overall Rating						Dataset Version
Willamette Valley Medical CenterVoluntary non-profit - Private	2 stars	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable
Adventist Health PortlandVoluntary non-profit - Church	4 stars	$147 Below average	$273 Below average	$452 Below average	$856 Below average	$1,252 Below average	2026-03-27
Legacy Emanuel Medical CenterVoluntary non-profit - Private	3 stars	$218 Around average	$379 Around average	$940 Around average	$1,161 Around average	$1,743 Below average	2026-04-01
Legacy Good Samaritan Medical CenterVoluntary non-profit - Private	4 stars	$218 Around average	$379 Around average	$940 Around average	$1,161 Around average	$1,743 Below average	2026-04-01
Legacy Meridian Park Medical CenterVoluntary non-profit - Private	2 stars	$218 Around average	$379 Around average	$940 Around average	$1,161 Around average	$1,743 Below average	2026-04-01
Legacy Mount Hood Medical CenterVoluntary non-profit - Private	3 stars	$218 Around average	$379 Around average	$940 Around average	$1,161 Around average	$1,743 Below average	2026-04-01
Legacy Salmon Creek Medical CenterVoluntary non-profit - Private	4 stars	$218 Around average	$379 Around average	$940 Around average	$1,161 Around average	$1,743 Below average	2026-04-01
Hillsboro Medical CenterVoluntary non-profit - Private	2 stars	$254 Around average	$470 Above average	$834 Around average	$1,290 Around average	$1,871 Below average	3/23/2026
Ohsu HospitalVoluntary non-profit - Other	3 stars	$311 Above average	$563 Above average	$889 Around average	$1,344 Around average	$2,051 Around average	2026-03-23
Peacehealth Southwest Medical CenterVoluntary non-profit - Private	4 stars	$306 Above average	$571 Above average	$1,032 Above average	$1,806 Above average	$6,359 Above average	3/20/2026

Showing 1-10 of 16 ER locations

Data Sources

Cash-price values are from each facility's latest standard charges file published on its website. The average comparison note uses the city average for the same ER service level: around average means within a +/-10% band, above average means more than 10% above, and below average means more than 10% below. Hospital ownership labels and hospital overall ratings come from the CMS Hospital General Information dataset. CMS ratings are a broad summary, not a perfect measure of whether a hospital is best for a specific service.

Why ER level 4 is the default sort

ERcost defaults to ER level 4 because recent commercial ED spending research shows higher-intensity emergency department visit codes now represent a large share of billed visits. This default is based on the Health Affairs study Price Increases Versus Upcoding As Drivers Of Emergency Department Spending Increases, 2012-19 and its ED spending analysis. By 2019, level 4 was the single most common level among ER levels 3, 4, and 5, with level 5 close behind. Level 4 is a practical default for comparison, but actual coding depends on the care documented for a specific visit.

Hit with a big ER bill in Portland?

Start by checking the bill for errors, asking about discounts or financial assistance, and using your state's medical-debt rules before you respond to collections.

What you can do now

Request an itemized bill with billing codes, verify that every charge matches the services you actually received, and check whether your bill qualifies for No Surprises Act protections.
Ask the hospital about cash-pay or lump-sum discounts, and apply for financial assistance if you qualify.
Use FAIR Health or Bill Sherlock to check if your ER bill is reasonable.
Use Dollar For to apply for hospital financial assistance at no cost.
Hire a medical billing advocate to review your bill. Most work on contingency, charging only when they successfully reduce what you owe.
Keep every bill, denial, and collection notice. The dates matter if you need to challenge credit reporting, wage garnishment, or a lawsuit filed too late.

State medical-debt rules in this metro

Oregon

Medical-debt credit reporting: State law limits furnishing and bureau reporting of medical-debt information, effective January 1, 2026.
Wage garnishment: More protective than federal for lower earners due to a minimum-exemption floor adjusted twice a year (about $338 per week exempt for July 2025 to June 2026).
Deadline to sue (statute of limitations): 6 years for written contracts.

Washington

Medical-debt credit reporting: State law limits both furnishing and bureau reporting of medical-debt information, effective July 27, 2025.
Wage garnishment: Much more protective than federal. About 80% of disposable earnings is exempt, using the state's high minimum wage as the floor.
Deadline to sue (statute of limitations): 6 years for written contracts, 3 years for oral contracts.

State medical debt rules

Nearby ER Cost Guides

ER visit costs in Seattle