Sacramento-Roseville-Folsom, CA MSA

Sacramento 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.

$394

7.43x 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.

$915

9.4x 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.

$1,703

9.87x 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.

$3,743

18.36x 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.

$5,942

21.53x Medicare rate

Cash Price Coverage

12 of 15 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.

Sacramento ER Cash Price Map

Map ready to load

Showing 1-5 of 15 ER locations

Showing 1-10 of 15 ER locations

Barton Memorial HospitalVoluntary non-profit - Private

ER service level cash price

ER level 1

$564

Above average

ER level 2

$1,169

Above average

ER level 3

$1,916

Above average

ER level 4

$3,374

Around average

ER level 5

$4,866

Below average

Overall rating: 4 stars
Dataset version: 3/10/2026

Mercy General HospitalVoluntary non-profit - Private

ER service level cash price

ER level 1

$121

Below average

ER level 2

$296

Below average

ER level 3

$566

Below average

ER level 4

$2,655

Below average

ER level 5

$4,731

Below average

Overall rating: 4 stars
Dataset version: 2026-02-28

Kaiser Foundation Hosp So SacramentoVoluntary non-profit - Private

ER service level cash price

ER level 1

$472

Above average

ER level 2

$872

Around average

ER level 3

$1,622

Around average

ER level 4

$2,713

Below average

ER level 5

$4,220

Below average

Overall rating: 3 stars
Dataset version: 4/1/2026

Kaiser Foundation Hospital - RosevilleVoluntary non-profit - Private

ER service level cash price

ER level 1

$472

Above average

ER level 2

$872

Around average

ER level 3

$1,622

Around average

ER level 4

$2,713

Below average

ER level 5

$4,220

Below average

Overall rating: 4 stars
Dataset version: 4/1/2026

Mercy San Juan Medical CenterVoluntary non-profit - Private

ER service level cash price

ER level 1

$152

Below average

ER level 2

$373

Below average

ER level 3

$712

Below average

ER level 4

$3,337

Below average

ER level 5

$5,946

Around average

Overall rating: 3 stars
Dataset version: 2026-02-28

Emergency room cost data by facility
Facility Name	Overall Rating	ER service level cash price					Dataset Version
Facility Name	Overall Rating						Dataset Version
Barton Memorial HospitalVoluntary non-profit - Private	4 stars	$564 Above average	$1,169 Above average	$1,916 Above average	$3,374 Around average	$4,866 Below average	3/10/2026
Mercy General HospitalVoluntary non-profit - Private	4 stars	$121 Below average	$296 Below average	$566 Below average	$2,655 Below average	$4,731 Below average	2026-02-28
Kaiser Foundation Hosp So SacramentoVoluntary non-profit - Private	3 stars	$472 Above average	$872 Around average	$1,622 Around average	$2,713 Below average	$4,220 Below average	4/1/2026
Kaiser Foundation Hospital - RosevilleVoluntary non-profit - Private	4 stars	$472 Above average	$872 Around average	$1,622 Around average	$2,713 Below average	$4,220 Below average	4/1/2026
Mercy San Juan Medical CenterVoluntary non-profit - Private	3 stars	$152 Below average	$373 Below average	$712 Below average	$3,337 Below average	$5,946 Around average	2026-02-28
Woodland Memorial HospitalVoluntary non-profit - Other	5 stars	$152 Below average	$373 Below average	$712 Below average	$3,337 Below average	$5,946 Around average	2026-02-28
Methodist Hospital Of SacramentoVoluntary non-profit - Private	3 stars	$160 Below average	$392 Below average	$748 Below average	$3,508 Around average	$6,250 Around average	2026-02-28
Sutter Auburn Faith HospitalVoluntary non-profit - Private	4 stars	$603 Above average	$1,527 Above average	$2,882 Above average	$4,634 Above average	$6,672 Above average	2026-04-01
Sutter Davis HospitalVoluntary non-profit - Private	4 stars	$603 Above average	$1,527 Above average	$2,882 Above average	$4,634 Above average	$6,672 Above average	2026-04-01
Sutter Medical Center, SacramentoVoluntary non-profit - Private	4 stars	$603 Above average	$1,527 Above average	$2,882 Above average	$4,634 Above average	$6,672 Above average	2026-04-01

Showing 1-10 of 15 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 Sacramento?

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.

California medical-debt rules

Medical-debt credit reporting: State law limits furnishing, reporting, and use of medical-debt information in credit decisions, effective July 1, 2025.
Wage garnishment: More protective than federal. Generally 20% of disposable earnings, with a hardship claim available.
Deadline to sue (statute of limitations): 4 years for written contracts.

State medical debt rules

Nearby ER Cost Guides

ER visit costs in Los Angeles ER visit costs in Riverside-San Bernardino ER visit costs in San Francisco Bay Area ER visit costs in San Diego