Seattle-Tacoma-Bellevue, WA MSA

Seattle 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.

$281

6.72x 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.

$453

5.99x 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.

$856

6.42x 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.

$1,438

6.94x 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.

$2,403

8.16x Medicare rate

Cash Price Coverage

25 of 28 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.

Seattle ER Cash Price Map

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Showing 1-5 of 28 ER locations

Showing 1-10 of 28 ER locations

EvergreenHealth Medical Center KirklandGovernment - Hospital District or Authority

ER service level cash price

ER level 1

$458

Above average

ER level 2

$576

Above average

ER level 3

$1,122

Above average

ER level 4

$1,859

Above average

ER level 5

$3,122

Above average

Overall rating: 5 stars
Dataset version: 2026-03-11

Providence Regional Medical Center EverettVoluntary non-profit - Church

ER service level cash price

ER level 1

$222

Below average

ER level 2

$337

Below average

ER level 3

$387

Below average

ER level 4

$817

Below average

ER level 5

$1,701

Below average

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

Swedish First Hill Pediatric Emergency RoomVoluntary non-profit - PrivatePediatric ER

ER service level cash price

ER level 1

$188

Below average

ER level 2

$313

Below average

ER level 3

$590

Below average

ER level 4

$888

Below average

ER level 5

$1,272

Below average

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

Swedish Hospital - First Hill CampusVoluntary non-profit - Private

ER service level cash price

ER level 1

$188

Below average

ER level 2

$313

Below average

ER level 3

$590

Below average

ER level 4

$888

Below average

ER level 5

$1,272

Below average

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

Swedish Hospital Cherry Hill CampusVoluntary non-profit - Church

ER service level cash price

ER level 1

$188

Below average

ER level 2

$313

Below average

ER level 3

$590

Below average

ER level 4

$888

Below average

ER level 5

$1,272

Below average

Overall rating: 4 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
EvergreenHealth Medical Center KirklandGovernment - Hospital District or Authority	5 stars	$458 Above average	$576 Above average	$1,122 Above average	$1,859 Above average	$3,122 Above average	2026-03-11
Providence Regional Medical Center EverettVoluntary non-profit - Church	2 stars	$222 Below average	$337 Below average	$387 Below average	$817 Below average	$1,701 Below average	2026-04-01
Swedish First Hill Pediatric Emergency RoomVoluntary non-profit - PrivatePediatric ER	4 stars	$188 Below average	$313 Below average	$590 Below average	$888 Below average	$1,272 Below average	2026-04-01
Swedish Hospital - First Hill CampusVoluntary non-profit - Private	4 stars	$188 Below average	$313 Below average	$590 Below average	$888 Below average	$1,272 Below average	2026-04-01
Swedish Hospital Cherry Hill CampusVoluntary non-profit - Church	4 stars	$188 Below average	$313 Below average	$590 Below average	$888 Below average	$1,272 Below average	2026-04-01
Swedish Issaquah CampusVoluntary non-profit - Private	5 stars	$188 Below average	$313 Below average	$590 Below average	$888 Below average	$1,272 Below average	2026-04-01
Snoqualmie Valley Health - HospitalGovernment - Hospital District or Authority	Not available	$197 Below average	$293 Below average	$489 Below average	$981 Below average	$1,608 Below average	6/12/2025
St Clare HospitalVoluntary non-profit - Church	5 stars	$222 Below average	$363 Below average	$746 Below average	$1,149 Below average	$2,016 Below average	2026-02-28
St Anthony HospitalVoluntary non-profit - Church	4 stars	$234 Below average	$383 Below average	$787 Around average	$1,213 Below average	$2,127 Below average	2026-02-28
St. Anne HospitalVoluntary non-profit - Private	2 stars	$235 Below average	$384 Below average	$790 Around average	$1,217 Below average	$2,136 Below average	2026-02-28

Showing 1-10 of 28 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 Seattle?

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.

Washington medical-debt rules

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 Portland