St. Louis, MO-IL MSA

St. Louis 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.

$355

6.62x 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.

$671

6.91x 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.

$1,083

6.29x 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.

$1,683

6.4x 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.

$2,348

6.27x Medicare rate

Cash Price Coverage

8 of 33 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.

St. Louis ER Cash Price Map

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Showing 1-5 of 33 ER locations

Showing 1-10 of 33 ER locations

Hshs St. Joseph's HospitalVoluntary non-profit - Church

ER service level cash price

ER level 1

$388

Around average

ER level 2

$579

Below average

ER level 3

$850

Below average

ER level 4

$1,299

Below average

ER level 5

$1,875

Below average

Overall rating: 4 stars
Dataset version: 2026-01-15

Community Hospital Of StauntonVoluntary non-profit - Private

ER service level cash price

ER level 1

$169

Below average

ER level 2

$218

Below average

ER level 3

$267

Below average

ER level 4

$419

Below average

ER level 5

$563

Below average

Overall rating: Not available
Dataset version: 2026-02-09

Hshs Holy Family Hospital IncVoluntary non-profit - Church

ER service level cash price

ER level 1

$236

Below average

ER level 2

$390

Below average

ER level 3

$620

Below average

ER level 4

$893

Below average

ER level 5

$1,280

Below average

Overall rating: Not available
Dataset version: 2026-01-15

Anderson HospitalVoluntary non-profit - Private

ER service level cash price

ER level 1

$187

Below average

ER level 2

$389

Below average

ER level 3

$688

Below average

ER level 4

$1,042

Below average

ER level 5

$1,471

Below average

Overall rating: 4 stars
Dataset version: 2026-02-06

Hshs St. Elizabeth's HospitalVoluntary non-profit - Church

ER service level cash price

ER level 1

$499

Above average

ER level 2

$912

Above average

ER level 3

$1,372

Above average

ER level 4

$2,049

Above average

ER level 5

$2,417

Around average

Overall rating: 4 stars
Dataset version: 2026-01-15

Emergency room cost data by facility
Facility Name	Overall Rating	ER service level cash price					Dataset Version
Facility Name	Overall Rating						Dataset Version
Hshs St. Joseph's HospitalVoluntary non-profit - Church	4 stars	$388 Around average	$579 Below average	$850 Below average	$1,299 Below average	$1,875 Below average	2026-01-15
Community Hospital Of StauntonVoluntary non-profit - Private	Not available	$169 Below average	$218 Below average	$267 Below average	$419 Below average	$563 Below average	2026-02-09
Hshs Holy Family Hospital IncVoluntary non-profit - Church	Not available	$236 Below average	$390 Below average	$620 Below average	$893 Below average	$1,280 Below average	2026-01-15
Anderson HospitalVoluntary non-profit - Private	4 stars	$187 Below average	$389 Below average	$688 Below average	$1,042 Below average	$1,471 Below average	2026-02-06
Hshs St. Elizabeth's HospitalVoluntary non-profit - Church	4 stars	$499 Above average	$912 Above average	$1,372 Above average	$2,049 Above average	$2,417 Around average	2026-01-15
Alton Memorial HospitalVoluntary non-profit - Private	4 stars	$569 Above average	$1,010 Above average	$1,604 Above average	$2,259 Above average	$3,331 Above average	2025-12-15
Memorial HospitalVoluntary non-profit - Private	4 stars	$569 Above average	$1,010 Above average	$1,604 Above average	$2,259 Above average	$3,331 Above average	2025-12-15
Gateway Regional Medical CenterVoluntary non-profit - Other	1 star	$394 Above average	$1,155 Above average	$2,096 Above average	$3,905 Above average	$5,156 Above average	3/30/2026
Barnes Jewish HospitalVoluntary non-profit - Other	4 stars	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable
Barnes-Jewish St Peters HospitalVoluntary non-profit - Other	4 stars	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable No cash price	Unavailable

Showing 1-10 of 33 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 St. Louis?

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

Illinois

Medical-debt credit reporting: State law limits credit bureaus from reporting medical-debt information, effective January 1, 2025.
Wage garnishment: More protective than federal. Generally 15% of gross wages, using gross rather than disposable earnings for the cap.
Deadline to sue (statute of limitations): 5 years if treated as an open account, 10 years if treated as a written contract.

Missouri

Medical-debt credit reporting: No broad state ban. Only the voluntary bureau and federal baseline applies.
Wage garnishment: Federal baseline generally, but a head of household supporting a dependent is limited to 10% of disposable earnings.
Deadline to sue (statute of limitations): 10 years for written contracts, 5 years for oral contracts.

State medical debt rules

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