Emergency Room Visit — High Acuity (Level 4) cost in Richmond, VA
Emergency Room Visit — High Acuity (Level 4) costs $666 to $4,376 cash across 10 hospitals within 25 miles of Richmond.
Price range near Richmond
Hospital prices near Richmond
Published prices vary 6.6x in this comparison
Cash prices range from $666 to $4,376 across these hospitals — a $3,710 spread for the same procedure code. When variation is this wide, the specific facility you pick changes what you pay significantly.
→ Compare the lower-priced hospitals that meet your other priorities (quality, distance, insurance network).
Information from published hospital prices and Medicare quality data. Not medical advice.
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What this price typically doesn't include
Procedure codes generally cover the procedure itself. Other services that often appear on the same bill are listed under separate codes — for example:
- Anesthesia (CPT 00xxx)
- Pathology, if a sample is taken (CPT 88xxx)
- Drugs administered during the visit (J-codes)
- Facility vs. professional split — one charge from the hospital, another from the doctor
- Room and board, if the procedure is inpatient
Asking what other codes might appear on the bill is a useful follow-up so the total is not a surprise. Once you receive the bill, asking for an itemized statement listing each service code separately makes it easier to match against the disclosed prices above.
Observations about billing-code conventions. Not medical advice. Not legal advice.
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Before you schedule
If you're choosing an ER in Richmond for a high-level visit, you should know that prices vary wildly—from around $666 to $4,376 for the same type of care. The two largest hospitals here, CJW Medical Center and Henrico Doctors' Hospital, both charge around $4,300 in cash prices, which is well above what most Virginia ERs charge for this level of visit. Before you go, ask whether your insurance will cover the full visit or leave you with a large bill—and whether the hospital offers financial assistance based on income, since ER visits can qualify.
Call the billing department at whichever ER you're nearest to and ask specifically: "What's my cost-sharing responsibility for a Level 4 ER visit with my insurance?" Get that answer in writing if possible. Also ask if they have a patient financial assistance program and what the income threshold is—you may qualify even if you have insurance. If cost is your main concern and you're not in active crisis, ask your doctor whether an urgent care center might be appropriate instead; it's usually cheaper for non-emergency high-acuity visits.
Questions to ask when you call
Before scheduling, call the hospital's billing department. These are the exact questions that get you the answers you need.
"What is your cash price for Emergency Room Visit — High Acuity (Level 4)?"
If you haven't met your deductible, the cash price may be lower than what your insurance negotiates. Many hospitals will honor their published cash price if you ask.
"What will my insurance plan pay for this, and what's my out-of-pocket?"
Get a written estimate. Ask them to include your deductible status and coinsurance percentage. This is called a "Good Faith Estimate" and you're legally entitled to one.
"Are there any other charges I should expect — radiologist, anesthesiologist, or facility fees?"
These prices are facility fees. Your doctor, radiologist, and anesthesiologist bill separately. Ask how much those could add.
Emergency Room Visit — High Acuity (Level 4) costs between $666 and $4,376 at 10 facilities near Richmond, Virginia. The Virginia statewide average is $1,828.
What else you should know
Surgery center alternatives
These ambulatory surgery centers are near Richmond. ASCs often perform outpatient procedures at lower cost than hospitals.
View full data table
| Facility | Cash Price | Gross Charge | Stars | Patient Rating | Ownership | Distance |
|---|---|---|---|---|---|---|
| Stafford Hospital, LLC | $666 | $1,332 | 3/5 | 70.0% | Nonprofit | 0.2 mi |
| Mary Washington HospitalMary Washington Healthcare | $666 | $1,332 | 2/5 | 61.0% | Nonprofit | 0.2 mi |
| Bon Secours Memorial Regional Medical CenterBon Secours Mercy Health | $1,930 | $3,216 | 4/5 | 65.0% | Nonprofit | 0.2 mi |
| Bon Secours St Francis Medical CenterBon Secours Mercy Health | $1,930 | $3,216 | 3/5 | 71.0% | Nonprofit | 0.2 mi |
| Bon Secours Richmond Community HospitalBon Secours Mercy Health | $1,930 | $3,216 | — | 68.0% | Nonprofit | 0.0 mi |
| Bon Secours St Marys HospitalBon Secours Mercy Health | $2,848 | $4,747 | 3/5 | 66.0% | Nonprofit | 0.0 mi |
| Spotsylvania Regional Medical CenterHCA Virginia | $3,815 | $3,815 | 3/5 | 61.0% | For-profit | 0.2 mi |
| CJW Medical Center | $4,337 | $4,337 | 4/5 | 64.0% | For-profit | 0.0 mi |
| Henrico Doctors' HospitalHCA Virginia | $4,376 | $4,376 | 3/5 | 69.0% | Nonprofit | 0.0 mi |
| Sentara Williamsburg Regional Medical CenterSentara Health | — | — | 4/5 | 79.0% | Nonprofit | 0.2 mi |
Common questions
How much does Emergency Room Visit — High Acuity (Level 4) cost in Richmond, VA?
Emergency Room Visit — High Acuity (Level 4) costs between $666 and $4,376 at 10 facilities near Richmond, Virginia. The median price is $1,930. The Virginia statewide average is $1,828.
Which hospital is cheapest for Emergency Room Visit — High Acuity (Level 4) near Richmond?
Stafford Hospital, LLC has the lowest published cash price at $666. It has a 3-star CMS quality rating and 70.0% patient satisfaction.
Does a cheaper hospital mean lower quality?
No. In Richmond, the lowest-priced facility (Stafford Hospital, LLC) has a 3-star CMS rating, while the highest-priced facility (Sentara Williamsburg Regional Medical Center) has a 4-star rating.
Where does this pricing data come from?
All prices are from each hospital's federally mandated machine-readable file under the CMS Hospital Price Transparency Rule (45 CFR Part 180). Quality ratings are from CMS Hospital Compare. We do not estimate prices. See full methodology →
Same procedure, other areas
Other procedures near you
Data compiled from 17 federal sources including CMS Hospital Price Transparency files, Hospital Compare, HCAHPS, and Medicare Cost Reports. Updated April 2026. Full methodology →