How much does an emergency room visit cost in Austin?
Emergency department visit of moderate to high severity — the levels most ER visits are billed at. Below: the rates insurers have actually negotiated with 17 Austin-area hospitals, and the cash (self-pay) prices where published — from the hospitals' own federally required price files.
$706
lowest median negotiated rate
CHRISTUS Santa Rosa Hospital – San Marcos
$2,444
highest (adult hospitals)
St. David's Medical Center
3.5×
price spread
same procedure, same metro
Median negotiated rate per hospital · sorted low → high · hover a bar for the full receipt
cash (self-pay) price
| Hospital | Gross charge | Cash price | Negotiated | Range | # rates | vs median |
|---|
* Specialty hospital (pediatric or cancer center) — rates reflect specialty case mix. † Median based on fewer than 3 published rates — treat as indicative. Bars show the median dollar-denominated commercial negotiated rate; hospitals sharing a health-system contract show similar rates.
SOURCE: standard-charges files from 17 hospitals · file dates 2026-01-01 → 2026-06-13 · retrieved 2026-08-14
Paying cash can beat using insurance. At Ascension Seton Hays, the self-pay price is $807 — less than the $1,196 median commercial-insurer rate. If you haven't met your deductible, ask for the cash rate.