Emergency
Emergency room visit, level 4 (facility + ER physician) cost in North Carolina
Compare cash prices for emergency room visit, level 4 (facility + er physician) at hospitals, clinics and other providers.
Typical cash price
In North Carolina
From 112 hospital and 1 clinic prices in North Carolina.
Nationwide typical: $1,059 (most listed prices $428–$3,142).
Usually included: the facility fee + the doctor's or surgeon's fee.
Good to know: Labs, imaging, drugs, and procedures are billed in addition. Freestanding ERs sometimes quote all-in.
Cheapest in North Carolina
Total price
Emergency room visit, level 4 (facility + ER physician)
The facility fee + the doctor's fee
How totals are compared
Every total covers the same bundle: the facility fee + the doctor's fee. Where a hospital does not publish a part, the typical published amount is added and the total is marked estimated.
In North Carolina, from 113 providers. Most listed prices: $742–$2,228.
Cheapest totals nearby
- Hugh Chatham Memorial Hospital$332Hospital · ElkinEstimated: adds a typical amount for unpublished parts
- Catawba Valley Health System$360Hospital · HickoryEstimated: adds a typical amount for unpublished parts
- $406
- $118est. $332 total
Doctor fees are billed separately.
Source: Hugh Chatham Memorial Hospital price file · checked Oct 2026 - $356Source: Community Hospital of Stokes price file · checked Oct 2026
- $146est. $360 total
Doctor fees are billed separately.
Source: Catawba Valley Health System price file · checked Oct 2026 - $192est. $406 total
Doctor fees are billed separately.
Source: Duke Regional Hospital price file · checked Oct 2026 - $212est. $426 total
Doctor fees are billed separately.
Source: Chatham Hospital price file · checked Oct 2026 - Duke Raleigh Hospital a Campus of Duke University HospitalEmergency room visit, level 4 (moderate complexity)Facility fee only$239est. $453 total
Doctor fees are billed separately. +1 more in this system at the same published price.
Source: Duke Raleigh Hospital a Campus of Duke University price fil · checked Oct 2026 - Washington Regional Medical CenterEmergency room visit, level 4 (moderate complexity)Facility fee only$240est. $454 total
Doctor fees are billed separately.
Source: Washington Regional Medical Center price file · checked Oct 2026 - $272est. $486 total
Doctor fees are billed separately.
Source: CarolinaEast Medical Center price file · checked Oct 2026 - $553
Doctor fees are billed separately.
Source: Mission Hospital price file · checked Oct 2026 - $575
Doctor fees are billed separately.
Source: UNC Health Southeastern price file · checked Sep 2026 - $368est. $582 total
Doctor fees are billed separately. Location not independently confirmed.
Source: Granville Health System price file · checked Oct 2026 - $591
Doctor fees are billed separately.
Source: Sampson Regional Medical Center price file · checked Oct 2026
See all prices for Emergency room visit, level 4 (facility + ER physician)
Common questions
Do I need a referral?
It depends on the service and the provider. Many clinics see self-pay patients directly; call ahead to check.
Why are prices so different?
Each hospital and clinic sets its own cash price. Hospitals publish prices because federal rules require it; clinics and booking sites set prices to compete. The same service can cost several times more at one place than at another nearby.
Can I pay cash if I have insurance?
Yes. You can choose to self-pay. A cash price is often lower than what you would pay before meeting your deductible. Cash payments may not count toward your deductible, so check with your plan. Our cash vs. insurance tool can help you decide.
What is a Good Faith Estimate?
If you are uninsured or paying cash, providers must give you a Good Faith Estimate of the cost on request. If your final bill is $400 or more above the estimate, you can dispute it.