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Level 1 Type a ED Visits

New York rates for APC 5021

Level 1 Type A ED Visits

Rates data updated October 2026.

How much does Level 1 Type a ED Visits cost?

$234

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $234 for this service. Most negotiated rates run $141 to $331.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $68 to $447
$50$100$200$500facility $234

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$61.66
Median
$147.91
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$288.40
Typical High
$446.68
Univera
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$288.40
Typical High
$446.68

Where New York sits

The same service costs 5.6 times more in Maine than in South Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 11th of 42

$234

ME $407SD $72.44

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.