Level 2 Type B Emergency Department Visit

Iowa rates for HCPCS G0381

Level 2 hospital emergency department visit provided in a type B emergency department; (the ED must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 CFR 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)

Rates data updated October 2026.

How much does Level 2 Type B Emergency Department Visit cost?

$501

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $234 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$525	$324 to $589
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$234	$162 to $269

How much rates vary

Facilitymedian $234 · 10th to 90th $129 to $316Professionalmedian $525 · 10th to 90th $126 to $631

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82	Facility	None	$128.82	$128.82	$128.82
Aetna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $128.82	Professional	None	$125.89	$128.82	$128.82
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Hally Health Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $354.81	Professional	None	$75.86	$100.00	$354.81
Medica Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $338.84	Facility	None	$162.18	$245.47	$338.84
Oscar Health Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $630.96	Professional	None	$467.74	$524.81	$630.96
United Setting Facility Modifier None Typical Low $138.04 Median $234.42 Typical High $295.12	Facility	None	$138.04	$234.42	$295.12

Where Iowa sits

The same service costs 19.1 times more in Iowa than in Indiana. 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.

Iowa· 1st of 51

$501

IA $501IN $26.30

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.