Level 2 Type B Emergency Department Visit

Illinois 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?

$126

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $219 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 5 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	$126	$37.15 to $126
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$219	$126 to $251

How much rates vary

Facilitymedian $219 · 10th to 90th $126 to $537Professionalmedian $126 · 10th to 90th $24 to $135

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 $125.89 Median $125.89 Typical High $537.03	Facility	None	$125.89	$125.89	$537.03
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89	Professional	None	$125.89	$125.89	$125.89
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 $81.28 Median $109.65 Typical High $407.38	Professional	None	$81.28	$109.65	$407.38
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	None	$100.00	$100.00	$100.00
Molina Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $23.99	Professional	None	$23.44	$23.99	$23.99
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $251.19	Facility	None	$218.78	$218.78	$251.19

Where Illinois 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.

Illinois· 15th of 51

$126

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.