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Level 2 Type B Emergency Department Visit

Massachusetts 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?

$145

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $145 for this service. Most negotiated rates run $105 to $145.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $186 · 10th to 90th $145 to $3,631Professionalmedian $145 · 10th to 90th $37 to $145
$50$200$1K$5Kfacility $186professional $145

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$263.03
Typical High
$407.38
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$104.71
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$263.03
Typical High
$407.38
United
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$245.47
Typical High
$363.08
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78

Where Massachusetts 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.

Massachusetts· 4th of 51

$145

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.