Level 2 Type B Emergency Department Visit

Michigan 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?

$89.13

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $229 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	$89.13	$89.13 to $126
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$229	$145 to $347

How much rates vary

Facilitymedian $229 · 10th to 90th $112 to $479Professionalmedian $89 · 10th to 90th $85 to $129

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	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 $128.82 Median $128.82 Typical High $128.82	Professional	None	$128.82	$128.82	$128.82
BCBS Michigan Setting Facility Modifier None Typical Low $112.20 Median $269.15 Typical High $524.81	Facility	None	$112.20	$269.15	$524.81
BCBS Michigan Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $89.13	Professional	None	$85.11	$89.13	$89.13
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Health Alliance Plan Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89	Facility	None	$125.89	$125.89	$125.89
Health Alliance Plan Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89	Professional	None	$125.89	$125.89	$125.89
Priority Health Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
United Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $263.03	Facility	None	$95.50	$125.89	$263.03

Where Michigan 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.

Michigan· 21st of 51

$89.13

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.