Level 2 Type B Emergency Department Visit

New York 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?

$43.65

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $2,089 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	$43.65	$38.02 to $48.98
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$2,089	$1,479 to $2,570

How much rates vary

Facilitymedian $2,089 · 10th to 90th $204 to $3,162Professionalmedian $44 · 10th to 90th $37 to $105

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 $104.71 Median $125.89 Typical High $239.88	Facility	None	$104.71	$125.89	$239.88
Aetna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89	Professional	None	$104.71	$104.71	$125.89
Anthem BCBS Setting Facility Modifier None Typical Low $1,380.38 Median $2,187.76 Typical High $3,235.94	Facility	None	$1,380.38	$2,187.76	$3,235.94
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $48.98	Professional	None	$37.15	$43.65	$48.98
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,754.23	Facility	None	$2,238.72	$2,238.72	$2,754.23
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Emblem Health Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $56.23	Facility	None	$34.67	$34.67	$56.23
MVP Health Care Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,479.11	Facility	None	$1,318.26	$1,318.26	$1,479.11
United Setting Facility Modifier None Typical Low $186.21 Median $218.78 Typical High $269.15	Facility	None	$186.21	$218.78	$269.15

Where New York 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.

New York· 28th of 51

$43.65

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.