Level 2 Type B Emergency Department Visit

Pennsylvania 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 July 2026.

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

$126

Typical negotiated rate. In Pennsylvania, July 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 $126 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

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	$126 to $126
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$126	$102 to $126

How much rates vary

Facilitymedian $126 · 10th to 90th $83 to $126Professionalmedian $126 · 10th to 90th $110 to $145

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $125.89 Median $125.89 Typical High $125.89	Facility	Global	$125.89	$125.89	$125.89
Aetna Setting Professional Modifier Global Typical Low $114.82 Median $125.89 Typical High $144.54	Professional	Global	$114.82	$125.89	$144.54
Cigna Setting Professional Modifier Global Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	Global	$37.15	$37.15	$37.15
Martin's Point Setting Facility Modifier Global Typical Low $125.89 Median $125.89 Typical High $125.89	Facility	Global	$125.89	$125.89	$125.89
Martin's Point Setting Professional Modifier Global Typical Low $125.89 Median $125.89 Typical High $131.83	Professional	Global	$125.89	$125.89	$131.83
Oscar Health Setting Professional Modifier Global Typical Low $467.74 Median $524.81 Typical High $630.96	Professional	Global	$467.74	$524.81	$630.96
UPMC Health Plan Setting Facility Modifier Global Typical Low $67.61 Median $102.33 Typical High $138.04	Facility	Global	$67.61	$102.33	$138.04
United Setting Professional Modifier Global Typical Low $323.59 Median $323.59 Typical High $323.59	Professional	Global	$323.59	$323.59	$323.59

Where Pennsylvania sits

The same service costs 6.0 times more in North Carolina than in Minnesota. 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.

Pennsylvania· 30th of 51

$126

NC $240MN $39.81

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.