Level 2 Type B Emergency Department Visit

South Carolina 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 South Carolina, 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 $234 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	$126	$37.15 to $126
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$234	$200 to $372

How much rates vary

Facilitymedian $234 · 10th to 90th $141 to $417Professionalmedian $126 · 10th to 90th $30 to $126

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 $125.89 Median $125.89 Typical High $309.03	Facility	None	$125.89	$125.89	$309.03
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89	Professional	None	$125.89	$125.89	$125.89
BCBS South Carolina Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $416.87	Facility	None	$144.54	$234.42	$416.87
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Medcost Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $169.82	Facility	None	$125.89	$151.36	$169.82
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20	Professional	None	$30.20	$30.20	$30.20
United Setting Facility Modifier None Typical Low $389.05 Median $478.63 Typical High $616.60	Facility	None	$389.05	$478.63	$616.60

Where South Carolina 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.

South Carolina· 13th 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.