Level 2 Type B Emergency Department Visit

Virginia 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?

$37.15

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $646 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 7 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	$37.15	$32.36 to $38.02
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$646	$468 to $891

How much rates vary

Facilitymedian $646 · 10th to 90th $129 to $10,233Professionalmedian $37 · 10th to 90th $30 to $126

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $128.82	Facility	None	$125.89	$125.89	$128.82
Aetna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $128.82	Professional	None	$125.89	$128.82	$128.82
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $977.24	Facility	None	$489.78	$630.96	$977.24
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $42.66	Professional	None	$30.20	$34.67	$42.66
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15	Professional	None	$37.15	$37.15	$37.15
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $309.03	Professional	None	$295.12	$309.03	$309.03
Medcost Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53	Facility	None	$199.53	$199.53	$199.53
Sentara Setting Facility Modifier None Typical Low $407.38 Median $891.25 Typical High $11,481.54	Facility	None	$407.38	$891.25	$11,481.54
United Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $426.58	Facility	None	$173.78	$194.98	$426.58

Where Virginia 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.

Virginia· 44th of 51

$37.15

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.