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Level 2 Type B Emergency Department Visit

Wisconsin 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 Wisconsin, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $575 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$37.15 to $129
FacilityA hospital or hospital-owned outpatient department$575$129 to $759

How much rates vary

Facilitymedian $575 · 10th to 90th $129 to $1,820Professionalmedian $100 · 10th to 90th $37 to $550
$20$50$100$200$500$1K$2Kfacility $575professional $100

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$602.56
Typical High
$1,905.46
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$39.81
Typical High
$48.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
DeanCare
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
DeanCare
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$109.65
Typical High
$147.91
Medica
Setting
Facility
Modifier
None
Typical Low
$19.50
Median
$91.20
Typical High
$281.84
Prevea360
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Quartz
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47

Where Wisconsin 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.

Wisconsin· 10th 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.