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Level 3 Type B Emergency Department Visit

New York rates for HCPCS G0382

Level 3 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 3 Type B Emergency Department Visit cost?

$138

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $129 from a physician practice, and about $240 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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$63.10 to $240
FacilityA hospital or hospital-owned outpatient department$240$240 to $240

How much rates vary

Facilitymedian $240 · 10th to 90th $240 to $240Professionalmedian $129 · 10th to 90th $56 to $295
$50$100$200$500$1K$2K$5Kfacility $240professional $129

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$323.59

Where New York sits

The same service costs 3.0 times more in Vermont 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.

New York· 46th of 51

$138

VT $263MN $89.13

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.