Level 4 Type B Emergency Department Visit

Illinois rates for HCPCS G0383

Level 4 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 4 Type B Emergency Department Visit cost?

$234

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $631 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 5 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	$234	$151 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$631	$234 to $631

How much rates vary

Facilitymedian $631 · 10th to 90th $234 to $708Professionalmedian $234 · 10th to 90th $44 to $251

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 $234.42 Median $234.42 Typical High $426.58	Facility	None	$234.42	$234.42	$426.58
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	None	$151.36	$151.36	$151.36
Hally Health Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $354.81	Professional	None	$199.53	$251.19	$354.81
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	None	$100.00	$100.00	$100.00
Molina Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $43.65	Professional	None	$42.66	$43.65	$43.65
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95	Facility	None	$630.96	$630.96	$707.95

Where Illinois sits

The same service costs 9.1 times more in North Carolina than in Montana. 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.

Illinois· 15th of 51

$234

NC $724MT $79.43

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.