Level 4 Type B Emergency Department Visit

Massachusetts 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 July 2026.

How much does Level 4 Type B Emergency Department Visit cost?

$234

Typical negotiated rate. In Massachusetts, July 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 $407 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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

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	$229 to $251
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$407	$372 to $457

How much rates vary

Facilitymedian $407 · 10th to 90th $151 to $479Professionalmedian $234 · 10th to 90th $209 to $380

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier Global Typical Low $208.93 Median $234.42 Typical High $380.19	Professional	Global	$208.93	$234.42	$380.19
AllWays Health Partners Setting Facility Modifier Global Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	Global	$100.00	$100.00	$100.00
BCBS Setting Facility Modifier Global Typical Low $389.05 Median $446.68 Typical High $457.09	Facility	Global	$389.05	$446.68	$457.09
Cigna Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	Global	$151.36	$151.36	$151.36
Fallon Health Setting Facility Modifier Global Typical Low $79.43 Median $79.43 Typical High $79.43	Facility	Global	$79.43	$79.43	$79.43
Mass General Brigham Setting Facility Modifier Global Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	Global	$100.00	$100.00	$100.00
Tufts Setting Facility Modifier Global Typical Low $151.36 Median $323.59 Typical High $489.78	Facility	Global	$151.36	$323.59	$489.78
United Setting Facility Modifier Global Typical Low $389.05 Median $389.05 Typical High $2,344.23	Facility	Global	$389.05	$389.05	$2,344.23
United Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $323.59	Professional	Global	$302.00	$302.00	$323.59

Where Massachusetts sits

The same service costs 2.9 times more in North Carolina than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $234 · 37th of 51

NC $398MN $138

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.