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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 October 2026.

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

$209

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $209 for this service. Most negotiated rates run $158 to $229.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $437 · 10th to 90th $339 to $3,631Professionalmedian $209 · 10th to 90th $151 to $209
$100$200$500$1K$2K$5K$10Kfacility $437professional $209

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
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$229.09
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$660.69
Typical High
$1,023.29
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$389.05
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$158.49
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$660.69
Typical High
$1,023.29
Tufts
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$407.38
Typical High
$524.81
United
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$691.83
Typical High
$1,047.13
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78

Where Massachusetts 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.

Massachusetts· 22nd of 51

$209

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.