Level 4 Type B Emergency Department Visit

Montana 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 Montana, 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 $263 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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$234	$234 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$263	$234 to $407

How much rates vary

Facilitymedian $263 · 10th to 90th $234 to $759Professionalmedian $234 · 10th to 90th $209 to $251

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 $251.19	Professional	Global	$208.93	$234.42	$251.19
BCBS Setting Facility Modifier Global Typical Low $81,283.05 Median $81,283.05 Typical High $81,283.05	Facility	Global	$81,283.05	$81,283.05	$81,283.05
Cigna Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	Global	$151.36	$151.36	$151.36
MountainHealth Co-op Setting Facility Modifier Global Typical Low $758.58 Median $758.58 Typical High $851.14	Facility	Global	$758.58	$758.58	$851.14
MountainHealth Co-op Setting Professional Modifier Global Typical Low $758.58 Median $758.58 Typical High $851.14	Professional	Global	$758.58	$758.58	$851.14
Providence Setting Facility Modifier Global Typical Low $234.42 Median $251.19 Typical High $398.11	Facility	Global	$234.42	$251.19	$398.11
Providence Setting Professional Modifier Global Typical Low $79.43 Median $79.43 Typical High $151.36	Professional	Global	$79.43	$79.43	$151.36

Where Montana sits

The same service costs 2.9 times more in North Carolina 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.

Montana· 9th of 51

$234

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.