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Level 4 Type B Emergency Department Visit

North Carolina 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?

$398

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $234 to $724.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $245 · 10th to 90th $234 to $380Professionalmedian $398 · 10th to 90th $229 to $724
$100$200$500facility $245professional $398

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
Professional
Modifier
Global
Typical Low
$229.09
Median
$234.42
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$380.19
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$588.84
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$302.00
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina 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.

North Carolina· 1st of 51

$398

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.