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 October 2026.

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

$724

Typical physician fee. In North Carolina, October 2026.

Insurers have agreed to pay about $724 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $724 · 10th to 90th $54 to $724

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 $234.42	Facility	None	$234.42	$234.42	$234.42
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
BCBS North Carolina Setting Professional Modifier None Typical Low $45.71 Median $724.44 Typical High $724.44	Professional	None	$45.71	$724.44	$724.44
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	None	$151.36	$151.36	$151.36
Medcost Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $245.47	Facility	None	$234.42	$234.42	$245.47
Oscar Health Setting Professional Modifier None Typical Low $512.86 Median $588.84 Typical High $691.83	Professional	None	$512.86	$588.84	$691.83

Where North Carolina 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.

North Carolina· 1st of 51

$724

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.