Level 4 Type B Emergency Department Visit

New Hampshire 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?

$97.72

Typical negotiated rate. In New Hampshire, October 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $3,802 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$95.50	$95.50 to $151
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$3,802	$3,631 to $4,677

How much rates vary

Facilitymedian $3,802 · 10th to 90th $398 to $8,511Professionalmedian $95 · 10th to 90th $95 to $229

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 $229.09 Median $229.09 Typical High $229.09	Facility	None	$229.09	$229.09	$229.09
Aetna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $234.42	Professional	None	$208.93	$229.09	$234.42
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $4,265.80 Typical High $8,511.38	Facility	None	$398.11	$4,265.80	$8,511.38
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50	Professional	None	$95.50	$95.50	$95.50
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	None	$151.36	$151.36	$151.36
Well Sense Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $5,754.40	Facility	None	$3,630.78	$3,630.78	$5,754.40

Where New Hampshire 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.

New Hampshire· 45th of 51

$97.72

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.