Level 4 Type B Emergency Department Visit

New Mexico 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 New Mexico, 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 $302 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 6 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	$302	$234 to $741

How much rates vary

Facilitymedian $302 · 10th to 90th $234 to $1,148Professionalmedian $234 · 10th to 90th $151 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 $234.42 Median $234.42 Typical High $251.19	Professional	Global	$234.42	$234.42	$251.19
BCBS Setting Facility Modifier Global Typical Low $660.69 Median $776.25 Typical High $1,230.27	Facility	Global	$660.69	$776.25	$1,230.27
Cigna Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	Global	$151.36	$151.36	$151.36
Molina Setting Professional Modifier Global Typical Low $33.11 Median $60.26 Typical High $70.79	Professional	Global	$33.11	$60.26	$70.79
Providence Setting Facility Modifier Global Typical Low $234.42 Median $239.88 Typical High $371.54	Facility	Global	$234.42	$239.88	$371.54
Providence Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	Global	$151.36	$151.36	$151.36
United Setting Facility Modifier Global Typical Low $1,148.15 Median $1,148.15 Typical High $3,981.07	Facility	Global	$1,148.15	$1,148.15	$3,981.07

Where New Mexico 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.

New Mexico· 33rd 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.