Level 4 Type B Emergency Department Visit

New York 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?

$209

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $234 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	$209	$87.10 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$234	$234 to $234

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $209 · 10th to 90th $76 to $302

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 Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
Aetna Setting Professional Modifier Global Typical Low $208.93 Median $234.42 Typical High $302.00	Professional	Global	$208.93	$234.42	$302.00
Anthem BCBS Setting Professional Modifier Global Typical Low $70.79 Median $83.18 Typical High $112.20	Professional	Global	$70.79	$83.18	$112.20
Cigna Setting Facility Modifier Global Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	Global	$64.57	$64.57	$64.57
Cigna Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	Global	$151.36	$151.36	$151.36
Emblem Health Setting Facility Modifier Global Typical Low $34.67 Median $34.67 Typical High $41.69	Facility	Global	$34.67	$34.67	$41.69
United Setting Facility Modifier Global Typical Low $2,238.72 Median $2,238.72 Typical High $6,760.83	Facility	Global	$2,238.72	$2,238.72	$6,760.83
United Setting Professional Modifier Global Typical Low $281.84 Median $302.00 Typical High $323.59	Professional	Global	$281.84	$302.00	$323.59

Where New York 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 York· 46th of 51

$209

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.