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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 October 2026.

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

$83.18

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $2,754 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$74.13 to $93.33
FacilityA hospital or hospital-owned outpatient department$2,754$1,995 to $3,890

How much rates vary

Facilitymedian $2,754 · 10th to 90th $575 to $5,495Professionalmedian $83 · 10th to 90th $71 to $200
$50$100$200$500$1K$2K$5Kfacility $2,754professional $83

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$3,090.30
Typical High
$5,888.44
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$83.18
Typical High
$93.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$56.23
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,137.96
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$616.60
Typical High
$758.58

Where New York 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 York· 50th of 51

$83.18

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.