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Level 4 Type B Emergency Department Visit

Ohio 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?

$151

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $813 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$95.50 to $151
FacilityA hospital or hospital-owned outpatient department$813$427 to $5,754

How much rates vary

Facilitymedian $813 · 10th to 90th $251 to $6,026Professionalmedian $148 · 10th to 90th $95 to $251
$100$200$500$1K$2K$5Kfacility $813professional $148

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$524.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$251.19
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,754.40
Typical High
$6,025.60
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$154.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Molina
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$630.96
Typical High
$891.25

Where Ohio 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.

Ohio· 36th of 51

$151

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.