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?
$234
Typical negotiated rate. In Pennsylvania, October 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 $234 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 by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$234
$151 to $234
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$234
$107 to $589
How much rates vary
Facilitymedian $234 · 10th to 90th $87 to $851Professionalmedian $234 · 10th to 90th $151 to $234
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Facility
None
$234.42
$234.42
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Professional
None
$234.42
$234.42
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,659.59
Typical High
$1,659.59
Facility
None
$575.44
$1,659.59
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Professional
None
$151.36
$151.36
$151.36
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Facility
None
$234.42
$234.42
$234.42
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Professional
None
$234.42
$234.42
$234.42
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$588.84
Typical High
$691.83
Professional
None
$512.86
$588.84
$691.83
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$72.44
Median
$100.00
Typical High
$162.18
Facility
None
$72.44
$100.00
$162.18
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$776.25
Typical High
$891.25
Facility
None
$363.08
$776.25
$891.25
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Highmark BCBS
Setting
Facility
Modifier
25 · Same-day visit
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$9,120.11
Facility
25 · Same-day visit
$9,120.11
$9,120.11
$9,120.11
Where Pennsylvania 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.