Level 4 Type B Emergency Department Visit

Pennsylvania 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 Pennsylvania, 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 $141 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	$141	$97.72 to $234

How much rates vary

Facilitymedian $141 · 10th to 90th $79 to $234Professionalmedian $234 · 10th to 90th $209 to $316

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 $229.09 Median $234.42 Typical High $316.23	Professional	Global	$229.09	$234.42	$316.23
Cigna Setting Professional Modifier Global Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	Global	$151.36	$151.36	$151.36
Martin's Point Setting Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
Martin's Point Setting Professional Modifier Global Typical Low $234.42 Median $234.42 Typical High $302.00	Professional	Global	$234.42	$234.42	$302.00
Oscar Health Setting Professional Modifier Global Typical Low $512.86 Median $588.84 Typical High $691.83	Professional	Global	$512.86	$588.84	$691.83
UPMC Health Plan Setting Facility Modifier Global Typical Low $64.57 Median $97.72 Typical High $141.25	Facility	Global	$64.57	$97.72	$141.25
United Setting Professional Modifier Global Typical Low $302.00 Median $302.00 Typical High $302.00	Professional	Global	$302.00	$302.00	$302.00

Where Pennsylvania 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.

Pennsylvania· 36th 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.