Level 4 Type B Emergency Department Visit

Utah 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?

$229

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $851 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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$151	$44.67 to $229
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$851	$490 to $2,291

How much rates vary

Facilitymedian $851 · 10th to 90th $229 to $5,012Professionalmedian $151 · 10th to 90th $45 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 Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $229.09 Median $3,467.37 Typical High $6,456.54	Facility	None	$229.09	$3,467.37	$6,456.54
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $234.42	Professional	None	$229.09	$229.09	$234.42
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,995.26 Typical High $2,290.87	Facility	None	$1,737.80	$1,995.26	$2,290.87
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	None	$151.36	$151.36	$151.36
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $60.26	Professional	None	$30.20	$44.67	$60.26
Regence BlueShield Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $851.14	Facility	None	$457.09	$588.84	$851.14
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87	Facility	None	$5,011.87	$5,011.87	$5,011.87
Select Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,585.78	Professional	None	$5,011.87	$5,011.87	$7,585.78
U of Utah Health Plan Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80	Professional	None	$213.80	$213.80	$213.80

Where Utah 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.

Utah· 19th of 51

$229

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.