Level 4 Type B Emergency Department Visit

Virginia 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?

$95.50

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $95.50 from a physician practice, and about $2,951 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	$95.50	$81.28 to $151
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$2,951	$1,778 to $3,388

How much rates vary

Facilitymedian $2,951 · 10th to 90th $398 to $10,233Professionalmedian $95 · 10th to 90th $76 to $209

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $398.11	Facility	None	$234.42	$234.42	$398.11
Aetna Setting Professional Modifier None Typical Low $234.42 Median $398.11 Typical High $398.11	Professional	None	$234.42	$398.11	$398.11
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,019.95 Typical High $3,388.44	Facility	None	$2,398.83	$3,019.95	$3,388.44
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $87.10 Typical High $107.15	Professional	None	$75.86	$87.10	$107.15
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36	Professional	None	$151.36	$151.36	$151.36
Medcost Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60	Facility	None	$616.60	$616.60	$616.60
Sentara Setting Facility Modifier None Typical Low $1,548.82 Median $4,365.16 Typical High $11,481.54	Facility	None	$1,548.82	$4,365.16	$11,481.54
United Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,230.27	Facility	None	$501.19	$549.54	$1,230.27

Where Virginia 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.

Virginia· 47th of 51

$95.50

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.