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Level 4 Type B Emergency Department Visit

Wisconsin 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?

$234

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $3,467 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$151 to $251
FacilityA hospital or hospital-owned outpatient department$3,467$251 to $4,266

How much rates vary

Facilitymedian $3,467 · 10th to 90th $245 to $5,623Professionalmedian $151 · 10th to 90th $151 to $251
$20$100$500$2Kfacility $3,467professional $151

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$251.19
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$4,265.80
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
DeanCare
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Medica
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$234.42
Typical High
$724.44
Prevea360
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Quartz
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95

Where Wisconsin 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.

Wisconsin· 17th of 51

$234

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.