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Nationwide rates for HCPCS G0384

Level 5 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)

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $467.74 / $5,011.87	Facility	$239.88	$467.74	$5,011.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $288.40 / $512.86	Professional	$194.98	$288.40	$512.86
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,818.38 / $16,982.44	Facility	$1,348.96	$2,818.38	$16,982.44
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $147.91 / $239.88	Professional	$114.82	$147.91	$239.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Facility	$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $1,412.54 / $2,290.87	Facility	$501.19	$1,412.54	$2,290.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $323.59 / $323.59	Professional	$281.84	$323.59	$323.59

Nationwide rates for HCPCS G0384

See more rates by state