Level 5 Type B Emergency Department Visit

Connecticut 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)

Rates data updated July 2026.

How much does Level 5 Type B Emergency Department Visit cost?

$288

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $240 to $288.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,166 · 10th to 90th $5,248 to $6,166Professionalmedian $288 · 10th to 90th $191 to $631

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. 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 Professional Modifier Global Typical Low $194.98 Median $288.40 Typical High $630.96	Professional	Global	$194.98	$288.40	$630.96
Anthem BCBS Setting Facility Modifier Global Typical Low $5,248.07 Median $6,165.95 Typical High $6,165.95	Facility	Global	$5,248.07	$6,165.95	$6,165.95
Anthem BCBS Setting Professional Modifier Global Typical Low $114.82 Median $162.18 Typical High $302.00	Professional	Global	$114.82	$162.18	$302.00
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	Global	$190.55	$190.55	$190.55
United Setting Professional Modifier Global Typical Low $281.84 Median $281.84 Typical High $776.25	Professional	Global	$281.84	$281.84	$776.25

Where Connecticut sits

The same service costs 4.6 times more in North Carolina than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $288 · 25th of 51

NC $871RI $191

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.