Level 5 Type B Emergency Department Visit

Iowa 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 October 2026.

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

$871

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $871 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 5 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	$871	$288 to $871
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$871	$631 to $1,072

How much rates vary

Facilitymedian $871 · 10th to 90th $513 to $1,259Professionalmedian $871 · 10th to 90th $191 to $871

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 $870.96 Median $870.96 Typical High $870.96	Facility	None	$870.96	$870.96	$870.96
Aetna Setting Professional Modifier None Typical Low $288.40 Median $870.96 Typical High $870.96	Professional	None	$288.40	$870.96	$870.96
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	None	$190.55	$190.55	$190.55
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $602.56	Professional	None	$257.04	$302.00	$602.56
Medica Setting Facility Modifier None Typical Low $338.84 Median $831.76 Typical High $1,230.27	Facility	None	$338.84	$831.76	$1,230.27
United Setting Facility Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,288.25	Facility	None	$616.60	$1,023.29	$1,288.25

Where Iowa sits

The same service costs 12.3 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.

Iowa· 2nd of 51

$871

NC $977MT $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.