Level 5 Type B Emergency Department Visit

Idaho 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 negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $316 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$288	$288 to $288
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$316	$288 to $631

How much rates vary

Facilitymedian $316 · 10th to 90th $275 to $871Professionalmedian $288 · 10th to 90th $195 to $490

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. 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 Global Typical Low $870.96 Median $870.96 Typical High $870.96	Facility	Global	$870.96	$870.96	$870.96
Aetna Setting Professional Modifier Global Typical Low $288.40 Median $288.40 Typical High $489.78	Professional	Global	$288.40	$288.40	$489.78
BCBS Setting Facility Modifier Global Typical Low $323.59 Median $346.74 Typical High $794.33	Facility	Global	$323.59	$346.74	$794.33
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	Global	$190.55	$190.55	$190.55
Moda Health Setting Facility Modifier Global Typical Low $275.42 Median $302.00 Typical High $870.96	Facility	Global	$275.42	$302.00	$870.96
Molina Setting Professional Modifier Global Typical Low $30.20 Median $30.20 Typical High $3,467.37	Professional	Global	$30.20	$30.20	$3,467.37
Regence BlueShield Setting Facility Modifier Global Typical Low $794.33 Median $794.33 Typical High $794.33	Facility	Global	$794.33	$794.33	$794.33

Where Idaho sits

The same service costs 4.6 times more in North Carolina than in Rhode Island. 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.

Idaho· 38th of 51

$288

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.