Level 5 Type B Emergency Department Visit

Indiana 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?

$145

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $3,020 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 4 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	$145	$145 to $191
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$3,020	$2,344 to $3,715

How much rates vary

Facilitymedian $3,020 · 10th to 90th $1,585 to $4,786Professionalmedian $145 · 10th to 90th $123 to $288

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40	Facility	None	$288.40	$288.40	$288.40
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $870.96	Professional	None	$288.40	$288.40	$870.96
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,011.87	Facility	None	$2,041.74	$3,162.28	$5,011.87
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $162.18	Professional	None	$123.03	$144.54	$162.18
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	None	$190.55	$190.55	$190.55
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $912.01 Median $954.99 Typical High $2,187.76	Facility	None	$912.01	$954.99	$2,187.76
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47	Professional	None	$245.47	$245.47	$245.47

Where Indiana 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.

Indiana· 49th of 51

$145

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.