Level 5 Type B Emergency Department Visit

Kentucky 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?

$148

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $148 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 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	$148	$148 to $191
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$871	$871 to $2,951

How much rates vary

Facilitymedian $871 · 10th to 90th $65 to $3,890Professionalmedian $148 · 10th to 90th $126 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 $190.55 Median $870.96 Typical High $870.96	Facility	None	$190.55	$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
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $3,090.30 Typical High $4,168.69	Facility	None	$2,630.27	$3,090.30	$4,168.69
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $181.97	Professional	None	$128.82	$147.91	$181.97
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	None	$64.57	$64.57	$64.57
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	None	$190.55	$190.55	$190.55
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67	Professional	None	$44.67	$44.67	$44.67

Where Kentucky 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.

Kentucky· 46th of 51

$148

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.