Level 5 Type B Emergency Department Visit

Maine 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?

$191

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $148 to $275.

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

Professionalmedian $191 · 10th to 90th $148 to $275

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 Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40	Professional	None	$275.42	$275.42	$288.40
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $147.91 Typical High $186.21	Professional	None	$125.89	$147.91	$186.21
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	None	$190.55	$190.55	$190.55
Martin's Point Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42	Professional	None	$275.42	$275.42	$275.42

Where Maine 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.

Maine· 43rd of 51

$191

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.