Level 5 Type B Emergency Department Visit

Nebraska 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 facility fee. In Nebraska, October 2026.

Insurers have agreed to pay about $871 for this service. Most negotiated rates run $603 to $871.

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

Facilitymedian $550 · 10th to 90th $513 to $871Professionalmedian $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 $870.96 Median $870.96 Typical High $870.96	Professional	None	$870.96	$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
Medica Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $676.08	Facility	None	$501.19	$549.54	$676.08
United Setting Facility Modifier None Typical Low $512.86 Median $549.54 Typical High $691.83	Facility	None	$512.86	$549.54	$691.83

Where Nebraska 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.

Nebraska· 4th 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.