Level 5 Type B Emergency Department Visit

New Hampshire 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?

$195

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $537 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 4 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	$195	$148 to $240
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$537	$427 to $603

How much rates vary

Facilitymedian $537 · 10th to 90th $195 to $4,169Professionalmedian $195 · 10th to 90th $148 to $288

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. 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 Global Typical Low $194.98 Median $426.58 Typical High $602.56	Facility	Global	$194.98	$426.58	$602.56
Aetna Setting Professional Modifier Global Typical Low $190.55 Median $234.42 Typical High $288.40	Professional	Global	$190.55	$234.42	$288.40
Anthem BCBS Setting Facility Modifier Global Typical Low $537.03 Median $537.03 Typical High $537.03	Facility	Global	$537.03	$537.03	$537.03
Anthem BCBS Setting Professional Modifier Global Typical Low $147.91 Median $147.91 Typical High $147.91	Professional	Global	$147.91	$147.91	$147.91
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	Global	$190.55	$190.55	$190.55
Well Sense Setting Facility Modifier Global Typical Low $3,630.78 Median $3,981.07 Typical High $5,754.40	Facility	Global	$3,630.78	$3,981.07	$5,754.40

Where New Hampshire sits

The same service costs 4.6 times more in North Carolina than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Hampshire $195 · 48th of 51

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.