Level 5 Type B Emergency Department Visit

Ohio 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 negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $1,288 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 7 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	$191	$151 to $204
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,288	$871 to $5,754

How much rates vary

Facilitymedian $1,288 · 10th to 90th $794 to $6,026Professionalmedian $191 · 10th to 90th $151 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 $776.25 Median $870.96 Typical High $870.96	Facility	None	$776.25	$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 $5,495.41 Median $5,754.40 Typical High $6,025.60	Facility	None	$5,495.41	$5,754.40	$6,025.60
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $239.88	Professional	None	$151.36	$151.36	$239.88
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	None	$190.55	$190.55	$190.55
Medical Mutual of Ohio 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 $39.81 Median $50.12 Typical High $60.26	Professional	None	$39.81	$50.12	$60.26
SummaCare Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79	Professional	None	$70.79	$70.79	$70.79
United Setting Facility Modifier None Typical Low $851.14 Median $977.24 Typical High $1,412.54	Facility	None	$851.14	$977.24	$1,412.54

Where Ohio 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.

Ohio· 34th 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.