Level 5 Type B Emergency Department Visit

Washington 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?

$288

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,023 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 7 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	$288	$288 to $288
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,023	$324 to $1,622

How much rates vary

Facilitymedian $1,023 · 10th to 90th $324 to $5,012Professionalmedian $288 · 10th to 90th $191 to $513

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. 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 $5,011.87 Median $5,011.87 Typical High $5,011.87	Facility	Global	$5,011.87	$5,011.87	$5,011.87
Aetna Setting Professional Modifier Global Typical Low $194.98 Median $288.40 Typical High $512.86	Professional	Global	$194.98	$288.40	$512.86
Cigna Setting Professional Modifier Global Typical Low $190.55 Median $190.55 Typical High $190.55	Professional	Global	$190.55	$190.55	$190.55
Kaiser Permanente Setting Facility Modifier Global Typical Low $323.59 Median $933.25 Typical High $1,621.81	Facility	Global	$323.59	$933.25	$1,621.81
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $50.12	Professional	Global	$32.36	$33.11	$50.12
Pacific Source Setting Facility Modifier Global Typical Low $912.01 Median $912.01 Typical High $912.01	Facility	Global	$912.01	$912.01	$912.01
United Setting Facility Modifier Global Typical Low $1,288.25 Median $1,513.56 Typical High $1,778.28	Facility	Global	$1,288.25	$1,513.56	$1,778.28
Wellpoint Setting Professional Modifier Global Typical Low $147.91 Median $147.91 Typical High $147.91	Professional	Global	$147.91	$147.91	$147.91

Where Washington sits

The same service costs 4.6 times more in North Carolina than in Rhode Island. 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.

Washington· 30th of 51

$288

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.