Hospital emergency department visit, level 4

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVEL 4 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)

Payers reporting HCPCS G0383

Payer pricing summary

Low

$132

Average

$744

Median

$457

High

$3.0k

Payer rate distribution

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#
1	UnitedHealthcare case rate · outpatient · +19 other terms	326	$2.1k	$2.4k	$1.4k	57%	—	$264 – $9.5k
2	Aetna fee schedule · outpatient · +16 other terms	246	$286	$462	$416	90%	—	$119 – $2.6k
3	Humana fee schedule · outpatient · +16 other terms	196	$278	$283	$40	14%	—	$233 – $638
4	Oscar case rate · outpatient · +7 other terms	127	$2.3k	$2.3k	$659	29%	—	$446 – $4.2k
5	Cigna fee schedule · outpatient · +16 other terms	118	$285	$428	$321	75%	—	$252 – $1.9k
6	Blue Cross Blue Shield case rate · outpatient · +14 other terms	116	$2.8k	$2.8k	$932	33%	—	$225 – $4.9k
7	WellCare fee schedule · outpatient · +10 other terms	105	$286	$330	$113	34%	—	$252 – $669
8	Molina fee schedule · outpatient · +12 other terms	79	$302	$365	$131	36%	—	$156 – $1.0k
9	Anthem fee schedule · outpatient · +13 other terms	66	$287	$549	$483	88%	—	$262 – $1.9k
10	Kaiser fee schedule · outpatient · +7 other terms	61	$384	$565	$384	68%	—	$265 – $2.2k
11	Devoted fee schedule · outpatient · +5 other terms	54	$287	$277	$21	8%	—	$246 – $316
12	Ambetter case rate · outpatient · +8 other terms	36	$937	$982	$653	66%	—	$417 – $2.9k
13	MultiPlan fee schedule · outpatient · +8 other terms	34	$1.7k	$1.7k	$1.4k	84%	—	$268 – $4.4k
14	Optum fee schedule · outpatient · +6 other terms	32	$265	$373	$192	51%	—	$240 – $976
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$879	$833	$381	46%	—	$268 – $1.7k
16	Caresource facility · case rate · outpatient · +9 other terms	24	$88	$217	$179	82%	—	$42 – $540
17	Clover fee schedule · outpatient · +4 other terms	24	$312	$299	$26	9%	—	$256 – $336
18	Aetna Better Health fee schedule · outpatient · +5 other terms	19	$240	$183	$90	49%	—	$62 – $268
19	Medicare fee schedule · outpatient · +7 other terms	19	$265	$265	$2	1%	—	$265 – $272
20	Phcs percent of total billed charges · bothfrom % of charges · +2 other terms	19	$1.6k	$1.6k	$212	13%	—	$1.3k – $1.9k
21	Highmark fee schedule · outpatient · +8 other terms	16	$303	$289	$163	56%	—	$127 – $775
22	Regence fee schedule · outpatient · +4 other terms	16	$439	$571	$343	60%	—	$281 – $1.5k
23	Ucare case rate · outpatient · +4 other terms	15	$300	$296	$5	2%	—	$286 – $300
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$585	$540	$272	50%	—	$131 – $1.0k
25	Medical Mutual facility · fee schedule · outpatient · +3 other terms	13	$250	$262	$27	10%	—	$250 – $355

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