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.
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)
Low
$2
Average
$1.2k
Median
$676
High
$6.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
394 hospitals; the 90th percentile is 11.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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460 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 3 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $346 | $341 | $7 | 2% | — | $330 – $346 |
| 4 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $1.0k | $1.0k | $73 | 7% | — | $968 – $1.1k |
| 5 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $1.0k | $1.0k | $73 | 7% | — | $968 – $1.1k |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $433 | $433 | $283 | 65% | — | $150 – $715 |
| 7 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $517 | $381 | $194 | 51% | — | $107 – $517 |
| 8 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $517 | $381 | $194 | 51% | — | $107 – $517 |
| 9 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 4 | $641 | $640 | $129 | 20% | — | $508 – $769 |
| 10 | Ascension Seton Austin, TX fee schedule · outpatient | 5 | $855 | $826 | $210 | 25% | — | $430 – $1.0k |
| 11 | Baptist Health - Fort Smith Smith, AR fee schedule · outpatient | 1 | $759 | $861 | $537 | 62% | — | $261 – $1.6k |
| 12 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 7 | $1.3k | $1.2k | $446 | 37% | — | $287 – $1.7k |
| 13 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 7 | $1.3k | $1.2k | $446 | 37% | — | $287 – $1.7k |
| 14 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 15 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 3 | $1.1k | $874 | $284 | 33% | — | $472 – $1.1k |
| 16 | Beth Israel Deaconess Hospital - Needham Needham, MA fee schedule · outpatient | 1 | $417 | $417 | — | — | — | $417 – $417 |
| 17 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA fee schedule · outpatient | 2 | $427 | $427 | $12 | 3% | — | $415 – $438 |
| 18 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 19 | Beth Israel Deaconess Medical Center Boston, MA fee schedule · outpatient | 2 | $531 | $531 | $12 | 2% | — | $519 – $542 |
| 20 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 4 | $607 | $573 | $162 | 28% | — | $322 – $757 |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 22 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 23 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | CENTERPOINT MEDICAL CENTER Independence, MO percent of total billed charges · outpatientfrom % of charges | 8 | $1.3k | $1.4k | $346 | 25% | — | $946 – $2.0k |
| 25 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $273 | $273 | — | — | — | $273 – $273 |
← Payers reporting HCPCS G0383 · Snapshot 20261111T120946Z-9134e7f7