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
$192
Average
$409
Median
$436
High
$514
Each hospital's average Bcbs Mn rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 1.4× 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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29 hospital rates
iThe hospitals that file a Bcbs Mn 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 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 4 | $507 | $451 | $197 | 44% | — | $158 – $631 |
| 2 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 3 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 4 | Fairview Health Services Edina, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 5 | Fairview Health Services Edina, MN fee schedule · outpatient | 4 | $597 | $586 | $262 | 45% | — | $296 – $855 |
| 6 | Fairview Health Services Minneapolis, MN fee schedule · both | 3 | $138 | $139 | $1 | 1% | — | $138 – $141 |
| 7 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 5 | $840 | $637 | $255 | 40% | — | $296 – $855 |
| 8 | Fairview Health Services Burnsville, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 9 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 4 | $597 | $585 | $264 | 45% | — | $289 – $855 |
| 10 | Fairview Health Services Wyoming, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 11 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 4 | $597 | $586 | $262 | 45% | — | $296 – $855 |
| 12 | Fairview Health Services Princeton, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 13 | Fairview Health Services Princeton, MN fee schedule · outpatient | 4 | $597 | $586 | $262 | 45% | — | $296 – $855 |
| 14 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 4 | $579 | $578 | $269 | 47% | — | $299 – $855 |
| 15 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 16 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 17 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 4 | $597 | $585 | $264 | 45% | — | $289 – $855 |
| 18 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 19 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 4 | $597 | $586 | $262 | 45% | — | $296 – $855 |
| 20 | Range Regional Health Services Hibbing, MN facility · fee schedule · outpatient | 4 | $563 | $538 | $312 | 58% | — | $171 – $855 |
| 21 | Range Regional Health Services Hibbing, MN professional · fee schedule · both | 2 | $139 | $139 | $1 | 1% | — | $138 – $141 |
| 22 | Sanford Bemidji Medical Center Bemidji, MN case rate · outpatient | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 23 | Sanford Bemidji Medical Center Bemidji, MN fee schedule · outpatient | 2 | $627 | $627 | $414 | 66% | — | $213 – $1.0k |
| 24 | Sanford Fargo Medical Center Fargo, ND case rate · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 25 | Sanford Fargo Medical Center Fargo, ND fee schedule · outpatient | 2 | $367 | $367 | $153 | 42% | — | $215 – $520 |
← Payers reporting HCPCS G0383 · Snapshot 20261111T120946Z-9134e7f7