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
$57
Average
$402
Median
$333
High
$1.7k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 10.9× 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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76 hospital rates
iThe hospitals that file a Caresource 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 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 3 | $254 | $211 | $92 | 43% | 234 | $56 – $280 |
| 2 | Princeton Community Hospital Assn Inc. Princeton, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 3–30 | $1.7k – $1.7k |
| 3 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $726 | $765 | $55 | 7% | 3–30 | $726 – $843 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $540 | $540 | — | — | — | $540 – $540 |
| 6 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $381 | $381 | $124 | 32% | — | $257 – $505 |
| 7 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 8 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 12 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 13 | Charleston Area Medical Center Charleston, WV percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 15 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 16 | Deaconess Health System Henderson Hospital Henderson, KY facility · case rate · outpatient | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 17 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $434 | $434 | — | — | — | $434 – $434 |
| 18 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $328 | $328 | $66 | 20% | — | $263 – $394 |
| 19 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 20 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 2 | $155 | $155 | $113 | 73% | — | $42 – $268 |
| 21 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 2 | $348 | $348 | $70 | 20% | — | $278 – $417 |
| 22 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 23 | Greenfield Area Medical Center Greenfield, OH facility · case rate · outpatient | 1 | $540 | $540 | — | — | — | $540 – $540 |
| 24 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $268 | $268 | $8 | 3% | — | $260 – $276 |
| 25 | Indiana University Health Arnett Inc. Lafayette, IN fee schedule · outpatient | 3 | $296 | $321 | $50 | 16% | — | $296 – $421 |
← Payers reporting HCPCS G0383 · Snapshot 20261111T120946Z-9134e7f7