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
$281
Average
$290
Median
$285
High
$348
Each hospital's average Cigna Healthspring rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 1.1× 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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14 hospital rates
iThe hospitals that file a Cigna Healthspring 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 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 2 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 3 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 4 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 5 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 6 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $348 | $348 | — | — | — | $348 – $348 |
| 7 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 8 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 9 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $281 | $281 | — | — | — | $281 – $281 |
| 10 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 11 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 12 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 13 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
| 14 | The Charlotte Mecklenburg Hospital Authority Albemarle, NC fee schedule · outpatient | 1 | $285 | $285 | — | — | — | $285 – $285 |
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