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
$78
Average
$560
Median
$283
High
$5.4k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
420 hospitals; the 90th percentile is 5.1× 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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455 hospital rates
iThe hospitals that file a Humana 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $264 | $264 | — | — | — | $264 – $264 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $277 | $277 | — | — | — | $277 – $277 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $252 | $252 | — | — | — | $252 – $252 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 7 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $287 | $287 | — | — | — | $287 – $287 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $274 | $274 | — | — | — | $274 – $274 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $273 | $273 | — | — | — | $273 – $273 |
| 10 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 11 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 2 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 12 | Baptist Health - Fort Smith Smith, AR fee schedule · outpatient | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 13 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 2 | $328 | $328 | $30 | 9% | — | $298 – $358 |
| 14 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 2 | $328 | $328 | $30 | 9% | — | $298 – $358 |
| 15 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 16 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 17 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $288 | $288 | — | — | — | $288 – $288 |
| 18 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 19 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 20 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 21 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 1 | $265 | $265 | — | — | — | $265 – $265 |
← Payers reporting HCPCS G0383 · Snapshot 20261111T120946Z-9134e7f7