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
$224
Average
$288
Median
$294
High
$307
Each hospital's average Medica rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 1.2× 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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21 hospital rates
iThe hospitals that file a Medica 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 | Curators of the University of Missouri Jefferson City, MO facility · other · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 2 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 3 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 4 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · case rate · outpatient | 1 | $307 | $307 | — | — | — | $307 – $307 |
| 5 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · case rate · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 6 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 7 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 1 | $286 | $286 | — | — | — | $286 – $286 |
| 8 | Essentia Health Virginia 901 9th St N Virginia, MN facility · case rate · outpatient | 1 | $280 | $280 | — | — | — | $280 – $280 |
| 9 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 10 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 11 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 12 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 13 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 14 | Fairview Health Services Princeton, MN fee schedule · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 15 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 16 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 17 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 1 | $301 | $301 | — | — | — | $301 – $301 |
| 18 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $259 | $259 | $73 | 28% | — | $186 – $332 |
| 19 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · case rate · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 20 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · other · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 21 | Range Regional Health Services Hibbing, MN facility · fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
← Payers reporting HCPCS G0383 · Snapshot 20261111T120946Z-9134e7f7