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
$268
Average
$479
Median
$303
High
$1.1k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 3.1× 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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45 hospital rates
iThe hospitals that file a Regence 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 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA percent of total billed charges · outpatientfrom % of charges | 2 | $619 | $619 | $175 | 28% | 2–20 | $444 – $794 |
| 2 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $281 | $281 | — | — | — | $281 – $281 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $281 | $281 | — | — | — | $281 – $281 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT fee schedule · outpatient | 4 | $281 | $281 | — | — | — | $281 – $281 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT fee schedule · outpatient | 4 | $281 | $281 | — | — | — | $281 – $281 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 4 | $281 | $281 | — | — | — | $281 – $281 |
| 8 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $835 | $835 | — | — | — | $835 – $835 |
| 10 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $554 | $554 | — | — | — | $554 – $554 |
| 11 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 2 | $600 | $600 | $267 | 44% | — | $333 – $867 |
| 12 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 2 | $584 | $584 | $251 | 43% | — | $333 – $835 |
| 13 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $634 | $634 | — | — | — | $634 – $634 |
| 15 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 16 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 2 | $640 | $640 | $297 | 46% | — | $343 – $937 |
| 17 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 2 | $581 | $581 | $254 | 44% | — | $327 – $835 |
| 18 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · case rate · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · case rate · outpatient | 1 | $284 | $284 | — | — | — | $284 – $284 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · case rate · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 22 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · case rate · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · case rate · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital Logan, UT facility · case rate · outpatient | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 25 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · case rate · outpatient | 1 | $278 | $278 | — | — | — | $278 – $278 |
← Payers reporting HCPCS G0383 · Snapshot 20261111T120946Z-9134e7f7