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
$667
Median
$772
High
$815
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 2.0× 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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9 hospital rates
iThe hospitals that file a Superior Healthplan 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 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 2 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 3 | HEART HOSP OF AUSTIN Austin, TX percent of total billed charges · outpatientfrom % of charges | 3 | $772 | $772 | — | — | — | $772 – $772 |
| 4 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 3 | $772 | $772 | — | — | — | $772 – $772 |
| 5 | ST DAVIDS REHAB Austin, TX percent of total billed charges · outpatientfrom % of charges | 3 | $772 | $772 | — | — | — | $772 – $772 |
| 6 | ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX percent of total billed charges · outpatientfrom % of charges | 3 | $772 | $772 | — | — | — | $772 – $772 |
| 7 | ST. DAVID'S MEDICAL CENTER Manor, TX percent of total billed charges · outpatientfrom % of charges | 3 | $772 | $772 | — | — | — | $772 – $772 |
| 8 | ST. DAVID'S ROUND ROCK MEDICAL CENTER ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 3 | $815 | $815 | — | — | — | $815 – $815 |
| 9 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 3 | $637 | $637 | — | — | — | $637 – $637 |
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