Hospital emergency department visit, level 5

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVEL 5 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)

Payers reporting HCPCS G0384

Payer pricing summary

Low

$188

Average

$1.1k

Median

$617

High

$4.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare case rate · outpatient · +19 other terms	324	$4.0k	$3.7k	$2.2k	60%	—	$373 – $12.8k
2	Aetna fee schedule · outpatient · +16 other terms	248	$419	$692	$699	101%	—	$176 – $4.6k
3	Humana fee schedule · outpatient · +16 other terms	196	$406	$416	$66	16%	—	$291 – $1.0k
4	Cigna fee schedule · outpatient · +15 other terms	120	$414	$653	$535	82%	—	$382 – $3.3k
5	Oscar case rate · outpatient · +7 other terms	118	$3.3k	$3.4k	$1.0k	29%	—	$632 – $5.2k
6	Blue Cross Blue Shield case rate · outpatient · +14 other terms	116	$4.9k	$4.8k	$2.1k	45%	—	$350 – $9.6k
7	WellCare fee schedule · outpatient · +10 other terms	105	$409	$483	$157	33%	—	$379 – $947
8	Molina fee schedule · outpatient · +12 other terms	79	$470	$555	$226	41%	—	$256 – $1.8k
9	Anthem fee schedule · outpatient · +12 other terms	66	$411	$802	$727	91%	—	$379 – $3.0k
10	Kaiser fee schedule · outpatient · +7 other terms	61	$596	$807	$526	65%	—	$404 – $3.1k
11	Devoted fee schedule · outpatient · +5 other terms	54	$411	$409	$17	4%	—	$382 – $448
12	Ambetter case rate · outpatient · +8 other terms	36	$1.4k	$1.4k	$948	67%	—	$572 – $3.6k
13	MultiPlan fee schedule · outpatient · +8 other terms	34	$2.7k	$2.4k	$1.9k	80%	—	$379 – $5.6k
14	Optum fee schedule · outpatient · +6 other terms	32	$411	$581	$303	52%	—	$373 – $1.5k
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$1.3k	$1.2k	$568	46%	—	$379 – $2.5k
16	Caresource facility · case rate · outpatient · +9 other terms	24	$88	$294	$277	94%	—	$42 – $839
17	Clover fee schedule · outpatient · +4 other terms	24	$444	$434	$26	6%	—	$397 – $476
18	Aetna Better Health fee schedule · outpatient · +5 other terms	19	$300	$248	$115	46%	—	$98 – $379
19	Medicare fee schedule · outpatient · +7 other terms	19	$411	$408	$15	4%	—	$336 – $411
20	Phcs percent of total billed charges · bothfrom % of charges · +2 other terms	19	$2.4k	$2.4k	$326	13%	—	$2.0k – $3.0k
21	Highmark fee schedule · outpatient · +8 other terms	16	$433	$416	$229	55%	—	$181 – $1.2k
22	Regence fee schedule · outpatient · +3 other terms	16	$631	$759	$435	57%	—	$363 – $2.0k
23	Ucare case rate · outpatient · +4 other terms	15	$424	$418	$8	2%	—	$404 – $424
24	Tricare fee schedule · outpatient · +7 other terms	14	$373	$378	$24	6%	—	$305 – $409
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$617	$606	$273	45%	—	$169 – $1.3k

Page 1 of 3 · 55 payers