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 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)
Low
$441
Average
$620
Median
$453
High
$1.5k
Each hospital's average Bcbs Nj rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 2.9× 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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12 hospital rates
iThe hospitals that file a Bcbs Nj 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 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 2 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 3 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 4 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 5 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 6 | Monmouth Medical Center Southern Campus Lakewood, NJ fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 7 | Newark Beth Israel Medical Center Newark, NJ fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 8 | Robert Wood Johnson University Hospital Hamilton Hamilton Township, NJ fee schedule · outpatient | 5 | $1.8k | $1.5k | $562 | 37% | — | $441 – $2.0k |
| 9 | Robert Wood Johnson University Hospital New Brunswick New Brunswick, NJ fee schedule · outpatient | 1 | $469 | $469 | — | — | — | $469 – $469 |
| 10 | Robert Wood Johnson University Hospital Rahway Rahway, NJ fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 11 | Robert Wood Johnson University Hospital Somerset Somerville, NJ fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 12 | Trinitas Regional Medical Center Elizabeth, NJ fee schedule · outpatient | 5 | $1.7k | $1.4k | $549 | 39% | — | $441 – $1.8k |
← Payers reporting HCPCS G0384 · Snapshot 20261111T120946Z-9134e7f7