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
$180
Average
$2.0k
Median
$1.3k
High
$8.9k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
395 hospitals; the 90th percentile is 11.6× 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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449 hospital rates
iThe hospitals that file a Cigna 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 | Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 24 | $1.3k – $1.3k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $400 | $400 | — | — | — | $400 – $400 |
| 3 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 4 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $761 | $761 | $345 | 45% | — | $416 – $1.1k |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 2 | $1.7k | $1.7k | $373 | 22% | — | $1.3k – $2.1k |
| 7 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 4 | $1.9k | $1.9k | $418 | 22% | — | $1.3k – $2.5k |
| 8 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 3 | $1.7k | $1.7k | $306 | 18% | — | $1.3k – $2.1k |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $1.7k | $306 | 18% | — | $1.3k – $2.1k |
| 10 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · inpatientfrom % of charges | 3 | $1.7k | $1.7k | $306 | 18% | — | $1.3k – $2.1k |
| 11 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.7k | $1.7k | $306 | 18% | — | $1.3k – $2.1k |
| 12 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 13 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 14 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $398 | $398 | — | — | — | $398 – $398 |
| 15 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
| 17 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $888 | $888 | — | — | — | $888 – $888 |
| 18 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $761 | $761 | $345 | 45% | — | $416 – $1.1k |
| 19 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 21 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO percent of total billed charges · outpatientfrom % of charges | 2 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $411 | $411 | — | — | — | $411 – $411 |
← Payers reporting HCPCS G0384 · Snapshot 20261111T120946Z-9134e7f7