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
$372
Average
$435
Median
$441
High
$632
Each hospital's average Clover rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 1.2× 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.
Filter by billing methodology
Filter by billing class
35 hospital rates
iThe hospitals that file a Clover 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 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 2 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 3 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 4 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 5 | Conway Hospital, Inc. Conway, SC facility · case rate · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 7 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $397 | $397 | — | — | — | $397 – $397 |
| 8 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 9 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 10 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 2 | $397 | $397 | — | — | — | $397 – $397 |
| 11 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 12 | Inspira Health Center Bridgeton Bridgeton, NJ fee schedule · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 13 | Inspira Health Center Woodbury Woodbury, NJ fee schedule · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 14 | Inspira Medical Center Elmer Elmer, NJ fee schedule · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 15 | Inspira Medical Center Mannington Salem, NJ fee schedule · outpatient | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 16 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $462 | $462 | — | — | — | $462 – $462 |
| 17 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $462 | $462 | — | — | — | $462 – $462 |
| 18 | Jersey City Medical Center Jersey City, NJ fee schedule · outpatient | 1 | $476 | $476 | — | — | — | $476 – $476 |
| 19 | Kershaw Medical Center Camden, SC facility · fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 20 | MUSC Health Black River Medical Center Cades, SC facility · fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 21 | MUSC Health Columbia Medical Center Northeast Columbia, SC facility · fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 22 | MUSC Medical Center Charleston, SC facility · fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 23 | Monmouth Medical Center Long Branch, NJ fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 24 | Monmouth Medical Center Southern Campus Lakewood, NJ fee schedule · outpatient | 1 | $441 | $441 | — | — | — | $441 – $441 |
| 25 | Musc Health Columbia Medical Center Downtown Columbia, SC facility · fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
← Payers reporting HCPCS G0384 · Snapshot 20261111T120946Z-9134e7f7