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
$165
Average
$459
Median
$426
High
$947
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
240 hospitals; the 90th percentile is 1.5× 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
242 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $444 | $444 | $10 | 2% | — | $434 – $455 |
| 2 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $399 | $399 | — | — | — | $399 – $399 |
| 3 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $412 | $412 | — | — | — | $412 – $412 |
| 4 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $444 | $444 | — | — | — | $444 – $444 |
| 5 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $355 | $355 | — | — | — | $355 – $355 |
| 6 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $470 | $470 | — | — | — | $470 – $470 |
| 7 | Baptist Health - Fort Smith Smith, AR fee schedule · outpatient | 1 | $424 | $424 | — | — | — | $424 – $424 |
| 8 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $568 | $568 | — | — | — | $568 – $568 |
| 9 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $568 | $568 | — | — | — | $568 – $568 |
| 10 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 11 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $391 | $391 | — | — | — | $391 – $391 |
| 12 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
| 13 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 14 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
| 15 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 16 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $528 | $528 | — | — | — | $528 – $528 |
| 17 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 18 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 19 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 20 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 21 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 22 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 23 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $686 | $686 | — | — | — | $686 – $686 |
| 24 | Cheshire Medical Center Keene, NH facility · case rate · outpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
| 25 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $405 | $405 | — | — | — | $405 – $405 |
← Payers reporting HCPCS G0384 · Snapshot 20261111T120946Z-9134e7f7