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See a sample rate comparisonHCPCS G0383 Fee Schedule
HCPCS G0383 is classified under Procedures / Professional Services, in the Hospital Observation and Emergency Services subgroup.
Level 4 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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Hospital Observation and Emergency Services |
| Hospital Outpatient Group (APC) | APC 5034 - Level 4 Type B ED Visits |
| Common Revenue Codes | 0450 |
| Medicaid Fee Schedule | View Medicaid rates for G0383 |
National average reimbursement for HCPCS G0383 by major payers:
$382.05
BCBS / Anthem
$168.60
UnitedHealthcare
$262.09
Aetna
$117.91
Cigna
Compare published rates across providers.
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HCPCS G0383
5 of 25 sample ratesHigher to lower in this preview
East Georgia Regional Medical Center, LLC, East Georgia Regional Medical Center LLC
East Georgia Regional Medical Center LLC
$5,948.00Published rateChildren'S Hospital
Childrens Hospital Inc
$1,835.00Published rateBurke Hospital Company, Burke Health
Burke Hospital Company, LLC
$849.00Published rateSt. James Parish Hosp. Serv. Dist.
St James Parish Hospital
$591.00Published rateClhg-Oakdale, LLC, Oakdale Community Hospital
Clhgoakdale LLC
$321.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0383 vs. Other Hospital Observation and Emergency Services Codes
The table lists codes related to G0383. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0382-HCPCS | Level 3 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) |
| G0383-HCPCS | Level 4 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) |
| G0384-HCPCS | 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0383. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0383 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
What APC is HCPCS G0383 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0383 to APC 5034 (Level 4 Type B ED Visits). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0383?
Hospital price transparency files list HCPCS G0383 under these revenue codes: 0450. A revenue code names the hospital department or charge category for the line; it does not change what the service is.