HCPCS G0384 Fee Schedule

Last Verified: December 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

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)

Key Fact	Detail
Service Type	• Procedures / Professional Services • Hospital Observation and Emergency Services
Complexity Level	Moderate

National average reimbursement for HCPCS G0384 by major payers:

$515.89

$54.00

$320.30

$210.76

Preview provider-level rates for...

For billing codeHCPCS G0384

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G0384
United	G0384	$906.30	1578568481 - SLIDELL MEMORIAL HOSPITAL, ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT #2	726014895 - (LA) SLIDELL MEMORIAL HOSPITAL	LA	General Acute Care Hospital (282N00000X)
United	G0384	$645.35	1093140600 - OUR LADY OF THE ANGELS HOSPITAL, INC., OUR LADY OF THE ANGELS HOSPITAL	463123178 - (LA) OUR LADY OF THE ANGELS HOSPITAL INC	LA	General Acute Care Hospital (282N00000X)
United	G0384	$1594.00	1295772259 - LAKEVIEW MEDICAL CENTER, LLC, LAKEVIEW REGIONAL MEDICAL CENTER	621596506	LA	General Acute Care Hospital (282N00000X)
United	G0384	$484.66	1043392491 - DOCTORS' HOSPITAL OF SLIDELL, LLC, STERLING SURGICAL HOSPITAL	522363244 - (LA) DOCTORS HOSPITAL OF SLIDELL, LLC	LA	General Acute Care Hospital (282N00000X)
United	G0384	$1527.00	1376591941 - HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH, LANE REGIONAL MEDICAL CENTER	726015227	LA	General Acute Care Hospital (282N00000X)
United	G0384	$1835.00	1104819366 - CHILDREN'S HOSPITAL	720467503 - CHILDRENS HOSPITAL INC	LA	Children's Hospital (282NC2000X)
United	G0384	$2834.00	1881665164 - CLHG-LEESVILLE, BYRD REGIONAL HOSPITAL	824337635	LA	General Acute Care Hospital (282N00000X)
United	G0384	$1907.00	1063406684 - SAINT JOSEPH'S HOSPITAL, INC.	580568702 - (GA) SAINT JOSEPHS HOSPITAL INC	GA	General Acute Care Hospital (282N00000X)
United	G0384	$4400.00	1992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS	262037695 - GRADY MEMORIAL HOSPITAL CORPORATION	GA	General Acute Care Hospital (282N00000X)
United	G0384	$1959.00	1063406684 - SAINT JOSEPH'S HOSPITAL, INC.	580568702 - (GA) SAINT JOSEPHS HOSPITAL INC	GA	General Acute Care Hospital (282N00000X)
United	G0384	$1083.00	1730761065 - BURKE HOSPITAL COMPANY, BURKE HEALTH	853939331 - BURKE HOSPITAL COMPANY, LLC	GA	General Acute Care Hospital (282N00000X)
United	G0384	$2013.00	1275527889 - CANDLER HOSPITAL INCORPORATED	580593388 - CANDLER HOSPITAL INCORPORATED	GA	General Acute Care Hospital (282N00000X)
United	G0384	$1907.00	1275527889 - CANDLER HOSPITAL INCORPORATED	580593388 - CANDLER HOSPITAL INCORPORATED	GA	General Acute Care Hospital (282N00000X)
United	G0384	$415.60	1104873710 - CLHG-OAKDALE, LLC, OAKDALE COMMUNITY HOSPITAL	813465783 - (LA) CLHGOAKDALE LLC	LA	General Acute Care Hospital (282N00000X)
United	G0384	$2834.00	1881665164 - CLHG-LEESVILLE, BYRD REGIONAL HOSPITAL	824337635	LA	General Acute Care Hospital (282N00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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HCPCS G0384 vs. Other Hospital Observation and Emergency Services Codes

The HCPCS G0384 code is part of the Procedures / Professional Services services used for Hospital Observation and Emergency Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS G0384 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
G0383-HCPCS	Moderate	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	Moderate	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)
G0390-HCPCS	Moderate	Trauma response team associated with hospital critical care service

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0384. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0384 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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