Average cost per evaluation and management claim in emergency department, by level

Location: Emergency Department   Physician Office   Urgent Care  

Notes: Cost includes amount paid by insurer and out-of-pocket cost. Level 1-5 refers to CPT codes 99281-99285 for emergency department patients. Codes increase in complexity from 1-5. See AMA CPT Evaluation & Management for more information. Includes enrollees with private insurance coverage from large employers.
Source: Kaiser Family Foundation analysis of Merative MarketScan data Get the data
KFF