ER Levels for hospital bills
There are 5 ER levels (1 – 5) that hospitals use when
billing patients who visit emergency rooms.
The different levels reflect the varying amount of resources (equipment
and supplies) the hospital utilizes for the particular ER level. Level 1 represents the lowest level of ER
facility fees while ER Level 5 is the highest. Level 4 would represent the 2<su
highest level of the 5 levels hospitals bill for their ER levels. Currently there are no nationalized standards
for how hospitals assign the different ER levels. Hospitals are allowed to
establish their own guidelines for how to bill these different levels. In order
to determine what your ER level 4 means on your hospital bill, it would be best
to call the billing office and ask for their documentation as to how that level 4 was determined.
In addition, ER doctors also use these same ER classification
levels when billing for their professional services. However, the professional services billed by
ER doctors are based on the complexity and intensity of the problem being
addressed in the emergency room. The ER
level billed by the hospital and the physician are not always billed at the
same level when a patient visits the emergency room.
In my experience, I have seen a wide diversity in billing
practices from one hospital to another in terms of their classification by ER
The American College of Emergency Physicians has more
information about this topic of ED facility coding guidelines and it can be