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Level 1 Type B Emergency Department Visit

Arizona rates for HCPCS G0380

Level 1 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)

Rates data updated October 2026.

How much does Level 1 Type B Emergency Department Visit cost?

$123

Typical physician fee. In Arizona, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $21.38 to $123.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $100 to $178Professionalmedian $110 · 10th to 90th $21 to $123
$20$50$100$200$500$1Kfacility $135professional $110

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$21.38
Typical High
$41.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$57.54
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$134.90
Typical High
$177.83

Where Arizona sits

The same service costs 50.1 times more in Oklahoma than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 28th of 51

$123

OK $776VA $15.49

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.