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Level 1 Type B Emergency Department Visit

California 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?

$166

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $1,778 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$105 to $166
FacilityA hospital or hospital-owned outpatient department$1,778$891 to $3,090

How much rates vary

Facilitymedian $1,778 · 10th to 90th $166 to $3,981Professionalmedian $155 · 10th to 90th $29 to $166
$20$100$500$2K$10Kfacility $1,778professional $155

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$154.88
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$165.96
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$2,187.76
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$15.85
Median
$22.91
Typical High
$32.36
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$60.26
Median
$91.20
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$630.96
Typical High
$831.76
Providence
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$165.96
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$186.21

Where California 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.

California· 20th of 51

$166

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.