Level 1 Type B Emergency Department Visit

Colorado 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?

$22.91

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $19.50 from a physician practice, and about $490 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$19.50	$15.85 to $26.30
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$490	$407 to $617

How much rates vary

Facilitymedian $490 · 10th to 90th $234 to $813Professionalmedian $19 · 10th to 90th $14 to $123

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $645.65	Facility	None	$123.03	$123.03	$645.65
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $234.42	Professional	None	$123.03	$123.03	$234.42
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $812.83	Facility	None	$269.15	$501.19	$812.83
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $18.62 Typical High $28.18	Professional	None	$14.13	$18.62	$28.18
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $416.87	Facility	None	$190.55	$239.88	$416.87
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $117.49	Professional	None	$43.65	$43.65	$117.49
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $177.83	Facility	None	$123.03	$123.03	$177.83
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $346.74	Professional	None	$154.88	$154.88	$346.74
United Setting Facility Modifier None Typical Low $323.59 Median $338.84 Typical High $389.05	Facility	None	$323.59	$338.84	$389.05

Where Colorado 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.

Colorado· 43rd of 51

$22.91

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.