Tynbil: Know the *real* price for healthcare services

Connecticut 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)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $234.42	Professional	$109.65	$234.42	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $549.54	Facility	$467.74	$549.54	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $36.31	Professional	$14.13	$26.30	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	$43.65	$43.65	$43.65