Level 1 Type B Emergency Department Visit

Florida 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?

$110

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $759 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	$110	$16.22 to $123
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$759	$407 to $1,514

How much rates vary

Facilitymedian $759 · 10th to 90th $288 to $3,162Professionalmedian $110 · 10th to 90th $16 to $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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $109.65 Median $288.40 Typical High $338.84	Facility	None	$109.65	$288.40	$338.84
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $234.42	Professional	None	$109.65	$109.65	$234.42
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $4,570.88 Typical High $10,964.78	Facility	None	$2,691.53	$4,570.88	$10,964.78
Florida Blue Setting Facility Modifier None Typical Low $288.40 Median $676.08 Typical High $2,041.74	Facility	None	$288.40	$676.08	$2,041.74
Florida Blue Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $138.04	Professional	None	$57.54	$66.07	$138.04
Molina Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $50.12	Professional	None	$39.81	$39.81	$50.12
United Setting Facility Modifier None Typical Low $87.10 Median $93.33 Typical High $93.33	Facility	None	$87.10	$93.33	$93.33
Wellpoint Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22	Professional	None	$16.22	$16.22	$16.22

Where Florida 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.

Florida· 34th of 51

$110

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.