Level 1 Type B Emergency Department Visit

Iowa 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 facility fee. In Iowa, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $107 to $145.

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 $186 · 10th to 90th $112 to $251Professionalmedian $123 · 10th to 90th $50 to $234

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03	Facility	None	$123.03	$123.03	$123.03
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $234.42	Professional	None	$123.03	$123.03	$234.42
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $100.00	Professional	None	$43.65	$51.29	$100.00
Medica Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $275.42	Facility	None	$123.03	$204.17	$275.42
United Setting Facility Modifier None Typical Low $112.20 Median $186.21 Typical High $234.42	Facility	None	$112.20	$186.21	$234.42

Where Iowa 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.

Iowa· 33rd 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.