Level 1 Type B Emergency Department Visit

Idaho 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?

$234

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $141 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 by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$234	$234 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$141	$97.72 to $209

How much rates vary

Facilitymedian $141 · 10th to 90th $65 to $234Professionalmedian $234 · 10th to 90th $30 to $234

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 Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
BCBS Idaho Setting Facility Modifier None Typical Low $45.71 Median $131.83 Typical High $213.80	Facility	None	$45.71	$131.83	$213.80
Moda Health Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $660.69	Facility	None	$234.42	$234.42	$660.69
Moda Health Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20	Professional	None	$30.20	$30.20	$30.20
MountainHealth Co-op Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04	Professional	None	$138.04	$138.04	$138.04
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $173.78 Typical High $245.47	Facility	None	$138.04	$173.78	$245.47
Select Health Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $177.83	Facility	None	$93.33	$125.89	$177.83

Where Idaho 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.

Idaho· 9th of 51

$234

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.