Tynbil: Know the *real* price for healthcare services

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)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $123.59	Facility	$123.59	$123.59	$123.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $232.54 / $232.54	Professional	$104.97	$232.54	$232.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional	$43.50	$43.50	$43.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $232.54 / $297.64	Facility	$123.59	$232.54	$297.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,900.00	Professional	$30.00	$55.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $162.44	Facility	$162.44	$162.44	$162.44