Level 1 Type B Emergency Department Visit

Illinois 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?

$135

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $200 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 5 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	$123	$39.81 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$200	$178 to $234

How much rates vary

Facilitymedian $200 · 10th to 90th $178 to $537Professionalmedian $123 · 10th to 90th $14 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 $234.42 Median $234.42 Typical High $537.03	Facility	None	$234.42	$234.42	$537.03
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
Cigna Setting Professional Modifier None Typical Low $43.65 Median $83.18 Typical High $87.10	Professional	None	$43.65	$83.18	$87.10
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $87.10	Professional	None	$50.12	$61.66	$87.10
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00	Facility	None	$100.00	$100.00	$100.00
Molina Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $14.45	Professional	None	$13.80	$14.45	$14.45
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $199.53	Facility	None	$177.83	$177.83	$199.53

Where Illinois 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.

Illinois· 26th of 51

$135

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.