Tynbil: Know the *real* price for healthcare services

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)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $353.00 / $353.00	Facility	$353.00	$353.00	$353.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.59 / $232.54 / $232.54	Professional	$123.59	$232.54	$232.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional	$43.50	$43.50	$43.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $62.36 / $106.01	Professional	$49.89	$62.36	$106.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $14.65 / $2,500.00	Professional	$13.96	$14.65	$2,500.00