Level 1 Type B Emergency Department Visit

Indiana 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 July 2026.

How much does Level 1 Type B Emergency Department Visit cost?

$234

Typical negotiated rate. In Indiana, July 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 $3,162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

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	$23.44 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$3,162	$87.10 to $3,631

How much rates vary

Facilitymedian $3,162 · 10th to 90th $87 to $3,631Professionalmedian $234 · 10th to 90th $16 to $234

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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 Global Typical Low $87.10 Median $87.10 Typical High $87.10	Facility	Global	$87.10	$87.10	$87.10
Aetna Setting Professional Modifier Global Typical Low $123.03 Median $234.42 Typical High $234.42	Professional	Global	$123.03	$234.42	$234.42
Anthem BCBS Setting Facility Modifier Global Typical Low $2,570.40 Median $3,162.28 Typical High $3,630.78	Facility	Global	$2,570.40	$3,162.28	$3,630.78
Anthem BCBS Setting Professional Modifier Global Typical Low $15.85 Median $16.22 Typical High $24.55	Professional	Global	$15.85	$16.22	$24.55
Cigna Setting Facility Modifier Global Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	Global	$64.57	$64.57	$64.57
Cigna Setting Professional Modifier Global Typical Low $17.78 Median $20.89 Typical High $87.10	Professional	Global	$17.78	$20.89	$87.10
United Setting Professional Modifier Global Typical Low $44.67 Median $234.42 Typical High $295.12	Professional	Global	$44.67	$234.42	$295.12

Where Indiana sits

The same service costs 9.8 times more in Michigan than in Minnesota. 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.

Indiana· 20th of 51

$234

MI $234MN $23.99

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.