Level 1 Type B Emergency Department Visit

Kentucky 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?

$16.22

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $16.22 for this service. The price depends on where it is billed: about $16.22 from a physician practice, and about $135 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 4 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	$16.22	$16.22 to $21.38
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$135	$123 to $288

How much rates vary

Facilitymedian $135 · 10th to 90th $65 to $380Professionalmedian $16 · 10th to 90th $14 to $123

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 $123.03 Median $123.03 Typical High $134.90	Facility	None	$123.03	$123.03	$134.90
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $234.42	Professional	None	$123.03	$123.03	$234.42
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $416.87	Facility	None	$190.55	$316.23	$416.87
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $18.62	Professional	None	$14.13	$16.22	$18.62
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	None	$64.57	$64.57	$64.57
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67	Professional	None	$44.67	$44.67	$44.67

Where Kentucky 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.

Kentucky· 49th of 51

$16.22

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.