Level 1 Type B Emergency Department Visit

Maine 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?

$186

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $67.61 to $234.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $186 · 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 Professional Modifier Global Typical Low $67.61 Median $186.21 Typical High $234.42	Professional	Global	$67.61	$186.21	$234.42
Anthem BCBS Setting Professional Modifier Global Typical Low $15.85 Median $16.22 Typical High $25.70	Professional	Global	$15.85	$16.22	$25.70
Martin's Point Setting Professional Modifier Global Typical Low $67.61 Median $186.21 Typical High $234.42	Professional	Global	$67.61	$186.21	$234.42

Where Maine 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.

Maine· 31st of 51

$186

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.