Tynbil: Know the *real* price for healthcare services

New Hampshire 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 $37.57 / $125.28 / $155.52	Facility	$37.57	$125.28	$155.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $134.00 / $232.54	Professional	$37.58	$134.00	$232.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.71 / $110.71 / $110.71	Facility	$110.71	$110.71	$110.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $16.26 / $16.43	Professional	$16.26	$16.26	$16.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $43.50 / $43.50	Professional	$43.50	$43.50	$43.50
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $43.70 / $64.23	Professional	$36.42	$43.70	$64.23