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Level 1 Type B Emergency Department Visit

New Jersey 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.

Facilitymedian $155 · 10th–90th $155–$2690%50%90th$155Professionalmedian $166 · 10th–90th $105–$2340%20%40%10th90th$166$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$234.42
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$295.12