Level 1 Type B Emergency Department Visit

New York 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?

$28.84

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $1,698 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 6 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	$28.84	$25.70 to $32.36
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,698	$1,318 to $2,188

How much rates vary

Facilitymedian $1,698 · 10th to 90th $155 to $2,818Professionalmedian $29 · 10th to 90th $25 to $85

Distribution of negotiated rates across all payers (price axis is log-scale). 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 $87.10 Median $234.42 Typical High $234.42	Facility	None	$87.10	$234.42	$234.42
Aetna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $234.42	Professional	None	$87.10	$87.10	$234.42
Anthem BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $2,951.21	Facility	None	$1,318.26	$1,737.80	$2,951.21
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $32.36	Professional	None	$24.55	$28.84	$32.36
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $2,754.23	Facility	None	$1,584.89	$2,238.72	$2,754.23
Cigna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54	Professional	None	$57.54	$57.54	$57.54
Emblem Health Setting Facility Modifier None Typical Low $30.90 Median $33.88 Typical High $51.29	Facility	None	$30.90	$33.88	$51.29
MVP Health Care Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,258.93	Facility	None	$1,122.02	$1,122.02	$1,258.93
United Setting Facility Modifier None Typical Low $147.91 Median $173.78 Typical High $213.80	Facility	None	$147.91	$173.78	$213.80

Where New York 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.

New York· 41st of 51

$28.84

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.