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 July 2026.

How much does Level 1 Type B Emergency Department Visit cost?

$105

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $234 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$102	$28.84 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$234	$234 to $234

How much rates vary

Facilitymedian $234 · 10th to 90th $234 to $234Professionalmedian $102 · 10th to 90th $26 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 Facility Modifier Global Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	Global	$234.42	$234.42	$234.42
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $234.42 Typical High $234.42	Professional	Global	$104.71	$234.42	$234.42
Anthem BCBS Setting Professional Modifier Global Typical Low $24.55 Median $28.84 Typical High $38.02	Professional	Global	$24.55	$28.84	$38.02
Cigna Setting Facility Modifier Global Typical Low $64.57 Median $64.57 Typical High $64.57	Facility	Global	$64.57	$64.57	$64.57
Cigna Setting Professional Modifier Global Typical Low $57.54 Median $57.54 Typical High $57.54	Professional	Global	$57.54	$57.54	$57.54
Emblem Health Setting Facility Modifier Global Typical Low $32.36 Median $32.36 Typical High $37.15	Facility	Global	$32.36	$32.36	$37.15
United Setting Facility Modifier Global Typical Low $281.84 Median $281.84 Typical High $2,630.27	Facility	Global	$281.84	$281.84	$2,630.27
United Setting Professional Modifier Global Typical Low $257.04 Median $275.42 Typical High $295.12	Professional	Global	$257.04	$275.42	$295.12

Where New York 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.

New York· 48th of 51

$105

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.