Level 1 Type B Emergency Department Visit

Rhode Island 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?

$155

Typical facility fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $155 for this service. Most negotiated rates run $155 to $155.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $155 · 10th to 90th $138 to $234Professionalmedian $155 · 10th to 90th $155 to $155

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 None Typical Low $154.88 Median $154.88 Typical High $154.88	Professional	None	$154.88	$154.88	$154.88
BCBS Rhode Island Setting Facility Modifier None Typical Low $138.04 Median $154.88 Typical High $234.42	Facility	None	$138.04	$154.88	$234.42
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98	Professional	None	$48.98	$48.98	$48.98
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96	Facility	None	$165.96	$165.96	$165.96

Where Rhode Island 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.

Rhode Island· 21st of 51

$155

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.