go back

Level 1 Type B Emergency Department Visit

Texas 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?

$178

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $195 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$123$16.22 to $234
FacilityA hospital or hospital-owned outpatient department$195$135 to $269

How much rates vary

Facilitymedian $195 · 10th to 90th $83 to $437Professionalmedian $123 · 10th to 90th $16 to $234
$20$50$100$200$500$1Kfacility $195professional $123

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$912.01
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$186.21
Typical High
$331.13
BCBS Texas
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$575.44
Moda Health
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$331.13
Typical High
$630.96
Moda Health
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$234.42
Typical High
$331.13
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$117.49
Typical High
$154.88
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22

Where Texas 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.

Texas· 19th of 51

$178

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.