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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 July 2026.

Facilitymedian $234 · 10th–90th $110$3550%20%10th90th$234Professionalmedian $234 · 10th–90th $46$2340%50%10th$234$20.0$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$173.78
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$380.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$363.08
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$234.42
Typical High
$275.42
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$22.39