Level 1 Type B Emergency Department Visit

Utah 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?

$67.61

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $200 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	$67.61	$44.67 to $67.61
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$200	$138 to $263

How much rates vary

Facilitymedian $200 · 10th to 90th $68 to $646Professionalmedian $68 · 10th to 90th $45 to $234

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 $67.61 Median $501.19 Typical High $676.08	Facility	None	$67.61	$501.19	$676.08
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $234.42	Professional	None	$67.61	$67.61	$234.42
Cigna Setting Facility Modifier None Typical Low $199.53 Median $229.09 Typical High $263.03	Facility	None	$199.53	$229.09	$263.03
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $60.26	Professional	None	$30.20	$44.67	$60.26
Regence BlueShield Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $245.47	Facility	None	$128.82	$173.78	$245.47
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87	Facility	None	$5,011.87	$5,011.87	$5,011.87
Select Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $7,585.78	Professional	None	$5,011.87	$5,011.87	$7,585.78
U of Utah Health Plan Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10	Professional	None	$87.10	$87.10	$87.10

Where Utah 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.

Utah· 38th of 51

$67.61

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.