Level 1 Type B Emergency Department Visit

Virginia 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?

$145

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $123 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	$123	$20.89 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$234	$162 to $269

How much rates vary

Facilitymedian $234 · 10th to 90th $141 to $398Professionalmedian $123 · 10th to 90th $15 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 $436.52 Median $912.01 Typical High $912.01	Facility	Global	$436.52	$912.01	$912.01
Aetna Setting Professional Modifier Global Typical Low $109.65 Median $234.42 Typical High $234.42	Professional	Global	$109.65	$234.42	$234.42
Anthem BCBS Setting Professional Modifier Global Typical Low $13.18 Median $17.78 Typical High $34.67	Professional	Global	$13.18	$17.78	$34.67
Cigna Setting Professional Modifier Global Typical Low $43.65 Median $43.65 Typical High $57.54	Professional	Global	$43.65	$43.65	$57.54
Medcost Setting Facility Modifier Global Typical Low $134.90 Median $234.42 Typical High $371.54	Facility	Global	$134.90	$234.42	$371.54
United Setting Facility Modifier Global Typical Low $346.74 Median $346.74 Typical High $346.74	Facility	Global	$346.74	$346.74	$346.74
United Setting Professional Modifier Global Typical Low $275.42 Median $275.42 Typical High $275.42	Professional	Global	$275.42	$275.42	$275.42

Where Virginia 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.

Virginia· 40th of 51

$145

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.