Level 1 Type B Emergency Department Visit

Washington 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?

$234

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $263 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 7 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	$234	$87.10 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$263	$219 to $302

How much rates vary

Facilitymedian $263 · 10th to 90th $200 to $447Professionalmedian $234 · 10th to 90th $16 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 $234.42 Median $234.42 Typical High $812.83	Facility	None	$234.42	$234.42	$812.83
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Professional	None	$234.42	$234.42	$234.42
Asuris Northwest Health Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $436.52	Facility	None	$199.53	$234.42	$436.52
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65	Professional	None	$43.65	$43.65	$43.65
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $75.86	Professional	None	$50.12	$50.12	$75.86
Regence BlueShield Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $416.87	Facility	None	$165.96	$218.78	$416.87
United Setting Facility Modifier None Typical Low $218.78 Median $288.40 Typical High $446.68	Facility	None	$218.78	$288.40	$446.68
Wellpoint Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22	Professional	None	$16.22	$16.22	$16.22

Where Washington 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.

Washington· 3rd of 51

$234

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.