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 July 2026.

How much does Level 1 Type B Emergency Department Visit cost?

$234

Typical negotiated rate. In Washington, July 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 $182 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 7 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	$234	$123 to $234
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$182	$72.44 to $324

How much rates vary

Facilitymedian $182 · 10th to 90th $72 to $575Professionalmedian $234 · 10th to 90th $105 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 $575.44 Median $575.44 Typical High $575.44	Facility	Global	$575.44	$575.44	$575.44
Aetna Setting Professional Modifier Global Typical Low $104.71 Median $234.42 Typical High $234.42	Professional	Global	$104.71	$234.42	$234.42
Cigna Setting Professional Modifier Global Typical Low $43.65 Median $43.65 Typical High $57.54	Professional	Global	$43.65	$43.65	$57.54
Kaiser Permanente Setting Facility Modifier Global Typical Low $72.44 Median $165.96 Typical High $323.59	Facility	Global	$72.44	$165.96	$323.59
Molina Setting Professional Modifier Global Typical Low $32.36 Median $33.11 Typical High $50.12	Professional	Global	$32.36	$33.11	$50.12
Pacific Source Setting Facility Modifier Global Typical Low $181.97 Median $181.97 Typical High $181.97	Facility	Global	$181.97	$181.97	$181.97
United Setting Facility Modifier Global Typical Low $229.09 Median $275.42 Typical High $323.59	Facility	Global	$229.09	$275.42	$323.59
Wellpoint Setting Professional Modifier Global Typical Low $16.22 Median $16.22 Typical High $16.22	Professional	Global	$16.22	$16.22	$16.22

Where Washington 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.

Washington· 11th of 51

$234

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.