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Level 1 Type B Emergency Department Visit

Wisconsin 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 Wisconsin, 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 $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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$234$186 to $234
FacilityA hospital or hospital-owned outpatient department$234$155 to $251

How much rates vary

Facilitymedian $234 · 10th to 90th $112 to $347Professionalmedian $234 · 10th to 90th $123 to $234
$50$100$200$500facility $234professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$234.42
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$24.55
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04

Where Wisconsin 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.

Wisconsin· 8th 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.