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 October 2026.

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

$123

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $123 from a physician practice, and about $468 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	$123	$123 to $417
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$468	$234 to $741

How much rates vary

Facilitymedian $468 · 10th to 90th $123 to $1,413Professionalmedian $123 · 10th to 90th $87 to $447

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 $123.03 Median $123.03 Typical High $123.03	Facility	None	$123.03	$123.03	$123.03
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $446.68	Professional	None	$123.03	$123.03	$446.68
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,412.54	Facility	None	$457.09	$575.44	$1,412.54
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $30.20	Professional	None	$23.99	$23.99	$30.20
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10	Professional	None	$87.10	$87.10	$87.10
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	None	$234.42	$234.42	$234.42
Medica Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $234.42	Facility	None	$213.80	$213.80	$234.42
Prevea360 Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42	Facility	None	$234.42	$234.42	$234.42
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53	Facility	None	$199.53	$199.53	$199.53

Where Wisconsin 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.

Wisconsin· 32nd of 51

$123

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.