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Level 2 Type B Emergency Department Visit

California rates for HCPCS G0381

Level 2 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 2 Type B Emergency Department Visit cost?

$37.15

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $37.15 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $2,089 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 byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$37.15$37.15 to $240
FacilityA hospital or hospital-owned outpatient department$2,089$1,318 to $3,236

How much rates vary

Facilitymedian $2,089 · 10th to 90th $251 to $3,981Professionalmedian $37 · 10th to 90th $37 to $347
$50$200$1K$5Kfacility $2,089professional $37

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$239.88
Typical High
$346.74
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$2,398.83
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$40.74
Typical High
$56.23
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$128.82
Typical High
$309.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$2,398.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$190.55
Typical High
$630.96
Providence
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$346.74
Typical High
$2,041.74
Providence
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$234.42

Where California sits

The same service costs 19.1 times more in Iowa than in Indiana. 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.

California· 42nd of 51

$37.15

IA $501IN $26.30

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.