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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 July 2026.

Facilitymedian $1,349 · 10th–90th $126$3,3110%10%10th90th$1,349Professionalmedian $126 · 10th–90th $37$2400%20%40%10th90th$126$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$2,398.83
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$239.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$38.90
Typical High
$56.23
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$190.55
Typical High
$363.08
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59