Tynbil: Know the *real* price for healthcare services

Iowa 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)

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.17 / $127.22 / $127.22	Professional	$114.17	$127.22	$127.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional	$36.70	$36.70	$36.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $100.43 / $335.31	Professional	$76.15	$100.43	$335.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $140.94 / $259.55	Facility	$127.22	$140.94	$259.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $368.78 / $391.88 / $415.69	Professional	$368.78	$391.88	$415.69