Tynbil: Know the *real* price for healthcare services

Indiana 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 Facility Modifier Low / Median / High Price $105.10 / $583.29 / $609.50	Facility	$105.10	$583.29	$609.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $127.22 / $128.13	Professional	$127.22	$127.22	$128.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $26.70 / $37.36	Professional	$26.31	$26.70	$37.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility	$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional	$36.70	$36.70	$36.70