Tynbil: Know the *real* price for healthcare services

Minnesota 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 $127.22 / $127.22 / $127.22	Facility	$127.22	$127.22	$127.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $127.22 / $145.00	Professional	$117.52	$127.22	$145.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.02 / $299.83 / $331.65	Facility	$258.02	$299.83	$331.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.42 / $39.42	Professional	$32.50	$39.42	$39.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional	$36.70	$36.70	$36.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.88 / $127.22 / $215.00	Facility	$109.88	$127.22	$215.00