Tynbil: Know the *real* price for healthcare services

Colorado rates for HCPCS G0383

Level 4 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 $200.88 / $232.96 / $300.35	Professional	$200.88	$232.96	$300.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.98 / $169.39 / $260.11	Professional	$120.98	$169.39	$260.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.46 / $681.46 / $681.46	Professional	$681.46	$681.46	$681.46
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $249.32 / $249.32 / $418.86	Facility	$249.32	$249.32	$418.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $329.00	Professional	$155.00	$155.00	$329.00