Tynbil: Know the *real* price for healthcare services

Illinois rates for HCPCS G0384

Level 5 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 $288.40 / $288.40 / $288.40	Facility	$288.40	$288.40	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $512.86	Professional	$194.98	$288.40	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	$416.87	$416.87	$416.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $501.19	Professional	$281.84	$363.08	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $69.18	Professional	$67.61	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,412.54	Facility	$1,096.48	$1,096.48	$1,412.54