Tynbil: Know the *real* price for healthcare services

New Mexico 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 Professional Modifier Low / Median / High Price $291.48 / $291.48 / $862.16	Professional	$291.48	$291.48	$862.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.05 / $1,277.81 / $2,021.53	Facility	$1,082.05	$1,277.81	$2,021.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $1,500.00	Professional	$50.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.58 / $291.48 / $862.16	Facility	$195.58	$291.48	$862.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800,000.00 / $2,250,000.00 / $2,400,000.00	Professional	$1,800,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,766.51 / $1,766.51 / $1,766.51	Facility	$1,766.51	$1,766.51	$1,766.51