Level 1 emergency department visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB=URGENT CARE VISIT LEVEL 1

Payers reporting HCPCS G0380

Payer pricing summary

Low

$38

Average

$222

Median

$142

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare case rate · outpatient · +19 other terms	324	$615	$646	$347	54%	—	$78 – $1.9k
2	Aetna fee schedule · outpatient · +16 other terms	240	$84	$138	$137	99%	—	$21 – $1.5k
3	Humana fee schedule · outpatient · +16 other terms	236	$80	$82	$24	29%	—	$60 – $233
4	Oscar case rate · outpatient · +7 other terms	136	$318	$385	$224	58%	—	$130 – $991
5	Molina fee schedule · outpatient · +12 other terms	127	$83	$70	$27	39%	—	$50 – $199
6	Cigna fee schedule · outpatient · +16 other terms	118	$83	$117	$76	65%	—	$71 – $385
7	Blue Cross Blue Shield case rate · outpatient · +14 other terms	116	$538	$966	$865	90%	—	$63 – $4.8k
8	WellCare fee schedule · outpatient · +10 other terms	98	$84	$97	$34	35%	—	$71 – $197
9	Aetna Better Health fee schedule · outpatient · +4 other terms	68	$65	$66	$41	62%	—	$14 – $240
10	Anthem fee schedule · outpatient · +13 other terms	66	$84	$159	$138	87%	—	$74 – $544
11	Kaiser fee schedule · outpatient · +7 other terms	61	$108	$143	$81	56%	—	$74 – $481
12	Devoted fee schedule · outpatient · +5 other terms	54	$84	$80	$8	10%	—	$69 – $93
13	Ambetter case rate · outpatient · +8 other terms	36	$195	$327	$232	71%	—	$123 – $878
14	MultiPlan fee schedule · outpatient · +8 other terms	34	$426	$305	$184	60%	—	$79 – $556
15	Optum fee schedule · outpatient · +6 other terms	32	$74	$104	$53	51%	—	$67 – $274
16	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$220	$208	$92	44%	—	$73 – $419
17	Cigna Healthspring fee schedule · outpatient · +2 other terms	27	$54	$67	$15	22%	—	$54 – $88
18	Caresource facility · case rate · outpatient · +8 other terms	24	$76	$88	$31	35%	—	$42 – $152
19	Clover fee schedule · outpatient · +4 other terms	24	$92	$87	$9	10%	—	$72 – $99
20	Medicare fee schedule · outpatient · +7 other terms	19	$74	$74	$3	4%	—	$60 – $74
21	Phcs percent of total billed charges · bothfrom % of charges · +2 other terms	19	$344	$376	$59	16%	—	$303 – $471
22	Highmark fee schedule · outpatient · +8 other terms	16	$85	$82	$51	62%	—	$30 – $218
23	Regence fee schedule · outpatient · +4 other terms	16	$100	$146	$86	59%	—	$71 – $392
24	Ucare case rate · outpatient · +4 other terms	15	$88	$87	$2	2%	—	$84 – $88
25	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$204	$177	$100	56%	—	$33 – $305

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