HCPCS G0380
Level 1 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)
Current codeEmergency Department E&M36 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Highline Medical Center | $248 – $519 | $176 | $577 |
| Kadlec Regional Medical Center | — | $267 | $382 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $139 | $199 |
| Providence Holy Family Hospital | — | $151 | $216 |
| Providence St Joseph Hospital | — | $102 | $145 |
| Providence St Mary Medical Center | — | $284 | $405 |
| St Anthony Hospital | $415 – $433 | $176 | $577 |
| St Clare Hospital | $415 – $433 | $166 | $577 |
| St Elizabeth Hospital | $231 – $519 | $204 | $577 |
| St Francis Community Hospital | $415 – $433 | $181 | $577 |
| St Joseph Medical Center | $415 – $433 | $191 | $577 |
| St Michael Medical Center | $364 – $519 | $255 | $577 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Hospital outpatient payment (national)
- $75.94 (APC 5031)