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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0380 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28$248 – $5194 plans$176$577
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$267$382
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$139$199
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$151$216
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$102$145
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$284$405
St Anthony HospitalGig HarborFile dated 2026-02-28$415 – $4332 plans$176$577
St Clare HospitalLakewoodFile dated 2026-02-28$415 – $4332 plans$166$577
St Elizabeth HospitalEnumclawFile dated 2026-02-28$231 – $5195 plans$204$577
St Francis Community HospitalFederal WayFile dated 2026-02-28$415 – $4332 plans$181$577
St Joseph Medical CenterTacomaFile dated 2026-02-28$415 – $4332 plans$191$577
St Michael Medical CenterSilverdaleFile dated 2026-02-28$364 – $51910 plans$255$577

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)