Average Medicaid Emergency Room Visit Payments in Alton, IL: $62.67
Avg. Paid
$62.67
Range
$33.98 – $216.42
Total Claims
67,242
Providers
22
Typical Payment Range
Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.
Based on per-provider averages across all Medicaid claims in this category.
Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Emergency Room Visit in Alton, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rodger Hanko
1 Memorial Dr |
$51.88 | 8,841 | 7,881 |
|
Thomas S Hanson
1 Memorial Dr |
$58.12 | 7,314 | 6,508 |
|
Teya Casner
1 Memorial Dr |
$66.90 | 5,145 | 4,552 |
|
Alan Johnson
1 Memorial Dr |
$46.26 | 4,738 | 4,300 |
|
Kelley Renee Campbell
1 Memorial Dr |
$49.63 | 4,617 | 4,178 |
|
David Wayne Burnside
1 Memorial Dr |
$55.16 | 4,610 | 4,104 |
|
James Brody Reid
1 Memorial Dr |
$60.22 | 4,489 | 4,120 |
|
James Watson Stubbs
2 Memorial Dr |
$112.41 | 3,985 | 3,219 |
|
Katie Marie Albrecht
1 Saint Anthonys Way |
$74.78 | 3,911 | 3,621 |
|
Gregory Dewitt Folkert
1 Saint Anthonys Way |
$73.93 | 3,204 | 3,056 |
|
Alexander Benjamin Zozula
1 Memorial Dr |
$69.38 | 3,057 | 2,948 |
|
Southeastern Emergency Physicians Of Memphis Llc
1 Memorial Dr |
$60.50 | 2,462 | 2,280 |
|
Paolo Masetti
1 Memorial Dr |
$106.01 | 2,350 | 990 |
|
David Riesenberger
1 Memorial Dr |
$38.10 | 2,284 | 1,967 |
|
Victor Hidalgo
815 E 5Th St |
$46.41 | 2,102 | 1,911 |
|
Gail Viviano
1 Memorial Dr |
$35.41 | 1,437 | 1,365 |
|
John H. Giroux
550 Landmarks Blvd |
$33.98 | 1,361 | 1,148 |
|
Michelle Sampson
1 Memorial Dr |
$43.46 | 607 | 524 |
|
Matthew E Duban
1 Memorial Dr |
$188.61 | 566 | 565 |
|
Cindy L Durr
4 Memorial Drive |
$53.92 | 94 | 94 |
|
Eric Shing Lee
1251 College Ave |
$61.90 | 56 | 45 |
|
Ahmad Osama Rez
1 Saint Anthonys Way |
$216.42 | 12 | 12 |
What to Expect: Emergency Room Visit
Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99284 | ER visit high severity | $118.05 | 170,705,529 | 95,397 |
| 99283 | ER visit moderate severity | $106.85 | 157,926,994 | 92,923 |
| 99285 | ER visit high sev w/threat | $136.01 | 111,002,396 | 79,755 |
| 99282 | ER visit low severity | $104.38 | 24,203,945 | 35,900 |
| 99291 | Critical care first 30-74 min | $120.48 | 10,902,745 | 28,076 |
| 99281 | ER visit minor problem | $92.67 | 8,018,086 | 9,327 |
| 99292 | Critical care each addl 30 min | $72.51 | 273,485 | 1,267 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Emergency Room Visit cost in Alton, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Alton, IL is $62.67 per claim, based on 67,242 claims from 22 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Emergency Room Visit in Alton, IL?
There are 22 Medicaid providers offering Emergency Room Visit related services in Alton, IL according to public payment data.
What is the price range for Emergency Room Visit in Alton, IL?
Medicaid reimbursement for Emergency Room Visit in Alton, IL ranges from $33.98 to $216.42 per claim, with an average of $62.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
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Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Alton, IL
Office Visit
Avg $31.44
266,790 claims
Substance Abuse Treatment
Avg $81.19
128,805 claims
Speech Therapy
Avg $14.36
120,325 claims
Case Management Services
Avg $48.87
85,265 claims
Eye Exam
Avg $30.07
81,135 claims
Ambulance Transport
Avg $133.11
56,470 claims
Vaccines & Immunizations
Avg $4.64
44,028 claims
Urinalysis & Urine Tests
Avg $1.25
33,487 claims