Average Medicaid Emergency Room Visit Payments in Ames, IA: $119.72
Avg. Paid
$119.72
Range
$25.30 – $178.12
Total Claims
90,245
Providers
25
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 Ames, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Travis L. Mattson
1111 Duff Ave |
$114.59 | 12,808 | 12,226 |
|
Joshua Paul Mccaughey
1111 Duff Avenue |
$119.91 | 11,603 | 11,005 |
|
Andrew T. Boyko
1111 Duff Ave |
$122.94 | 10,549 | 10,088 |
|
Curtis J. Waite
1111 Duff Avenue |
$113.45 | 9,973 | 9,561 |
|
Sherri A. Flugrad
1111 Duff Avenue |
$116.35 | 8,788 | 8,409 |
|
Anna M. Vela
1111 Duff Ave |
$113.19 | 6,947 | 6,606 |
|
Becky J. Davis-Kramer
1111 Duff Ave |
$118.54 | 6,343 | 4,665 |
|
Addie Mae Hinson
3817 Fletcher Blvd |
$134.01 | 5,996 | 5,775 |
|
Gina Marie Erickson
1111 Duff Ave |
$110.12 | 5,302 | 4,994 |
|
Thomas M Wernimont
1111 Duff Ave |
$133.06 | 4,429 | 4,166 |
|
Alex Davis
1111 Duff Ave |
$143.06 | 4,337 | 4,167 |
|
Tanzeh B Metzger
1215 Duff Ave |
$100.58 | 752 | 731 |
|
Laura Hauck
1111 Duff Ave |
$178.12 | 668 | 638 |
|
Kaysha Halbur
1111 Duff Ave |
$138.32 | 363 | 353 |
|
Mary Greeley Medical Center
1111 Duff Ave |
$144.27 | 248 | 241 |
|
Lindsay Eileen Hannapel
2530 Chamberlain St |
$25.30 | 244 | 153 |
|
Molly Eloise Gentle
3815 Stange Rd |
$73.49 | 233 | 218 |
|
Alexander C Flower
2315 167Th Pl |
$87.83 | 231 | 70 |
|
Justine Ruth Schleicher
3510 Lincoln Way |
$120.83 | 119 | 114 |
|
Melanie Linn Spencer
2605 Northridge Pkwy |
$68.07 | 115 | 54 |
|
Sumita Gyawali
2722 Somerset Dr |
$42.60 | 112 | 111 |
|
Terezia Matasovic
3102 Ridgetop Rd |
$84.20 | 44 | 43 |
|
Chelsey Ann Holcomb
1111 Duff Ave |
$166.39 | 16 | 15 |
|
Ryan Elsey
1111 Duff Ave |
$45.46 | 13 | 13 |
|
Tricia Marie Mittra
1111 Duff Ave |
$59.12 | 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 Ames, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Ames, IA is $119.72 per claim, based on 90,245 claims from 25 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 Ames, IA?
There are 25 Medicaid providers offering Emergency Room Visit related services in Ames, IA according to public payment data.
What is the price range for Emergency Room Visit in Ames, IA?
Medicaid reimbursement for Emergency Room Visit in Ames, IA ranges from $25.30 to $178.12 per claim, with an average of $119.72. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
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 Ames, IA
Office Visit
Avg $34.86
215,057 claims
Blood Work & Lab Tests
Avg $2.06
126,888 claims
Psychiatric Evaluation
Avg $74.22
126,852 claims
Dental Cleaning & Exam
Avg $24.71
64,870 claims
Vaccines & Immunizations
Avg $19.28
52,632 claims
X-Ray
Avg $13.86
47,793 claims
Chiropractic Care
Avg $22.53
44,301 claims
Physical Therapy
Avg $29.41
21,463 claims