Average Medicaid Emergency Room Visit Payments in Ashland, KY: $111.02
Avg. Paid
$111.02
Range
$11.99 – $159.63
Total Claims
347,874
Providers
41
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 Ashland, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashland Hospital Corporation
2201 Lexington Ave |
$149.68 | 172,960 | 119,353 |
|
Dalkeith Fitzlawson Tucker
2201 Lexington Ave |
$81.67 | 19,089 | 17,845 |
|
Gregory Spears
2201 Lexington Ave |
$73.87 | 16,138 | 14,672 |
|
Our Lady Of Bellefonte Hospital Inc
1000 St. Christopher Dr |
$109.31 | 15,753 | 13,263 |
|
Lucas K Lemons
2201 Lexington Ave |
$61.84 | 15,635 | 14,206 |
|
Evan Hunter Mussetter
1000 Saint Christopher Dr |
$57.87 | 11,595 | 10,628 |
|
Brian J Vanhoose
1000 Saint Christopher Dr |
$65.80 | 9,630 | 8,561 |
|
Geertruida Kints
2301 Lexington Ave |
$61.26 | 9,288 | 8,660 |
|
Emily Kirsten Greene
613 23Rd St Ste 140 |
$55.68 | 8,820 | 8,290 |
|
Ashley Elizabeth Brown
2201 Lexington Ave |
$60.66 | 8,225 | 7,469 |
|
Sophia T Haleem
2201 Lexington Ave |
$132.99 | 6,761 | 6,062 |
|
Ryan Johnson
617 23Rd St |
$76.45 | 6,108 | 5,692 |
|
Katelyn Adkins Banks
2201 Lexington Ave |
$64.77 | 6,101 | 5,576 |
|
Donald A Kraft
2201 Lexington Ave |
$57.67 | 5,956 | 5,551 |
|
Alexander Krivchenia
2201 Lexington Ave |
$60.78 | 5,292 | 4,923 |
|
Timothy Browning
100 Laurel Ct |
$57.67 | 5,285 | 5,014 |
|
Gregory Eastham
2201 Lexington Ave |
$64.34 | 3,314 | 3,086 |
|
Daniel B Ray
1000 Saint Christopher Dr |
$81.50 | 2,991 | 2,812 |
|
Meghan Kathleen Warfuel
2201 Lexington Ave |
$33.14 | 2,712 | 1,855 |
|
Benjamin Alan Spurlock
1000 Saint Christopher Dr |
$36.78 | 2,666 | 2,215 |
|
Zachary Runyon
2201 Lexington Ave |
$94.80 | 2,593 | 2,338 |
|
Diana Gullett
1000 Saint Christopher Dr |
$37.40 | 1,474 | 1,223 |
|
Francesca E Karle
1200 Central Ave Ste 4 |
$145.11 | 1,109 | 997 |
|
West Fairview Emergency Physicians Llc
2201 Lexington Ave |
$98.61 | 1,080 | 937 |
|
Gregory P Stark
613 23Rd St Ste G10 |
$79.74 | 1,002 | 341 |
|
Mackenzie Galli
2201 Lexington Avenue |
$45.76 | 997 | 895 |
|
Jeffrey Thomas Jenkins
613 23Rd St |
$70.14 | 950 | 335 |
|
Kenneth Leung
613 23Rd St Ste G10 |
$77.75 | 897 | 327 |
|
Traci Annette Sanchez-Vanhoose
613 23Rd St Ste G10 |
$79.95 | 812 | 327 |
|
Sound Physicians Emergency Medicine Of Kentucky, Pllc
1000 Saint Christopher Dr |
$77.50 | 602 | 573 |
|
Hannah Marae Davis
613 23Rd St Ste 520 |
$28.20 | 478 | 407 |
|
Thomas Lee Mahoney
617 23Rd St |
$65.27 | 380 | 352 |
|
Sana Ghalib
613 23Rd St Ste G10 |
$86.03 | 305 | 103 |
|
Christopher Chase Wiler
1000 Ashland Dr Ste 103 |
$44.87 | 276 | 256 |
|
Kylie Shea Rice
2201 Lexington Ave |
$45.00 | 165 | 121 |
|
Ashley Mcclain
613 23Rd St Ste 520 |
$51.39 | 119 | 102 |
|
James Brian Frederick
617 23Rd St Ste 415 |
$37.07 | 105 | 93 |
|
Pinnacle Physician Resources
1000 Saint Christopher Dr |
$70.85 | 70 | 68 |
|
Caitlin Elizabeth Arthur
617 23Rd St Ste 106 |
$159.63 | 53 | 27 |
|
Laura Allen
1220 Greenup Ave |
$11.99 | 53 | 41 |
|
Joshua Bryant
2201 Lexington Ave |
$105.97 | 35 | 25 |
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 Ashland, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Ashland, KY is $111.02 per claim, based on 347,874 claims from 41 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 Ashland, KY?
There are 41 Medicaid providers offering Emergency Room Visit related services in Ashland, KY according to public payment data.
What is the price range for Emergency Room Visit in Ashland, KY?
Medicaid reimbursement for Emergency Room Visit in Ashland, KY ranges from $11.99 to $159.63 per claim, with an average of $111.02. 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 Ashland, KY
Office Visit
Avg $34.13
1,844,265 claims
Blood Work & Lab Tests
Avg $11.81
1,524,064 claims
Physical Therapy
Avg $82.82
923,839 claims
Psychiatric Evaluation
Avg $56.27
547,575 claims
X-Ray
Avg $23.37
521,680 claims
Substance Abuse Treatment
Avg $95.73
505,064 claims
Home Health Visit
Avg $98.99
236,594 claims
Urinalysis & Urine Tests
Avg $4.16
224,268 claims