Average Medicaid Emergency Room Visit Payments in Athens, AL: $45.82
Avg. Paid
$45.82
Range
$16.29 – $126.18
Total Claims
71,649
Providers
18
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 Athens, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher E. Edwards
101 Fitness Way |
$48.51 | 13,171 | 11,195 |
|
Wallace Jake Seay
700 W Market St |
$42.45 | 13,035 | 10,880 |
|
Douglas B Moore
700 W Market St |
$37.80 | 12,995 | 10,519 |
|
Milton Armor George
700 W Market St |
$42.69 | 10,511 | 8,677 |
|
Martin F Schreeder
700 W Market St |
$58.43 | 8,385 | 7,374 |
|
Daniel Robert Meis
15243 Greenfield Dr |
$76.06 | 2,926 | 2,599 |
|
Debra Ann Myers
700 W Market St |
$38.53 | 2,767 | 2,263 |
|
Natalee Jean Kilpatrick
700 W Market St |
$32.94 | 1,972 | 1,589 |
|
Lamon Norton
700 W Market St |
$35.64 | 1,913 | 1,579 |
|
Evangeleine Helene Bates
111 S Marion St Ste B |
$39.45 | 1,247 | 993 |
|
Cody Joshua Hamby
700 W Market St |
$46.63 | 811 | 711 |
|
Athens-Limestone Er Physicians
700 W Market St |
$126.18 | 580 | 566 |
|
Amanda Danielle Stewart
700 W Market St |
$27.59 | 556 | 290 |
|
Kimberly Willis
700 W Market St |
$16.29 | 303 | 161 |
|
Diane Goodman Waits
700 W Market St |
$30.03 | 276 | 222 |
|
Terrence Calvin Go
700 W Market St |
$20.25 | 100 | 80 |
|
Island Medical Athens Llc
700 W Market St |
$94.96 | 67 | 58 |
|
Ashley Jae
700 W Market St |
$31.48 | 34 | 28 |
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 Athens, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Athens, AL is $45.82 per claim, based on 71,649 claims from 18 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 Athens, AL?
There are 18 Medicaid providers offering Emergency Room Visit related services in Athens, AL according to public payment data.
What is the price range for Emergency Room Visit in Athens, AL?
Medicaid reimbursement for Emergency Room Visit in Athens, AL ranges from $16.29 to $126.18 per claim, with an average of $45.82. 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 Athens, AL
Office Visit
Avg $36.58
152,131 claims
Dental Cleaning & Exam
Avg $23.53
77,741 claims
Blood Work & Lab Tests
Avg $6.78
52,923 claims
Vaccines & Immunizations
Avg $10.61
36,186 claims
Ambulance Transport
Avg $36.56
34,087 claims
Physical Therapy
Avg $22.82
27,647 claims
Speech Therapy
Avg $52.73
20,896 claims
Urinalysis & Urine Tests
Avg $2.49
20,846 claims