Average Medicaid Emergency Room Visit Payments in Avondale, AZ: $77.56
Avg. Paid
$77.56
Range
$55.85 – $110.25
Total Claims
10,259
Providers
11
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 Avondale, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joel Phillip Medrano
1665 N Avondale Blvd |
$58.92 | 3,507 | 3,474 |
|
Walter Neil Simmons
10320 W Mcdowell Rd |
$88.70 | 2,345 | 2,250 |
|
Heather Hefner
3617 N 103Rd Dr |
$91.71 | 1,155 | 1,125 |
|
Tayler Auriel Sartorius
3400 N Dysart Rd |
$77.89 | 980 | 955 |
|
Lauren Rae Yanez
10815 W Mcdowell Rd Ste 301 |
$100.26 | 903 | 895 |
|
Trudy Reddick
13075 W Mcdowell Rd |
$70.12 | 732 | 702 |
|
Amanda Kalyca Sprague
235 W Western Ave |
$110.25 | 344 | 327 |
|
Kate Lynn Chaney
13075 W Mcdowell Rd |
$64.25 | 251 | 251 |
|
Suzanne Renee Russell
13075 W Mcdowell Ste D106 |
$73.12 | 14 | 14 |
|
Daniel Fimbres
950 E Van Buren St |
$55.85 | 14 | 14 |
|
Shahrzad Borhan-Manesh
3400 N Dysart Rd |
$78.27 | 14 | 13 |
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 Avondale, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Avondale, AZ is $77.56 per claim, based on 10,259 claims from 11 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 Avondale, AZ?
There are 11 Medicaid providers offering Emergency Room Visit related services in Avondale, AZ according to public payment data.
What is the price range for Emergency Room Visit in Avondale, AZ?
Medicaid reimbursement for Emergency Room Visit in Avondale, AZ ranges from $55.85 to $110.25 per claim, with an average of $77.56. 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 Avondale, AZ
Office Visit
Avg $51.88
632,662 claims
Case Management Services
Avg $23.59
523,207 claims
Substance Abuse Treatment
Avg $49.07
359,369 claims
Speech Therapy
Avg $45.91
207,819 claims
Physical Therapy
Avg $35.43
193,995 claims
Behavioral & Mental Health Therapy
Avg $81.81
153,828 claims
Vaccines & Immunizations
Avg $15.36
111,516 claims
Blood Work & Lab Tests
Avg $0.71
105,226 claims