Average Medicaid Emergency Room Visit Payments in Baltimore, MD: $96.82
Avg. Paid
$96.82
Range
$-13.31 – $395.00
Total Claims
1,908,492
Providers
1,013
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 Baltimore, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Johns Hopkins University
600 N Wolfe St |
$30.45 | 60,960 | 53,084 |
|
University Of Maryland Emergency Medicine Associates, Pa
22 S Greene St |
$41.65 | 36,921 | 31,824 |
|
Anil Kumar Nadipelli
900 Caton Ave |
$113.42 | 34,826 | 32,373 |
|
Cep America Llc
900 Caton Ave |
$44.48 | 29,889 | 25,848 |
|
Leonard John Giuffreda
900 S Caton Ave |
$127.78 | 27,583 | 25,657 |
|
Emergency Physicians Spps
301 Saint Paul Pl |
$49.15 | 21,614 | 18,746 |
|
Medstar Medical Group Ii Llc
5601 Loch Raven Blvd |
$36.96 | 20,801 | 7,504 |
|
St. Agnes Healthcare, Inc.
900 Caton Ave |
$60.81 | 20,445 | 17,181 |
|
Juan Alejandro Morales-Torres
4940 Eastern Ave |
$121.93 | 19,204 | 18,213 |
|
Karolina Paziana Deaugustinis
Johns Hopkins Hospital |
$85.81 | 16,455 | 16,231 |
|
Mercy Medical Center Inc
301 Saint Paul Pl |
$107.80 | 16,421 | 12,806 |
|
The Johns Hopkins Hospital
600 N Wolfe St |
$222.38 | 14,868 | 11,764 |
|
Barbara Barrie Bostick
22 S Greene St |
$67.63 | 13,611 | 9,915 |
|
Matthew Lee Deaugustinis
900 S Caton Ave |
$85.83 | 13,258 | 13,120 |
|
Derwin A Phillip
9000 Franklin Square Drive |
$62.70 | 13,197 | 11,947 |
|
Regina Arthurlina Yaskey
22 S Greene St |
$93.59 | 12,941 | 12,637 |
|
Trishena R Jones
201 E University Pkwy |
$92.64 | 12,324 | 11,672 |
|
Ryan Scott Shanahan
1830 E Monument St |
$78.77 | 11,212 | 11,046 |
|
Shock Trauma Associates, P.A.
22 S Greene St |
$68.90 | 11,198 | 2,658 |
|
Christopher Smith
900 S Caton Ave |
$98.96 | 11,189 | 10,802 |
|
Ryan Circh
600 N Wolfe St |
$89.53 | 10,818 | 9,752 |
|
Sinai Hospital Of Baltimore, Inc.
2401 W Belvedere Ave |
$56.36 | 10,563 | 9,491 |
|
Broderick James Franklin
2401 W Belvedere Ave |
$55.12 | 10,548 | 10,472 |
|
Nicholas Sauber
1830 E Monument St |
$88.43 | 10,524 | 10,056 |
|
University Of Maryland Medical Center, Llc
22 S Greene Street |
$80.78 | 10,499 | 8,336 |
|
Samuel Cordeiro
110 S Paca St |
$49.35 | 10,429 | 10,258 |
|
Gregory Christohper Frech
Marburg B186 |
$102.44 | 10,420 | 9,652 |
|
Kevin Babb
301 Saint Paul St |
$70.26 | 10,378 | 8,817 |
|
University Of Maryland Community Medical Group, Inc.
821 N Eutaw St |
$49.79 | 10,302 | 3,164 |
|
Philip Stalcup
22 S Greene St |
$85.85 | 10,227 | 9,429 |
|
Johns Hopkins Community Physicians, Inc
600 N Wolfe St |
$58.86 | 10,195 | 3,224 |
|
David James Scordino
600 N Wolfe St |
$153.53 | 9,802 | 8,882 |
|
Jeannine L Saunders
900 Caton Ave |
$58.41 | 9,654 | 9,406 |
|
Pooja Nanavati
110 S Paca St |
$66.34 | 9,447 | 7,741 |
|
University Of Maryland Physicians Pa
22 S Greene St |
$44.62 | 9,438 | 2,058 |
|
Frederick J Burke
900 Caton Ave |
$61.46 | 9,303 | 8,618 |
|
The Union Memorial Hospital
201 E University Pkwy |
$32.69 | 9,260 | 8,397 |
|
Christian Theodosis
110 S Paca St |
$111.31 | 9,204 | 8,370 |
|
Johns Hopkins Bayview Medical Center Inc
4940 Eastern Ave |
$142.22 | 8,917 | 6,915 |
|
William Bruce Watson
201 E University Pkwy |
$74.92 | 8,911 | 7,453 |
|
Michael Weldon Diana
The Johns Hopkins Hospital Department Of |
$97.96 | 8,803 | 8,228 |
|
Maryland Emergency Medicine Network Physicians, Llc
323 W Camden St |
$89.54 | 8,646 | 7,666 |
|
Lesley Dada
900 Caton Ave |
$55.30 | 8,227 | 5,448 |
|
Poonam Patel
1830 E Monument St Ste 6-100 |
$229.41 | 7,656 | 6,646 |
|
Adam James Chappelear
3001 S Hanover St |
$96.30 | 7,633 | 7,224 |
|
Philip Nawrocki
4940 Eastern Ave |
$93.26 | 7,592 | 7,215 |
|
Getachew Teshome
22 S Greene St |
$98.77 | 7,558 | 7,235 |
|
Philip Dudkin Sacks
900 Caton Ave |
$58.30 | 7,480 | 4,924 |
|
Ivan E Villamizar
2401 W Belvedere Ave |
$79.94 | 7,143 | 6,175 |
|
Franklin Square Hospital Center, Inc
9000 Franklin Square Dr |
$32.05 | 6,944 | 6,190 |
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 Baltimore, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Baltimore, MD is $96.82 per claim, based on 1,908,492 claims from 1013 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 Baltimore, MD?
There are 1013 Medicaid providers offering Emergency Room Visit related services in Baltimore, MD according to public payment data.
What is the price range for Emergency Room Visit in Baltimore, MD?
Medicaid reimbursement for Emergency Room Visit in Baltimore, MD ranges from $-13.31 to $395.00 per claim, with an average of $96.82. 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 Baltimore, MD
Substance Abuse Treatment
Avg $107.97
7,464,932 claims
Office Visit
Avg $85.10
6,638,810 claims
Psychiatric Evaluation
Avg $100.67
6,065,385 claims
Blood Work & Lab Tests
Avg $9.87
4,046,251 claims
Dental Cleaning & Exam
Avg $39.08
1,772,038 claims
X-Ray
Avg $6.77
1,399,097 claims
EKG / ECG (Electrocardiogram)
Avg $6.98
1,098,202 claims
Physical Therapy
Avg $22.88
1,001,923 claims