Average Medicaid Emergency Room Visit Payments in Benton, KY: $109.47
Avg. Paid
$109.47
Range
$32.20 – $196.15
Total Claims
47,212
Providers
12
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 Benton, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marshall County Hospital District
615 Old Symsonia Rd |
$196.15 | 18,662 | 16,275 |
|
Louis Forte
615 Old Symsonia Rd |
$57.87 | 10,575 | 9,402 |
|
Todd Bohannon
503 George Mcclain Dr |
$56.30 | 5,214 | 4,853 |
|
Robert Beale
619 Old Symsonia Road |
$47.73 | 3,546 | 3,368 |
|
Charles Waller
218 Bass Ln |
$51.37 | 2,254 | 1,867 |
|
Toni Shantel Gordon-Bailey
615 Old Symsonia Rd |
$37.09 | 2,128 | 1,888 |
|
Meredith A Crider
615 Old Symsonia Rd |
$39.13 | 1,992 | 1,831 |
|
Ali Janell Jessee
543 Powell Ln |
$65.73 | 1,561 | 1,460 |
|
Willard Jason Fiessinger
83 Wellness Way Ste 101&201 |
$36.65 | 509 | 481 |
|
Anthony David Starkey
615 Old Symsonia Rd |
$60.02 | 429 | 400 |
|
Thomas Perry Colley
301 Buffalo Rd |
$32.20 | 275 | 264 |
|
Robert Clark Harris
615 Old Symsonia Rd |
$64.50 | 67 | 64 |
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 Benton, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Benton, KY is $109.47 per claim, based on 47,212 claims from 12 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 Benton, KY?
There are 12 Medicaid providers offering Emergency Room Visit related services in Benton, KY according to public payment data.
What is the price range for Emergency Room Visit in Benton, KY?
Medicaid reimbursement for Emergency Room Visit in Benton, KY ranges from $32.20 to $196.15 per claim, with an average of $109.47. 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 Benton, KY
Office Visit
Avg $32.69
104,098 claims
Blood Work & Lab Tests
Avg $14.71
63,798 claims
Physical Therapy
Avg $56.08
44,669 claims
Chiropractic Care
Avg $16.86
39,398 claims
Speech Therapy
Avg $6.23
23,075 claims
Eye Exam
Avg $42.45
21,742 claims
Dental Cleaning & Exam
Avg $38.20
18,123 claims
Ambulance Transport
Avg $39.46
15,318 claims