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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Birmingham, AL: $80.96

Avg. Paid

$80.96

Range

$0.00 – $521.40

Total Claims

1,417,392

Providers

464

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 Birmingham, AL

Provider Avg. Paid Claims Patients
Paragon Contracting Services Llc

810 Saint Vincents Dr

$85.05 33,971 29,791
Edward J Lose

1600 7Th Ave S

$82.84 32,839 31,512
Donald Carlin Tighe

625 19Th St S

$51.38 27,409 23,859
James Langston Lee

1600 5Th Ave S

$62.30 23,172 22,232
University Of Alabama Health Services Foundation, Pc

1600 7Th Ave S

$184.47 21,259 20,357
Timothy Todd Fleenor

619 19Th St S

$60.75 19,764 19,047
Scott T Kelley

840 Montclair Rd

$38.34 19,507 14,799
Max Ronald Shiver

9174 Parkway E

$42.72 19,180 16,018
Brandon C. Carr

1600 7Th Ave S

$90.45 18,286 16,405
Steven Earl Sprayberry

619 19Th St S

$57.95 17,571 16,642
Alan Frederick Kitchens

50 Medical Park Dr E

$47.09 17,532 15,510
James E Sedlis

1600 7Th Ave S # Cppi110

$80.42 17,024 16,597
Laine Mcdonald

1717 6Th Ave S

$71.14 16,448 15,480
Jones Mcclellan King

625 19Th St S

$50.67 16,196 14,393
Jerry Matthew Digman

1600 7Th Ave S Ste 110

$62.54 16,185 15,327
Harold Kim

619 19Th St S

$63.82 15,494 14,538
Jeffrey Milner

619- 19Th Street South

$52.22 14,998 13,368
Joshua Heath Williams

625 19Th St S

$68.94 14,215 12,698
Kaira Kathryn King

1802 6Th Ave S

$68.61 13,697 12,776
Jarvis Patton

619 19Th St S

$53.24 13,673 11,815
Mark D Baker

1600 7Th Ave S

$124.89 13,080 12,694
Heather F Mitchell

1600 7Th Ave S

$118.01 12,884 12,512
John Marshll Croushorn

800 Montclair Rd

$63.82 12,750 11,349
Angelyn Ramsey

619 19Th St S

$45.25 12,586 10,029
Chigozie U. Obiaka

3550 Grandview Pkwy Apt 327

$48.20 12,583 11,290
Julian Mahaganasan

50 Medical Park Dr E

$70.34 12,564 11,902
Jeffrey D Anderson

619 19Th St S

$52.87 12,163 10,684
Annalise Sorrentino

1600 7Th Ave S

$131.26 12,124 11,799
Kara Shea Huls

1600 7Th Ave S

$89.72 11,885 11,555
Alyssa K. Polson

625 19Th St S

$73.92 11,842 10,708
Matthew Price

625 19Th St S

$48.53 11,806 9,087
Valerie Anne Davis

1600 7Th Ave S

$126.91 11,491 11,127
Christina Leigh Cochran

1600 7Th Ave S Ste 110

$129.53 11,449 11,154
Steven Franks

625 19Th St S

$68.59 11,344 10,704
John Obert

1717 6Th Ave S

$69.73 11,198 10,266
Jason Douglas Booton

619 19Th St S

$157.82 11,097 9,949
James William Custis

3911 10Th Ave S

$65.16 10,903 9,403
Diamond Vrocher

1806 Sixth Avenue South

$62.35 10,703 9,879
Willie L Gilford

1806 Sixth Avenue South

$79.65 10,596 9,866
Ryan Rebekah Roddy

1600 7Th Ave S

$86.24 10,156 9,875
David P Denney

3523 Rockcliff Cir

$68.96 9,591 9,095
Christine Marie Campbell

1600 7Th Ave S Ste 110

$118.72 9,559 9,303
Nicole Eleana Jones

1600 7Th Ave S Ste 110

$83.93 9,452 9,099
Rona Lynzee Head

1600 7Th Ave S

$80.04 9,422 9,160
Andre H Doucet

810 Saint Vincents Dr

$50.40 9,224 8,055
Pallavi Ghosh

1600 7Th Ave S

$124.32 9,059 8,833
Joseph Thomas Sowder

50 Medical Park Dr E

$45.58 9,017 7,998
Judson William Barber

1600 7Th Ave S

$129.52 8,890 8,671
Sarah Barnes Bingham

1600 7Th Ave S

$141.51 8,736 8,051
Shaundra Lynn Harris Blakemore

1600 7Th Ave S

$133.41 8,680 8,406

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 Birmingham, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Birmingham, AL is $80.96 per claim, based on 1,417,392 claims from 464 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 Birmingham, AL?

There are 464 Medicaid providers offering Emergency Room Visit related services in Birmingham, AL according to public payment data.

What is the price range for Emergency Room Visit in Birmingham, AL?

Medicaid reimbursement for Emergency Room Visit in Birmingham, AL ranges from $0.00 to $521.40 per claim, with an average of $80.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Birmingham, AL