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
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 Birmingham, AL
Blood Work & Lab Tests
Avg $7.02
11,525,259 claims
Office Visit
Avg $74.46
1,976,328 claims
Urinalysis & Urine Tests
Avg $3.70
1,952,357 claims
Behavioral & Mental Health Therapy
Avg $60.93
1,487,720 claims
Culture & Microbiology Tests
Avg $6.38
1,389,745 claims
X-Ray
Avg $7.59
810,731 claims
Pathology & Lab Services
Avg $26.99
763,384 claims
Dental Cleaning & Exam
Avg $24.14
585,040 claims