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 |
|---|---|---|---|
|
James Andrew Watson
1600 7Th Ave S |
$56.88 | 12 | 12 |
|
Heather Hallman
3800 Ridgeway Dr |
$39.60 | 12 | 12 |
|
Justine Elise Mcgiboney
1717 6Th Ave S # 44A |
$155.58 | 12 | 12 |
|
Nicholas Van Wagoner
1717 6Th Ave S |
$47.40 | 12 | 12 |
|
Marcia Underwood
619 19Th Street South |
$0.00 | 13 | 13 |
|
Theodore T Tsaltas
810 Saint Vincents Dr |
$318.33 | 13 | 13 |
|
Reaford Blackburn
619 19Th St S |
$88.61 | 13 | 13 |
|
Dale M Greene
3686 Grandview Pkwy Ste 320 |
$72.90 | 13 | 12 |
|
James Lyman
1717 6Th Ave S |
$30.37 | 13 | 12 |
|
Victoria Mclemore
3690 Grandview Pkwy |
$52.80 | 13 | 13 |
|
Shankar B Yalamanchili
1509 6Th Ave S |
$25.83 | 13 | 13 |
|
Bryan Pruitt
48 Medical Park Dr E |
$33.00 | 14 | 14 |
|
Bastien Henri Bacro-Duverger
625 19Th St S |
$39.00 | 14 | 14 |
|
Caleb Zachary Rivera
1720 University Blvd |
$32.47 | 14 | 13 |
|
Kaitlin Keeler Smith
800 Montclair Rd |
$63.93 | 14 | 14 |
|
Amanda Erin Turner
2000 6Th Ave S |
$50.77 | 14 | 12 |
|
Kyle Rudemiller
1717 6Th Ave S |
$29.61 | 16 | 12 |
|
Trinity Emergency Physicians, Llc
3690 Grandview Pkwy |
$138.04 | 16 | 15 |
|
Clayton Dugan
101 Eagle Ridge Dr |
$38.02 | 17 | 17 |
|
William Lawrence
3056 Healthy Way Ste 200 |
$67.69 | 18 | 18 |
|
Tyler Rowsey
700 18Th St S Ste 707 |
$26.33 | 18 | 14 |
|
Siddharth Bansal
619 19Th St S |
$45.72 | 19 | 19 |
|
Derek Russell
1717 6Th Ave S |
$302.64 | 20 | 14 |
|
Joshua Ray Burkhart
619 19Th St S |
$55.28 | 20 | 20 |
|
Charles Christopher Johnson
1922 7Th Ave S # K321D |
$22.91 | 22 | 13 |
|
Michael Allon
2000 6Th Ave S |
$3.59 | 22 | 12 |
|
Charlai Lee Breeding
1 Independence Plaza |
$30.68 | 23 | 12 |
|
Carla Lyndsey Robinson
513 Brookwood Blvd Ste 310 |
$41.22 | 23 | 22 |
|
Omar A. Rokayak
619 19Th St S |
$124.53 | 23 | 14 |
|
Cami Rosamary Velazquez
625 19Th St S |
$70.89 | 25 | 24 |
|
Danetta Emily Mccurley
1502 5Th Ave South |
$40.90 | 25 | 25 |
|
Angela Shapshak
1717 6Th Ave S |
$163.77 | 25 | 12 |
|
Kaitlyn Dinkins
1700 6Th Ave S |
$24.62 | 26 | 20 |
|
Aliza Steyn Bircheat
2010 Brookwood Medical Ctr Dr |
$27.81 | 29 | 12 |
|
Michael R Crain
817 Princeton Ave Sw |
$33.60 | 30 | 13 |
|
Margot Gathings Potter
3686 Grandview Pkwy Ste 320 |
$70.61 | 31 | 24 |
|
Christopher Kenneth Poe
50 Medical Park Dr E |
$13.01 | 31 | 16 |
|
Udit Bhavsar
625 19Th St S |
$42.20 | 31 | 29 |
|
Caitlin Pennington Rosemore
2010 Brookwood Medical Ctr Dr |
$47.25 | 32 | 14 |
|
Scott Robinson Mcclure
700 18Th St S Ste 707 |
$41.35 | 33 | 29 |
|
Benjamin Simmie Mcglothlin
619 19Th St S |
$0.00 | 33 | 31 |
|
Katherine Sarah Lewis
701 Princeton Ave Sw |
$35.58 | 34 | 13 |
|
Jarrett J Foster
625 19Th St S |
$56.17 | 35 | 35 |
|
David Houston Ashley
2045 Brkwd Med Ctr Dr Ste 24 |
$34.28 | 35 | 33 |
|
William Randall Davis
619 19Th St S |
$105.18 | 35 | 31 |
|
Soniya Perry
1802 6Th Ave S |
$40.32 | 35 | 12 |
|
Kevin Geoffrey Dsouza
619 19Th St S |
$249.02 | 37 | 12 |
|
Lolita C Owens
810 Saint Vincents Dr |
$36.29 | 38 | 37 |
|
Scott Alexander Marshall
619 19Th St S |
$35.60 | 39 | 12 |
|
James Oliver
1717 6Th Ave S |
$50.08 | 41 | 41 |
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