Average Medicaid Emergency Room Visit Payments in Bluffton, SC: $61.30
Avg. Paid
$61.30
Range
$22.16 – $68.60
Total Claims
22,540
Providers
6
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 Bluffton, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Erin Marina Pournaras
198 Okatie Village Dr Ste 103-110 |
$52.82 | 8,239 | 7,218 |
|
Gabriel Charles Fornari
132 Bluffton Rd |
$67.08 | 6,729 | 6,516 |
|
Susan E Hackman-Quinty
181 Bluffton Rd Ste G101-102 |
$66.65 | 5,094 | 4,842 |
|
Colleen Hill Patton
100 Buckwalter Place Blvd Ste 130 |
$62.69 | 1,990 | 1,845 |
|
Rachel Allyson Fox
64 Bluffton Rd |
$68.60 | 432 | 291 |
|
Nikki L Newman
1 Burnt Church Rd Ste A |
$22.16 | 56 | 55 |
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 Bluffton, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Bluffton, SC is $61.30 per claim, based on 22,540 claims from 6 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 Bluffton, SC?
There are 6 Medicaid providers offering Emergency Room Visit related services in Bluffton, SC according to public payment data.
What is the price range for Emergency Room Visit in Bluffton, SC?
Medicaid reimbursement for Emergency Room Visit in Bluffton, SC ranges from $22.16 to $68.60 per claim, with an average of $61.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Avg $203.26
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Avg $116.65
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New York, NY
Avg $130.02
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Avg $98.63
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Avg $130.10
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Avg $135.52
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Other Procedures in Bluffton, SC
Office Visit
Avg $61.39
136,920 claims
Physical Therapy
Avg $79.97
82,363 claims
Speech Therapy
Avg $76.72
75,631 claims
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Avg $12.97
73,212 claims
Dental Cleaning & Exam
Avg $33.38
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Home Health Visit
Avg $52.91
50,688 claims
Personal Care Services
Avg $27.50
34,500 claims
Eye Exam
Avg $36.93
21,728 claims