Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Boulder, CO: $96.18

Avg. Paid

$96.18

Range

$0.00 – $175.21

Total Claims

132,331

Providers

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 Boulder, CO

Provider	Avg. Paid	Claims	Patients
Stephen J. Macdade 1100 Balsam Ave	$98.00	14,888	12,438
David E. Saintsing 1215 Spruce St Ste 200	$104.31	14,268	12,956
Kr Spotts 395 Majestic View Drive	$100.85	10,132	9,510
David Cristopher Benner 1100 Balsam Ave	$94.02	9,406	8,053
David P Wiebe 3922 Promontory Ct	$87.72	9,054	7,822
Jason Edward Rozeski 1100 Balsam Ave	$94.50	9,001	7,726
Matthew J Loran 4747 Arapahoe Ave	$96.16	7,861	6,553
Justin Scott Mclean 4747 Arapahoe Ave	$106.00	5,333	4,559
Jamie Noelle Canino 1100 Balsam Ave	$88.46	4,868	4,183
Christine Riguzzi 4747 Arapahoe Ave	$97.59	4,726	4,033
Laughlin B. Mccollester 1100 Balsam Ave	$99.04	4,523	3,839
Timothy James Meyers 1100 Balsam Ave	$103.56	4,301	3,802
David H. Kruger 1100 Balsam Ave.	$94.78	3,271	3,032
Anthony Kyle Carcella 4747 Arapahoe Ave	$92.88	3,180	2,649
Deborah Sue Lund 1100 Balsam Ave	$90.73	2,962	2,559
Dale Shu-Ying Wang 1100 Balsam Ave	$92.68	2,818	2,410
Shannon Smith Sovndal 1100 Balsam Ave	$102.45	2,774	2,355
Meredith Dalton 4743 Arapahoe Ave Ste 201	$84.42	2,103	2,011
Todd Alan Dorfman 1100 Balsam Ave	$84.49	1,931	1,755
David Michael Whitling 1100 Balsam Ave	$91.71	1,684	1,370
Jeffrey Alan Gunter 2955 Valmont Rd	$84.92	1,617	1,364
Mark Steven Moeller 1100 Balsam Ave	$88.66	1,579	1,450
Stephen M. Swan 1100 Balsam Ave	$73.90	1,501	1,330
Kim Marie Feldhaus 1100 Balsam Ave	$96.76	1,471	1,289
Michael C Thompson 4747 Arapahoe Ave	$82.13	1,256	1,110
Michael Terence Stanger 4801 Riverbend Rd Ste 120A	$113.27	956	827
Michael Stanley Schlegel 4747 Arapahoe Ave	$90.45	752	689
Andrew Todd Pitts 4745 Arapahoe Ave Ste 310	$104.39	723	692
Alison Spatz Levine 950 Laramie Blvd Unit D	$175.21	649	602
Anna Kristina Melvin 4747 Arapahoe Ave	$75.02	517	480
Victoria M Evelyn 1755 48Th St Ste 100	$71.43	508	476
Teryn Mori 4740 Pearl Pkwy Ste 200	$67.86	395	381
William P Hazell 580 Mohawk Dr	$66.87	325	314
Martha A Cabeen 1100 Balsam Ave	$94.54	302	280
Katrina M. Rosin 1100 Balsam Avenue	$54.69	244	222
Paul Edward Young 1100 Balsam Ave	$53.05	105	100
Laura A Harmon 4743 Arapahoe Ave Ste 100	$166.59	95	35
Melissa B. Gillespie 4747 Arapahoe Ave	$81.26	80	77
Melanie Worley 4740 Pearl Pkwy Ste 200	$132.94	44	42
Caroline Teresa Campese 1900 Wardenburg Dr	$70.98	44	43
Alison Leslie Sheets 4747 Arapahoe Ave	$124.66	42	39
Dylan Michael Sabb 5495 Arapahoe Ave	$0.00	15	15
Amanda Masek Doetsch 777 29Th St Ste 301	$48.27	14	14
Michael D Jones 3645 Endicott Dr	$52.26	13	12

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 Boulder, CO?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Boulder, CO is $96.18 per claim, based on 132,331 claims from 44 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 Boulder, CO?

There are 44 Medicaid providers offering Emergency Room Visit related services in Boulder, CO according to public payment data.

What is the price range for Emergency Room Visit in Boulder, CO?

Medicaid reimbursement for Emergency Room Visit in Boulder, CO ranges from $0.00 to $175.21 per claim, with an average of $96.18. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Boulder, CO: $96.18

Providers Offering Emergency Room Visit in Boulder, CO

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Boulder, CO

Office Visit

Psychiatric Evaluation

Physical Therapy

Speech Therapy

Blood Work & Lab Tests

Ambulance Transport

Home Health Visit

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