Average Medicaid Emergency Room Visit Payments in Cape Coral, FL: $80.50
Avg. Paid
$80.50
Range
$7.20 – $389.73
Total Claims
81,798
Providers
28
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 Cape Coral, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adam Patrick Giddings
2600 Nw 4Th Pl |
$83.28 | 28,615 | 25,869 |
|
Christopher Beechy
636 Del Prado Boulevard South |
$93.71 | 9,742 | 9,113 |
|
Michael George
636 Del Prado Blvd S |
$66.38 | 7,137 | 6,294 |
|
Keith Cameron Burley
636 Del Prado Blvd S |
$76.97 | 5,470 | 5,048 |
|
Tyler Charles Ensley
Cape Coral Hospital |
$80.25 | 5,283 | 4,924 |
|
William Michael Johnson
523 Cape Coral Pkwy E |
$51.47 | 4,456 | 4,091 |
|
Timothy Dougherty
636 Del Prado Blvd S |
$76.88 | 3,483 | 3,229 |
|
Tabitha Williams
636 Del Prado Blvd S |
$80.38 | 3,104 | 2,870 |
|
Pamela M. Perry
636 Del Prado Blvd S |
$76.43 | 3,097 | 2,795 |
|
Ramon J Pabalan
636 Del Prado Blvd S |
$71.84 | 2,507 | 2,300 |
|
Tucker Greene
636 Del Prado Blvd S |
$65.62 | 2,250 | 1,931 |
|
Timothy Matthew Everett
1305 Sw 19Th Ln |
$56.44 | 1,637 | 1,370 |
|
Rachel Creath Smith
636 Del Prado Blvd S |
$234.97 | 1,317 | 1,214 |
|
Cape Coral Emergency Physicians Llc
636 Del Prado Blvd S |
$35.13 | 1,196 | 1,030 |
|
Alan B Claunch
636 Del Prado Blvd S |
$60.73 | 672 | 602 |
|
Christopher Padgett
636 Del Prado Blvd |
$34.11 | 327 | 326 |
|
Cape Memorial Hospital Inc
636 Del Prado Blvd |
$114.17 | 294 | 260 |
|
Michael Joseph D'Angelo
636 Del Prado Blvd S |
$82.08 | 225 | 216 |
|
Alejandro Trujillo
1411 Se 16Th Pl |
$55.83 | 207 | 150 |
|
Kelsie Phillips
708 Del Prado Blvd S Ste 7 |
$275.70 | 177 | 173 |
|
Ariel Figueredo
602 Se 16Th Pl |
$100.38 | 166 | 158 |
|
Christopher Edward Parshall
636 Del Prado Blvd S |
$79.62 | 149 | 143 |
|
Connor Mech Montgomery
636 Del Prado Blvd S |
$73.65 | 96 | 91 |
|
Juan Manuel Del Rio Garcia
636 Del Prado Blvd S |
$24.21 | 67 | 37 |
|
Port Charlotte Hbp Services Llc
2521 Del Prado Blvd N |
$7.20 | 63 | 57 |
|
Shawn Sheehy Van Buren
737 Cape Coral Pkwy E |
$389.73 | 30 | 29 |
|
Tatwig G Guirguis
636 Del Prado Blvd |
$47.92 | 18 | 14 |
|
Nisha Patel Gupta
636 Del Prado Blvd S |
$41.56 | 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 Cape Coral, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Cape Coral, FL is $80.50 per claim, based on 81,798 claims from 28 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 Cape Coral, FL?
There are 28 Medicaid providers offering Emergency Room Visit related services in Cape Coral, FL according to public payment data.
What is the price range for Emergency Room Visit in Cape Coral, FL?
Medicaid reimbursement for Emergency Room Visit in Cape Coral, FL ranges from $7.20 to $389.73 per claim, with an average of $80.50. 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 Cape Coral, FL
Office Visit
Avg $46.23
227,811 claims
Personal Care Services
Avg $44.15
207,444 claims
Substance Abuse Treatment
Avg $14.60
174,899 claims
Behavioral & Mental Health Therapy
Avg $93.73
169,897 claims
Home Health Visit
Avg $74.08
161,686 claims
Vaccines & Immunizations
Avg $11.01
75,519 claims
Case Management Services
Avg $53.37
71,859 claims
Blood Work & Lab Tests
Avg $26.51
69,871 claims