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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Carbondale, IL: $61.27

Avg. Paid

$61.27

Range

$26.27 – $212.66

Total Claims

152,544

Providers

52

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 Carbondale, IL

Provider Avg. Paid Claims Patients
Anand S Karsan

405 W Jackson St

$41.97 11,622 11,408
Benjamin J Wagner

405 W Jackson St

$42.86 7,458 6,941
Pak K Fung

405 W Jackson St

$57.79 6,891 6,048
Kent A Arnold

405 W Jackson St

$44.77 6,654 6,223
Osama Aaflaq

405 W Jackson St

$45.02 6,604 6,209
Kevin M Martin

405 W Jackson St

$50.08 6,341 5,935
Darren Scott Edson

405 W Jackson St

$103.34 5,726 5,167
Jonathon W White

305 W Jackson St

$54.13 5,698 5,245
Paras Kanakray Pandya

405 W Jackson St

$74.10 5,605 4,424
Paula Rae Lindner

405 W Jackson St

$46.13 4,947 4,657
James Nelson Mock

405 W Jackson St

$72.26 4,904 4,624
Joseph Raymond Haake

405 W Jackson St

$49.19 4,781 4,467
Dominic Lee Phemister

405 W Jackson St

$73.41 4,669 4,351
Ifeanyichukwu Alex Anoka

405 W Jackson St

$51.13 4,562 4,076
Stephanie K. Hawley

405 W Jackson St

$212.66 4,484 3,328
Kasey C Nelson

405 W Jackson St

$52.51 4,433 4,063
Andrew Makowski

405 W Jackson St

$40.88 4,232 3,804
Barbara Joyce Gatton

405 W Jackson St

$57.67 4,174 3,780
Michael A. Chipman

405 W Jackson St

$50.01 4,139 3,854
Robert Michael Sprague

405 W Jackson St

$61.59 3,815 3,605
Michael Rafati

3114 W Sunset Dr

$41.61 3,683 3,284
Oluwatosin Aluko-Olokun

405 W Jackson St

$53.43 3,284 2,899
Mutaz Musa

405 W Jackson St

$40.45 3,030 2,671
Benjamin D Mason

405 W Jackson St

$86.45 2,703 2,497
Dawn Marie Stowers

405 W Jackson St

$62.19 2,671 2,528
Eric Christopher Batory

405 W Jackson St

$67.34 2,654 2,573
Donna P Carney

405 W Jackson St

$40.24 2,505 2,330
Michael S Mengarelli

405 W Jackson St

$72.68 2,281 2,214
Ethan Mark Huckabee

405 W Jackson St

$74.30 1,978 1,911
Amanda M Ryden

405 W Jackson St

$104.74 1,889 1,734
Donna M Bell

405 W Jackson St

$44.47 1,867 1,783
Antonio Alberto Cummings

405 W Jackson St

$26.27 1,565 1,509
Hilda Antranette Watkins-Williams

405 W Jackson St

$78.16 1,521 1,466
Othniel Stephen Doolittle

2250 N Illinois Ave

$47.17 1,334 1,092
Melba Margaret Taylor

405 West Jackson Street

$55.49 1,054 1,037
Erhime T Badejo

305 W Jackson St Ste 200

$39.44 966 920
Satyanarayana Rao Vaidya

405 W Jackson

$128.92 884 301
Nichole Lynn Justice

405 W Jackson St

$70.43 829 734
Pamela Renee Milano

305 W Jackson St

$34.99 763 733
Katherine E. Hersberger

710 S Illinois Ave Apt 217

$67.81 730 699
Jennifer A Siegel

2250 North Illinois Ave

$79.19 661 651
Scott A. Cooper

405 W Jackson St

$35.83 433 386
Matthew Etherington

405 W Jackson St

$83.89 325 323
Gurpreet Singh Bambra

305 W Jackson St

$76.80 309 103
Connor Stephenson

405 W Jackson St

$84.15 247 247
James Sullivan

405 W Jackson St

$82.29 226 224
Anad K Salem

207 W Jackson St

$35.09 114 112
Gurveen Pal Singh Malhotra

305 W Jackson St Ste 301

$97.88 107 42
Nicholas Kyle Shockley

305 W Jackson St Ste 206

$29.63 82 74
Sherry K Jones

101 S Wall St

$49.16 47 44

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 Carbondale, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Carbondale, IL is $61.27 per claim, based on 152,544 claims from 52 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 Carbondale, IL?

There are 52 Medicaid providers offering Emergency Room Visit related services in Carbondale, IL according to public payment data.

What is the price range for Emergency Room Visit in Carbondale, IL?

Medicaid reimbursement for Emergency Room Visit in Carbondale, IL ranges from $26.27 to $212.66 per claim, with an average of $61.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Carbondale, IL