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 |
|---|---|---|---|
|
Amber Lynn Doyle
405 W Jackson St |
$104.82 | 31 | 25 |
|
Zubin F Wala
300 W Oak St |
$102.48 | 32 | 32 |
|
Sherry K Jones
101 S Wall St |
$49.16 | 47 | 44 |
|
Nicholas Kyle Shockley
305 W Jackson St Ste 206 |
$29.63 | 82 | 74 |
|
Gurveen Pal Singh Malhotra
305 W Jackson St Ste 301 |
$97.88 | 107 | 42 |
|
Anad K Salem
207 W Jackson St |
$35.09 | 114 | 112 |
|
James Sullivan
405 W Jackson St |
$82.29 | 226 | 224 |
|
Connor Stephenson
405 W Jackson St |
$84.15 | 247 | 247 |
|
Gurpreet Singh Bambra
305 W Jackson St |
$76.80 | 309 | 103 |
|
Matthew Etherington
405 W Jackson St |
$83.89 | 325 | 323 |
|
Scott A. Cooper
405 W Jackson St |
$35.83 | 433 | 386 |
|
Jennifer A Siegel
2250 North Illinois Ave |
$79.19 | 661 | 651 |
|
Katherine E. Hersberger
710 S Illinois Ave Apt 217 |
$67.81 | 730 | 699 |
|
Pamela Renee Milano
305 W Jackson St |
$34.99 | 763 | 733 |
|
Nichole Lynn Justice
405 W Jackson St |
$70.43 | 829 | 734 |
|
Satyanarayana Rao Vaidya
405 W Jackson |
$128.92 | 884 | 301 |
|
Erhime T Badejo
305 W Jackson St Ste 200 |
$39.44 | 966 | 920 |
|
Melba Margaret Taylor
405 West Jackson Street |
$55.49 | 1,054 | 1,037 |
|
Othniel Stephen Doolittle
2250 N Illinois Ave |
$47.17 | 1,334 | 1,092 |
|
Hilda Antranette Watkins-Williams
405 W Jackson St |
$78.16 | 1,521 | 1,466 |
|
Antonio Alberto Cummings
405 W Jackson St |
$26.27 | 1,565 | 1,509 |
|
Donna M Bell
405 W Jackson St |
$44.47 | 1,867 | 1,783 |
|
Amanda M Ryden
405 W Jackson St |
$104.74 | 1,889 | 1,734 |
|
Ethan Mark Huckabee
405 W Jackson St |
$74.30 | 1,978 | 1,911 |
|
Michael S Mengarelli
405 W Jackson St |
$72.68 | 2,281 | 2,214 |
|
Donna P Carney
405 W Jackson St |
$40.24 | 2,505 | 2,330 |
|
Eric Christopher Batory
405 W Jackson St |
$67.34 | 2,654 | 2,573 |
|
Dawn Marie Stowers
405 W Jackson St |
$62.19 | 2,671 | 2,528 |
|
Benjamin D Mason
405 W Jackson St |
$86.45 | 2,703 | 2,497 |
|
Mutaz Musa
405 W Jackson St |
$40.45 | 3,030 | 2,671 |
|
Oluwatosin Aluko-Olokun
405 W Jackson St |
$53.43 | 3,284 | 2,899 |
|
Michael Rafati
3114 W Sunset Dr |
$41.61 | 3,683 | 3,284 |
|
Robert Michael Sprague
405 W Jackson St |
$61.59 | 3,815 | 3,605 |
|
Michael A. Chipman
405 W Jackson St |
$50.01 | 4,139 | 3,854 |
|
Barbara Joyce Gatton
405 W Jackson St |
$57.67 | 4,174 | 3,780 |
|
Andrew Makowski
405 W Jackson St |
$40.88 | 4,232 | 3,804 |
|
Kasey C Nelson
405 W Jackson St |
$52.51 | 4,433 | 4,063 |
|
Stephanie K. Hawley
405 W Jackson St |
$212.66 | 4,484 | 3,328 |
|
Ifeanyichukwu Alex Anoka
405 W Jackson St |
$51.13 | 4,562 | 4,076 |
|
Dominic Lee Phemister
405 W Jackson St |
$73.41 | 4,669 | 4,351 |
|
Joseph Raymond Haake
405 W Jackson St |
$49.19 | 4,781 | 4,467 |
|
James Nelson Mock
405 W Jackson St |
$72.26 | 4,904 | 4,624 |
|
Paula Rae Lindner
405 W Jackson St |
$46.13 | 4,947 | 4,657 |
|
Paras Kanakray Pandya
405 W Jackson St |
$74.10 | 5,605 | 4,424 |
|
Jonathon W White
305 W Jackson St |
$54.13 | 5,698 | 5,245 |
|
Darren Scott Edson
405 W Jackson St |
$103.34 | 5,726 | 5,167 |
|
Kevin M Martin
405 W Jackson St |
$50.08 | 6,341 | 5,935 |
|
Osama Aaflaq
405 W Jackson St |
$45.02 | 6,604 | 6,209 |
|
Kent A Arnold
405 W Jackson St |
$44.77 | 6,654 | 6,223 |
|
Pak K Fung
405 W Jackson St |
$57.79 | 6,891 | 6,048 |
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
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 Carbondale, IL
Office Visit
Avg $12.72
451,954 claims
Dental Cleaning & Exam
Avg $24.00
109,755 claims
EKG / ECG (Electrocardiogram)
Avg $9.49
83,747 claims
Vaccines & Immunizations
Avg $0.13
77,901 claims
Substance Abuse Treatment
Avg $80.03
70,778 claims
Urinalysis & Urine Tests
Avg $2.08
38,270 claims
Case Management Services
Avg $55.47
35,921 claims
Ultrasound
Avg $24.48
30,006 claims