Average Medicaid Emergency Room Visit Payments in Cedar Falls, IA: $133.64
Avg. Paid
$133.64
Range
$37.75 – $214.78
Total Claims
35,946
Providers
10
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 Cedar Falls, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anthony Lee Markham
525 Hearthside Dr |
$140.24 | 19,551 | 18,556 |
|
Nathan Mikael Harmon
1215 Amelia Dr |
$133.01 | 10,002 | 9,471 |
|
Mary E Nicol
818 Latham Pl |
$85.13 | 2,021 | 1,927 |
|
Tyler Witmer
2316 Valley Park Dr |
$170.93 | 1,757 | 1,695 |
|
Chelsey Lynn Wendling
4606 Gloria St |
$115.10 | 1,170 | 1,067 |
|
John Mark Zehr
1227 W 27Th St |
$94.25 | 889 | 828 |
|
Healy James Burnham
515 College St |
$78.02 | 417 | 375 |
|
Sartori Memorial Hospital Inc
515 College St |
$37.75 | 111 | 107 |
|
Sartori Memorial Hospital Inc
515 College St |
$214.78 | 16 | 14 |
|
Denis Jay Kuhlmann
515 College St |
$54.93 | 12 | 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 Cedar Falls, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Cedar Falls, IA is $133.64 per claim, based on 35,946 claims from 10 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 Cedar Falls, IA?
There are 10 Medicaid providers offering Emergency Room Visit related services in Cedar Falls, IA according to public payment data.
What is the price range for Emergency Room Visit in Cedar Falls, IA?
Medicaid reimbursement for Emergency Room Visit in Cedar Falls, IA ranges from $37.75 to $214.78 per claim, with an average of $133.64. 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 Cedar Falls, IA
Office Visit
Avg $32.68
134,644 claims
Blood Work & Lab Tests
Avg $6.04
86,597 claims
Non-Emergency Medical Transportation
Avg $78.67
71,983 claims
Psychiatric Evaluation
Avg $69.06
69,721 claims
Dental Cleaning & Exam
Avg $24.76
59,684 claims
Physical Therapy
Avg $21.39
50,342 claims
Chiropractic Care
Avg $22.83
30,199 claims
Vaccines & Immunizations
Avg $18.74
27,814 claims