Skip to content
Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Cincinnati, OH: $94.36

Avg. Paid

$94.36

Range

$5.74 – $719.78

Total Claims

2,312,527

Providers

649

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 Cincinnati, OH

Provider Avg. Paid Claims Patients
Children'S Hospital Medical Center

3333 Burnet Ave

 $169.06 117,374 102,291
Mercy Health - West Hospital Llc

3300 Mercy Health Blvd

 $124.90 71,960 59,853
The Good Samaritan Hospital Of Cincinnati, Ohio

375 Dixmyth Ave

 $131.52 69,841 54,907
University Of Cincinnati Medical Center, Llc

3188 Bellevue Avenue

 $172.80 69,792 53,491
Bethesda Hospital Inc

10500 Montgomery Rd

 $124.16 63,692 50,227
Christ Hospital

2139 Auburn Ave

 $142.12 49,446 39,341
Qualified Emergency Specialists Inc

10500 Montgomery Rd

 $47.02 45,100 41,300
Jewish Hospital Llc

4777 E Galbraith Rd

 $120.51 33,406 27,667
Joshua Stephen Adamow

10500 Montgomery Rd

 $86.14 23,006 21,762
Bradley Robert Beckham

4440 Red Bank Rd

 $75.41 21,730 20,659
Jeffrey David Spatz

3131 Queen City Ave

 $83.27 20,914 19,695
Stephen T Lewis

3131 Queen City Ave

 $82.40 20,271 19,172
Mercy Health - Anderson Hospital Llc

7500 State Rd

 $119.45 20,092 16,621
Kasey Rohling

3131 Queen City Ave

 $86.87 19,696 18,455
Paul Vincent Metzger

3131 Queen City Ave

 $86.49 19,414 18,287
Virginia Culyer Bell

231 Albert Sabin Way

 $82.99 19,051 17,910
Kenneth Aaron Berg

7500 State Rd

 $86.05 18,843 17,871
Samuel J Delaune

3333 Burnet Ave

 $159.31 17,548 16,731
Michael Charles Goebel

7500 State Rd

 $80.71 17,373 16,745
Cody Smith

3300 Mercy Health Blvd

 $85.00 17,138 16,455
David Henkel

2139 Auburn Ave

 $81.09 16,517 15,693
Timothy W Drury

3131 Queen City Ave

 $82.61 16,352 15,396
Michael Anthony Policastro

3131 Queen City Ave

 $91.13 15,291 14,739
Devin Shroyer

3300 Mercy Health Blvd

 $88.05 15,053 14,501
Timothy William Dake

3131 Queen City Ave

 $86.24 14,629 13,780
James Daniel Schrichten

3131 Queen City Ave

 $83.04 14,294 13,396
Jarrad N Lifshitz

3131 Queen City Ave

 $83.54 14,232 13,370
Brian Mcdonnell

10500 Montgomery Rd

 $86.08 14,158 13,343
Jay Bernstein

9145 Governors Way

 $85.18 13,863 13,153
Michelle Marie English

3333 Burnet Ave

 $45.10 13,542 13,061
Zachary Christopher Holt

10506 Montgomery Rd

 $86.96 13,527 12,785
Howard Bialick

3131 Queen City Ave

 $77.50 13,473 12,819
Janice Jones

7500 State Rd

 $79.59 12,953 12,334
Brian Arthur Stettler

231 Albert Sabin Way

 $88.03 12,804 12,183
Constance Gong

3333 Burnet Ave

 $98.54 12,562 11,794
Nsehniitooh Mbah

3300 Mercy Health Blvd

 $88.76 12,558 11,784
Edward Wyman Morriss

3131 Queen City Ave

 $82.68 12,140 11,457
Riley Patricia Grosso

234 Goodman St

 $94.80 11,621 11,157
Bryan J Griffin

234 Goodman St

 $107.96 11,570 10,623
Holly R Hanson

3333 Burnet Ave Ml 2008

 $127.45 11,365 10,719
Kevin Christian Randolph

234 Goodman St

 $99.54 11,348 10,765
Wendy J Pomerantz

3333 Burnet Ave

 $74.67 11,308 10,958
Jay Michael Tennie

3131 Queen City Ave

 $86.33 10,846 10,201
Matthew Kevin Riddle

234 Goodman St

 $72.31 10,797 10,663
Michelle Evanko

3131 Queen City Ave

 $86.71 10,759 10,342
Conal Daniel Roche

234 Goodman St

 $73.01 10,688 10,203
John Clifton Stadnik

4440 Red Bank Rd

 $82.01 10,625 10,077
Stephen W Perez

3131 Queen City Ave

 $89.51 10,612 9,997
Jeffery Michael Hill

234 Goodman St

 $73.56 10,485 10,021
Adam A. Vukovic

3333 Burnet Avenue

 $97.38 10,356 9,839

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 Cincinnati, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Cincinnati, OH is $94.36 per claim, based on 2,312,527 claims from 649 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 Cincinnati, OH?

There are 649 Medicaid providers offering Emergency Room Visit related services in Cincinnati, OH according to public payment data.

What is the price range for Emergency Room Visit in Cincinnati, OH?

Medicaid reimbursement for Emergency Room Visit in Cincinnati, OH ranges from $5.74 to $719.78 per claim, with an average of $94.36. 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 Cincinnati, OH

Blood Work & Lab Tests

Avg $7.16

12,933,390 claims

Office Visit

Avg $57.26

6,244,164 claims

Home Health Visit

Avg $67.23

2,297,701 claims

Behavioral & Mental Health Therapy

Avg $87.07

2,275,452 claims

Substance Abuse Treatment

Avg $55.29

2,244,339 claims

Psychiatric Evaluation

Avg $79.56

1,780,978 claims

Urinalysis & Urine Tests

Avg $2.81

1,707,210 claims

X-Ray

Avg $8.24

1,582,408 claims