Average Medicaid Emergency Room Visit Payments in Circleville, OH: $93.22
Avg. Paid
$93.22
Range
$26.90 – $119.81
Total Claims
91,003
Providers
16
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 Circleville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Craig Burks
600 N Pickaway St |
$77.36 | 18 | 17 |
|
Robert William Zaayer
600 N Pickaway St |
$42.56 | 89 | 80 |
|
Varun Ashok
600 N Pickaway St |
$76.19 | 107 | 87 |
|
Lauren Marie Fuller
210 Sharon Rd Ste C |
$26.90 | 184 | 172 |
|
Charles Jay Marti
600 N Pickaway St |
$82.40 | 850 | 799 |
|
Darryl Glen Koop
600 N Pickaway St |
$55.21 | 1,352 | 1,261 |
|
Daniel Nartker
600 N Pickaway St |
$82.97 | 1,737 | 1,670 |
|
Nicholas D Scharf
600 N Pickaway St |
$81.04 | 3,142 | 3,083 |
|
Ronald B Taylor
600 N Pickaway St |
$88.46 | 3,883 | 3,669 |
|
Andrew Devries
600 N Pickaway St |
$98.14 | 5,195 | 4,983 |
|
Kerry William Michael Bludnick
22952 Bolender Pontius Rd |
$64.91 | 5,653 | 5,428 |
|
Brett Allan Call
600 N Pickaway St |
$78.68 | 10,382 | 9,894 |
|
William A Jenkins
600 N Pickaway St |
$96.55 | 10,980 | 10,542 |
|
Trent J Timmons
600 N Pickaway St |
$91.89 | 11,534 | 10,932 |
|
Diane Dieckman Jenkins
600 N Pickaway St |
$84.26 | 15,099 | 14,408 |
|
Ohiohealth Berger Hospital Llc
600 N Pickaway St |
$119.81 | 20,798 | 17,241 |
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 Circleville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Circleville, OH is $93.22 per claim, based on 91,003 claims from 16 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 Circleville, OH?
There are 16 Medicaid providers offering Emergency Room Visit related services in Circleville, OH according to public payment data.
What is the price range for Emergency Room Visit in Circleville, OH?
Medicaid reimbursement for Emergency Room Visit in Circleville, OH ranges from $26.90 to $119.81 per claim, with an average of $93.22. 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 Circleville, OH
Substance Abuse Treatment
Avg $95.97
233,777 claims
Office Visit
Avg $45.42
176,112 claims
Blood Work & Lab Tests
Avg $7.58
149,393 claims
Home Health Visit
Avg $49.37
120,913 claims
Ambulance Transport
Avg $33.09
70,568 claims
Dental Cleaning & Exam
Avg $25.64
53,646 claims
Eye Exam
Avg $20.06
50,090 claims
Psychiatric Evaluation
Avg $71.52
38,808 claims