Average Medicaid Emergency Room Visit Payments in Dayton, OH: $97.08
Avg. Paid
$97.08
Range
$10.95 – $277.79
Total Claims
1,743,160
Providers
360
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 Dayton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Miami Valley Hospital
1 Wyoming St |
$110.57 | 191,144 | 136,071 |
|
Dayton Children'S Hospital
1 Childrens Plz |
$178.06 | 134,202 | 117,442 |
|
Dayton Osteopathic Hospital
405 W Grand Ave |
$126.66 | 96,132 | 80,577 |
|
Lakshmi Gali Vemuru
1 Childrens Plz |
$90.86 | 28,931 | 27,961 |
|
Shernaz Aspi Wadia
1 Childrens Plz |
$89.94 | 25,787 | 25,037 |
|
Margaret Rose Soulen
1 Childrens Plz |
$91.98 | 24,734 | 24,045 |
|
Jeremy T Larson
1 Childrens Plz |
$91.26 | 24,233 | 23,477 |
|
Kristina Jill Kirk
1 Childrens Plz |
$93.16 | 23,433 | 22,731 |
|
Dana Lynn Drazner
1 Childrens Plz |
$91.60 | 21,193 | 20,445 |
|
Matthew Lyle Nyholm
2345 Philadelphia Dr |
$76.28 | 19,998 | 18,843 |
|
Marian Liu Del Vecchio
1 Childrens Plz |
$93.82 | 19,767 | 19,074 |
|
Richard Thomas Strait
1 Childrens Plz |
$90.67 | 19,743 | 19,199 |
|
James Michael Lee
1 Childrens Plz |
$88.70 | 18,321 | 17,755 |
|
George Kaiser
405 W Grand Ave |
$96.62 | 16,977 | 16,243 |
|
Charles Mcintosh
405 W. Grand Avenue |
$90.99 | 16,787 | 15,902 |
|
Michael S Ady
1 Wyoming St |
$85.58 | 16,329 | 15,419 |
|
Julie Ann Ott
405 W Grand Ave |
$97.99 | 15,900 | 15,135 |
|
Kent Andrew Depue
1 Childrens Plz |
$85.92 | 15,583 | 15,070 |
|
Tiffany Tiara Brown
2222 Philadelphia Dr |
$82.72 | 15,311 | 14,592 |
|
Laura Page Lindsay
1 Childrens Plz |
$88.82 | 15,181 | 14,748 |
|
Jeremy Jackson
405 W Grand Ave |
$78.50 | 15,103 | 14,013 |
|
Kristen Jane Paddon
1 Childrens Plz |
$93.27 | 15,054 | 14,755 |
|
Jeffrey Brandon Amburgey
405 W Grand Ave |
$85.81 | 15,018 | 14,226 |
|
Susan Kay Henry
1 Childrens Plz |
$91.17 | 14,756 | 14,317 |
|
Emily Jean Maupin
1 Wyoming St |
$84.80 | 14,692 | 13,961 |
|
Daniel Phillip Pitstick
1 Wyoming St |
$85.67 | 14,675 | 13,914 |
|
Thomas Robert Krzmarzick
1 Childrens Plz |
$104.04 | 14,615 | 14,242 |
|
Thomas Susec
1 Wyoming St |
$82.76 | 14,205 | 13,505 |
|
Martin Dunsky
405 W Grand Ave |
$91.19 | 14,173 | 13,306 |
|
Jeremy Moore
1 Wyoming St |
$84.58 | 14,046 | 13,408 |
|
Douglas E Reynolds
1 Wyoming St |
$85.23 | 14,017 | 13,357 |
|
Christopher David Mcintosh
405 W Grand Ave |
$86.47 | 13,990 | 13,200 |
|
Alison Marie Hess
1 Childrens Plz |
$87.15 | 13,406 | 13,015 |
|
Jerard Michael Connors
1 Childrens Plz |
$149.22 | 12,829 | 12,127 |
|
Pradeep Padmanabhan
1 Childrens Plz |
$122.88 | 12,519 | 11,426 |
|
Kari A Keneaster
1 Wyoming St |
$83.22 | 12,447 | 11,768 |
|
Christopher W Tidwell
405 W Grand Ave |
$85.74 | 12,287 | 11,146 |
|
Harold W. Guadalupe
1 Wyoming St |
$84.29 | 12,203 | 11,625 |
|
John Robert Dorsch
4881 Sugar Maple Dr |
$95.13 | 12,156 | 10,584 |
|
Richmond Lemos
1 Wyoming St |
$82.16 | 11,961 | 11,314 |
|
Jason Dwight Mcintosh
405 W Grand Ave |
$73.21 | 11,435 | 10,685 |
|
James Daniel Rodeman
1 Childrens Plz |
$76.32 | 11,246 | 10,898 |
|
Kelly Ann Koenig
1 Childrens Plz |
$81.21 | 11,242 | 10,864 |
|
Diana V Toro
1 Childrens Plz |
$97.70 | 11,216 | 11,073 |
|
Megan Dines
1 Wyoming St |
$85.30 | 10,942 | 10,318 |
|
Steven F. Chapman
1 Wyoming St |
$82.54 | 10,917 | 10,359 |
|
Keri Alison Childers
405 W Grand Ave |
$85.18 | 10,913 | 10,310 |
|
Tanner S Weigand
405 W Grand Ave |
$90.76 | 10,843 | 10,381 |
|
Terra Lynn Broering
1 Childrens Plz |
$85.01 | 10,810 | 10,569 |
|
Elizabeth A. Eaton
1 Wyoming St |
$80.56 | 10,688 | 10,165 |
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 Dayton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Dayton, OH is $97.08 per claim, based on 1,743,160 claims from 360 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 Dayton, OH?
There are 360 Medicaid providers offering Emergency Room Visit related services in Dayton, OH according to public payment data.
What is the price range for Emergency Room Visit in Dayton, OH?
Medicaid reimbursement for Emergency Room Visit in Dayton, OH ranges from $10.95 to $277.79 per claim, with an average of $97.08. 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 Dayton, OH
Home Health Visit
Avg $59.90
3,092,172 claims
Office Visit
Avg $64.03
3,013,507 claims
Substance Abuse Treatment
Avg $99.66
2,178,156 claims
Blood Work & Lab Tests
Avg $6.58
1,534,294 claims
Behavioral & Mental Health Therapy
Avg $69.30
1,407,770 claims
Psychiatric Evaluation
Avg $74.24
998,423 claims
X-Ray
Avg $8.52
885,936 claims
Ambulance Transport
Avg $58.85
727,341 claims