Average Medicaid Emergency Room Visit Payments in Decatur, AL: $54.32
Avg. Paid
$54.32
Range
$0.00 – $247.59
Total Claims
68,321
Providers
34
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 Decatur, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Lee Putman
1874 Beltline Rd Sw |
$31.81 | 14,300 | 10,322 |
|
Thomas Edward Lockard
2422 Danville Rd Sw |
$50.67 | 8,427 | 7,416 |
|
Meridith Pringle Marlow
1201 7Th St Se |
$73.22 | 7,028 | 6,302 |
|
William Larry Sullivan
4308 Topaz Cir Se |
$47.01 | 4,468 | 4,160 |
|
Samuel Wilson
1201 7Th St Se |
$72.23 | 4,464 | 3,945 |
|
Gene Edward Walker
1201 7Th St Se |
$42.18 | 3,494 | 2,938 |
|
Tom-Meka Michele Archinard
1201 7Th St Se |
$87.94 | 2,900 | 2,682 |
|
Ashley Oliver
1201 7Th St Se |
$36.74 | 2,448 | 1,776 |
|
Reagan Robinson Lindsey
1201 7Th St Se |
$35.28 | 2,417 | 1,913 |
|
Island Medical Rtr Llc
1201 7Th St Se |
$54.54 | 1,994 | 1,609 |
|
Decatur Morgan Emergency Medicine
1201 7Th St Se |
$119.29 | 1,756 | 1,663 |
|
William Davis
1201 7Th St Se |
$41.24 | 1,670 | 1,466 |
|
Betty Jean Schwab
1201 7Th St Se |
$42.92 | 1,323 | 1,262 |
|
John Hardisty
1201 7Th St Se |
$52.81 | 1,213 | 1,011 |
|
Bobbie Bode
1201 7Th St Se |
$210.78 | 1,163 | 1,103 |
|
John Peter Kaliszak
1201 7Th St Se |
$39.07 | 1,142 | 1,064 |
|
Delana Cole Clemons
1201 7Th St Se |
$32.52 | 1,099 | 874 |
|
Jennifer Leigh Davis
1201 7Th St Se |
$45.17 | 1,014 | 907 |
|
Mila T. Riehl
2215 Mallard Ln Se |
$73.51 | 927 | 678 |
|
Julia Brooke Bevis
1304 13Th Ave Se |
$33.31 | 881 | 662 |
|
Malea Robinson
1874 Beltline Rd Sw |
$23.67 | 877 | 611 |
|
Mamoun I Najjar
1222 Somerville Road Se |
$64.73 | 751 | 137 |
|
Katherine Mclaurin
1201 7Th St Se |
$29.97 | 462 | 363 |
|
Alexis Robert Penot
1201 7Th St Se |
$45.84 | 398 | 367 |
|
Heather Shaw Blankenship
1050 Chemstran Ave |
$51.56 | 382 | 357 |
|
Eric Tucker Crampsey
68 Marco Dr |
$41.87 | 335 | 296 |
|
Takasha Latoya Renee Stewart-Hubbard
1201 7Th St Se |
$247.59 | 295 | 228 |
|
Joseph Andrew Chamness
3111 Battlement Rd Sw |
$26.05 | 199 | 157 |
|
Jacqueline Kay Rutherford
1874 Beltline Rd Sw |
$17.80 | 127 | 72 |
|
Jennifer Mcnatt
1201 7Th St Se |
$25.41 | 115 | 85 |
|
Cynthia Kudji Sylvester
1304 13Th Ave Se Ste A |
$23.26 | 111 | 108 |
|
Benjamin H Barraza
1201 7Th St Se |
$46.33 | 72 | 72 |
|
Julie M Sexton
1310 14Th Ave Se |
$0.00 | 49 | 17 |
|
Mahendra Ramsevak Varma
1201 7Th Street, Se |
$162.88 | 20 | 16 |
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 Decatur, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Decatur, AL is $54.32 per claim, based on 68,321 claims from 34 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 Decatur, AL?
There are 34 Medicaid providers offering Emergency Room Visit related services in Decatur, AL according to public payment data.
What is the price range for Emergency Room Visit in Decatur, AL?
Medicaid reimbursement for Emergency Room Visit in Decatur, AL ranges from $0.00 to $247.59 per claim, with an average of $54.32. 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 Decatur, AL
Office Visit
Avg $39.95
336,311 claims
Behavioral & Mental Health Therapy
Avg $55.34
181,784 claims
Psychiatric Evaluation
Avg $79.81
172,293 claims
Physical Therapy
Avg $23.23
153,971 claims
Dental Cleaning & Exam
Avg $23.50
114,089 claims
Blood Work & Lab Tests
Avg $7.90
79,935 claims
Case Management Services
Avg $117.16
70,977 claims
Non-Emergency Medical Transportation
Avg $16.42
60,329 claims