Average Medicaid Emergency Room Visit Payments in Decatur, GA: $119.94
Avg. Paid
$119.94
Range
$19.69 – $137.30
Total Claims
148,510
Providers
39
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, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dekalb Medical Center, Inc.
2701 N Decatur Rd |
$135.77 | 110,923 | 97,902 |
|
Tony Bullon
1834 Clairmont Rd Ste 100 |
$82.56 | 6,493 | 5,868 |
|
Reynaldo Antoine Polk
2701 North Decatur Road |
$81.37 | 4,992 | 4,696 |
|
Jeffrey Tsai
2701 North Decatur Road |
$56.01 | 3,917 | 3,899 |
|
Teodor Vitenberg Barnett
878 Vistavia Cir |
$57.92 | 2,549 | 2,067 |
|
Nicole Battaglioli
505 Medlock Rd |
$59.81 | 2,344 | 2,117 |
|
Naomi Marie Kirkman-Bey
2701 N. Decatur Road |
$105.96 | 2,126 | 1,974 |
|
Kathleen Therese O'Donnell
2701 North Decatur Road |
$88.04 | 1,528 | 1,463 |
|
Adam Marchak
2701 N Decatur Rd |
$89.86 | 1,509 | 1,374 |
|
Leonidas Panagiotakopoulos
809 Church St |
$39.21 | 1,421 | 1,399 |
|
Samuel Jones
2701 North Decatur Road |
$48.23 | 1,386 | 1,347 |
|
Clayton T. Hofstra
1670 Clairmont Rd |
$67.28 | 1,311 | 1,200 |
|
Andrea Chaput
2701 N Decatur Rd |
$32.59 | 1,199 | 757 |
|
Krishna Mohan Rajaram
1670 Clairmont Rd |
$85.06 | 920 | 893 |
|
Eric Joseph Curran
2701 N Decatur Rd |
$98.82 | 898 | 773 |
|
Lauren P Heier
2701 N Decatur Rd |
$19.69 | 799 | 343 |
|
Cynthia Schlessinger
2701 N Decatur Rd |
$137.30 | 769 | 738 |
|
Andrew Chien Lin
2701 N Decatur Rd |
$78.07 | 360 | 351 |
|
Jasmine Renee Mcdaniel
3111 Jefferson Square Ct |
$68.45 | 349 | 341 |
|
Michael D Waldman
2701 N Decatur Rd |
$115.13 | 345 | 159 |
|
Elizabeth Iju Tai
2701 North Decatur Road |
$77.35 | 316 | 300 |
|
Michael Yip
2701 N Decatur Rd |
$75.91 | 282 | 278 |
|
Chetan Goud
2701 North Decatur Road |
$64.31 | 244 | 238 |
|
Madison Williams Lintz
2701 N Decatur Rd |
$65.50 | 238 | 209 |
|
Sheba George
2701 N Decatur Rd |
$106.63 | 203 | 193 |
|
Abdrahim Aloud
450 N Candler St |
$64.28 | 188 | 70 |
|
Reginald D Smith
3777 Chateauguay Dr |
$54.53 | 164 | 161 |
|
Hiromi Terawaki Rosselli
2675 N Decatur Rd Ste 200 |
$94.23 | 151 | 149 |
|
Alexandra Wolcott Dretler
2665 N Decatur Rd Ste 330 |
$91.01 | 122 | 41 |
|
Emily Suzanne Fox
1438 Mclendon Dr |
$57.07 | 113 | 113 |
|
David James Bower
1670 Clairmont Rd |
$80.48 | 71 | 28 |
|
Homer Allen Richardson
2701 North Decatur Road |
$90.95 | 67 | 67 |
|
Andrew D Jones
2701 N Decatur Rd |
$84.28 | 63 | 52 |
|
Dahlia Hassani
1010 Scott Blvd |
$72.81 | 39 | 39 |
|
Vernetta Harris
2701 N Decatur Rd |
$28.84 | 38 | 38 |
|
Tiencia Dorothea James
2701 N Decatur Rd |
$90.36 | 27 | 25 |
|
Cameron Marie Allen
2701 N Decatur Rd |
$62.47 | 16 | 14 |
|
Tamara Gilchrist Bernaski
2701 N Decatur Rd |
$82.33 | 16 | 15 |
|
Chuan-Xing Ho
2701 N Decatur Rd |
$62.30 | 14 | 14 |
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, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Decatur, GA is $119.94 per claim, based on 148,510 claims from 39 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, GA?
There are 39 Medicaid providers offering Emergency Room Visit related services in Decatur, GA according to public payment data.
What is the price range for Emergency Room Visit in Decatur, GA?
Medicaid reimbursement for Emergency Room Visit in Decatur, GA ranges from $19.69 to $137.30 per claim, with an average of $119.94. 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, GA
Blood Work & Lab Tests
Avg $5.43
338,832 claims
Office Visit
Avg $54.75
241,656 claims
Urinalysis & Urine Tests
Avg $3.20
100,495 claims
Psychiatric Evaluation
Avg $77.64
82,684 claims
Dental Cleaning & Exam
Avg $29.97
65,886 claims
Ultrasound
Avg $88.79
61,972 claims
X-Ray
Avg $25.56
60,798 claims
Vaccines & Immunizations
Avg $19.99
56,305 claims