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Based on public Medicaid payment data.

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

Other Procedures in Decatur, GA