Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Decatur, IL: $61.57

Avg. Paid

$61.57

Range

$24.24 – $379.80

Total Claims

152,348

Providers

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, IL

Provider	Avg. Paid	Claims	Patients
Jose Reyes 1800 E Lake Shore Dr	$68.75	26,228	23,968
Geronimo V Garcia 2300 N Edward Street	$56.90	13,979	12,573
Edward Leon 2300 N Edward St	$71.68	10,496	9,739
Hamid Sagha 1800 E Lake Shore Dr	$45.31	9,792	8,977
Charles Edward Pennix 1800 E Lake Shore Dr	$62.89	9,615	8,562
Kevin M Oliver 1800 E Lake Shore Dr	$72.20	8,682	7,895
David J. Kiel 2300 N Edward St	$58.24	7,669	7,052
Worlali Moses Nutakor 2310 E Mound Rd	$56.59	7,526	6,779
Patrick Garrity 2300 N Edward St	$58.72	7,417	6,781
Christine M Meeker 1800 E Lake Shore Dr	$45.02	6,963	6,335
Terry Balagna 2300 N Edward St	$59.81	6,346	5,837
Phillip Barnell 1800 E Lake Shore Dr	$61.14	5,472	4,913
Gabriel Munoz 2300 N Edward St	$54.18	4,853	4,441
Carol Ann Goetz 45 Sandcreek Ct	$39.07	4,347	4,017
Jamie Marie Queary 1800 E Lake Shore Dr	$42.33	4,268	3,752
Jared Sinclair 2300 N Edward St	$68.40	4,093	3,840
Jason Grauer 2300 N Edward St	$74.48	3,465	3,044
Yat Minh Leung 2300 North Edward Street	$102.07	1,577	1,485
Tessa E Mccoy 1800 E Lake Shore Dr	$47.86	1,459	1,418
Maia D. Scharf 1704 E Lawrence St	$88.68	1,248	1,099
Lawrence Jeisy 2300 N Edward St	$44.29	1,166	1,045
Agustin Bello 4775 E Maryland St	$51.49	1,015	994
Christina M White 3131 N Water St	$152.72	723	543
Joshua John Stein 2300 N Edward St	$91.11	697	659
George Duncan 1770 E Lake Shore Dr	$53.31	636	616
Sara Lynn Johnson 544 W Pershing Rd	$103.80	547	522
Jappan Bhatt 2300 N Edward St	$33.54	500	487
Cassie N Briggs 101 W Mckinley Ave	$66.98	456	431
Ajay Verma 2300 N Edward St	$128.83	214	85
Paul Gurley 2300 N Edward St	$79.94	202	199
Mohammed S Akram 102 W Kenwood Ave	$63.49	160	116
Zahi Nachef 2300 N Edward St	$129.36	159	62
Bharat Neelam Raju 2300 N Edward St	$121.14	101	54
Nida Faheem 2 Memorial Dr Ste 202	$56.76	99	86
Rachel Westbrook 3131 N Water St	$58.78	69	66
Price P Omondi 1800 E Lake Shore Dr	$24.24	67	56
Satya A Patel 2300 N Edward St	$379.80	30	26
Koleen Barnell 1800 E Lake Shore Dr	$36.67	12	12

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, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Decatur, IL is $61.57 per claim, based on 152,348 claims from 38 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, IL?

There are 38 Medicaid providers offering Emergency Room Visit related services in Decatur, IL according to public payment data.

What is the price range for Emergency Room Visit in Decatur, IL?

Medicaid reimbursement for Emergency Room Visit in Decatur, IL ranges from $24.24 to $379.80 per claim, with an average of $61.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Decatur, IL: $61.57

Providers Offering Emergency Room Visit in Decatur, IL

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

Emergency Room Visit in Other Cities

Detroit, MI

Chicago, IL

Phoenix, AZ

Indianapolis, IN

New York, NY

Columbus, OH

Brooklyn, NY

Philadelphia, PA

Other Procedures in Decatur, IL

Office Visit

Blood Work & Lab Tests

Speech Therapy

Vaccines & Immunizations

Ambulance Transport

Urinalysis & Urine Tests

Substance Abuse Treatment

Case Management Services