Average Medicaid Emergency Room Visit Payments in Delaware, OH: $80.45
Avg. Paid
$80.45
Range
$55.47 – $130.41
Total Claims
119,099
Providers
18
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 Delaware, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ohio Emergency Care Services, Inc
561 W Central Ave |
$55.47 | 36,775 | 34,327 |
|
Grady Memorial Hospital
561 W Central Ave |
$130.41 | 15,065 | 12,165 |
|
Matthew J. Sanders
561 W Central Ave |
$81.33 | 13,702 | 10,389 |
|
Aarti Rajesh Gaglani
7853 Pacer Dr |
$82.09 | 7,545 | 7,326 |
|
Beth Ann Bubolz
7853 Pacer Dr |
$79.91 | 7,204 | 7,026 |
|
Emily Sentman
7853 Pacer Dr |
$74.66 | 6,625 | 6,468 |
|
Leah Katherine Middelberg
7853 Pacer Dr |
$82.77 | 6,162 | 6,015 |
|
Gregory B Stewart
7853 Pacer Dr |
$83.93 | 5,705 | 5,597 |
|
Elizabeth Anne Claxton
7853 Pacer Dr |
$83.00 | 5,519 | 5,369 |
|
David D Watson
561 W Central Ave |
$94.38 | 4,163 | 3,939 |
|
Kevin Glen Doherty
6511 Taggart Rd |
$78.97 | 3,415 | 3,240 |
|
Spencer Thomas Powell
561 W Central Ave |
$103.43 | 2,340 | 2,233 |
|
David Trinco
561 W Central Ave |
$99.49 | 1,947 | 1,830 |
|
Christine Elizabeth Thiel
561 W Central Ave |
$79.71 | 1,594 | 1,565 |
|
Amy Katherine Ramey
561 W Central Ave |
$68.17 | 703 | 660 |
|
Misty E Arnold
561 W Central Ave |
$77.63 | 458 | 435 |
|
Thomas Jams Zuesi
561 W Central Ave |
$94.37 | 163 | 152 |
|
Joshua R Thomas
561 W Central Ave |
$110.93 | 14 | 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 Delaware, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Delaware, OH is $80.45 per claim, based on 119,099 claims from 18 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 Delaware, OH?
There are 18 Medicaid providers offering Emergency Room Visit related services in Delaware, OH according to public payment data.
What is the price range for Emergency Room Visit in Delaware, OH?
Medicaid reimbursement for Emergency Room Visit in Delaware, OH ranges from $55.47 to $130.41 per claim, with an average of $80.45. 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 Delaware, OH
Office Visit
Avg $53.89
225,323 claims
Blood Work & Lab Tests
Avg $12.64
95,995 claims
Psychiatric Evaluation
Avg $58.03
67,870 claims
Home Health Visit
Avg $40.07
63,327 claims
Dental Cleaning & Exam
Avg $25.99
60,755 claims
Behavioral & Mental Health Therapy
Avg $77.83
55,813 claims
Speech Therapy
Avg $33.88
55,224 claims
Vaccines & Immunizations
Avg $15.31
49,912 claims