Average Medicaid Emergency Room Visit Payments in Des Moines, IA: $135.04
Avg. Paid
$135.04
Range
$11.60 – $1,751
Total Claims
702,067
Providers
223
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 Des Moines, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Debra J Borcherding
1200 Pleasant St |
$166.87 | 21,674 | 21,019 |
|
Amna Jafry
1200 Pleasant St |
$79.23 | 19,045 | 18,231 |
|
Jason David Stecker
1801 Hickman Rd |
$126.69 | 18,066 | 13,622 |
|
Priscilla M. Putzier
1200 Pleasant St |
$171.65 | 15,156 | 14,734 |
|
Holly Healey
1801 Hickman Rd |
$125.98 | 14,182 | 10,365 |
|
Douglas E Selover
1111 6Th Ave |
$114.37 | 14,110 | 12,857 |
|
Paul M Roberts
1200 Pleasant St |
$159.60 | 13,264 | 12,961 |
|
Amy Marie Groen
1200 Pleasant St |
$173.32 | 12,413 | 12,004 |
|
Martin E Van Zee
1301 Pennsylvania Ave |
$129.67 | 12,191 | 8,917 |
|
Philip Sterling Taber
1200 Pleasant St |
$147.79 | 11,673 | 11,217 |
|
James Cummings
1801 Hickman Rd |
$141.36 | 11,276 | 8,454 |
|
Barbara J Yeazel
1200 Pleasant St |
$164.86 | 11,272 | 10,882 |
|
Rachael Kay Lewis
1200 Pleasant St |
$134.54 | 11,105 | 10,631 |
|
Shawn Johnson
1801 Hickman Rd |
$131.65 | 11,092 | 8,082 |
|
Jonathan Brian Howe
1200 Pleasant St |
$136.04 | 11,089 | 10,667 |
|
Lydia J Holm
1200 Pleasant St |
$179.30 | 10,938 | 10,601 |
|
Ryan Doyle Mccracken
1200 Pleasant St |
$131.44 | 10,383 | 9,981 |
|
Kristin Renee Schroeder
1200 Pleasant St |
$157.95 | 9,969 | 9,559 |
|
Erik Adair
1200 Pleasant St |
$171.15 | 9,940 | 9,663 |
|
Luke Lowry
1200 Pleasant St |
$138.94 | 9,811 | 9,424 |
|
Anna Sagebiel
1801 Hickman Rd |
$125.48 | 9,658 | 7,035 |
|
Scott R Davison
1200 Pleasant St |
$170.56 | 9,572 | 9,321 |
|
David S. Cornelder
1801 Hickman Rd |
$108.43 | 9,017 | 7,463 |
|
Anastasia Maria Marx
1200 Pleasant St |
$129.62 | 8,706 | 8,389 |
|
Travis Earnest Kain
1200 Pleasant St |
$143.34 | 8,550 | 8,224 |
|
Ernst F Hoffman
1200 Pleasant St |
$127.68 | 8,482 | 8,172 |
|
Tyler J Fisher
1200 Pleasant St |
$182.26 | 8,420 | 8,219 |
|
Jennifer Jane Pate
1301 Penn Ave |
$108.08 | 8,310 | 7,940 |
|
Alexander Michael Wittry
1200 Pleasant St |
$137.51 | 8,298 | 7,962 |
|
Katie M Dean
5005 Douglas Ave Ste 101 |
$156.23 | 8,286 | 8,114 |
|
Cara Elizabeth Hollmer
1200 Pleasant St |
$139.20 | 8,151 | 7,827 |
|
Julie L Anderson-Suddarth
1200 Pleasant St |
$173.01 | 8,103 | 7,865 |
|
Brooke Johnson
1200 Pleasant St |
$133.27 | 8,073 | 7,746 |
|
Chase Nicholas Deobald
1200 Pleasant St |
$129.02 | 7,993 | 7,649 |
|
Neal Naik
1111 6Th Ave |
$124.63 | 7,605 | 7,081 |
|
Cory C Vaudt
1200 Pleasant St |
$128.48 | 7,504 | 7,251 |
|
Bryan Stocker
1200 Pleasant St |
$163.06 | 7,455 | 7,254 |
|
Chad Torstenson
1111 6Th Ave |
$129.00 | 7,209 | 5,799 |
|
Sydney R Leach
1111 6Th Ave |
$108.94 | 7,205 | 6,726 |
|
Nicholas Holden Kluesner
1200 Pleasant St |
$122.48 | 6,870 | 6,592 |
|
Jose G Aguilar
1350 Des Moines St. |
$99.98 | 6,798 | 6,116 |
|
Tessa Marie Sandel
1111 6Th Avenue |
$158.33 | 6,748 | 5,221 |
|
Matthew Ferguson
1111 6Th Ave |
$142.56 | 6,529 | 6,050 |
|
Brittany D Jensen
1200 Pleasant St |
$124.80 | 6,419 | 6,165 |
|
Anthony E Magalski
1200 Pleasant St |
$121.83 | 6,377 | 6,154 |
|
Edward Schneiders
2925 Ingersoll Ave |
$97.47 | 6,173 | 5,265 |
|
Teresa Munro
1200 Pleasant St |
$140.97 | 6,068 | 5,949 |
|
Clint Ross Hawthorne
1200 Pleasant St |
$185.02 | 5,837 | 5,612 |
|
Chad William Becker
1200 Pleasant St |
$112.63 | 5,640 | 5,517 |
|
Sean Michael Sayre
1111 6Th Ave |
$121.97 | 5,639 | 5,258 |
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 Des Moines, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Des Moines, IA is $135.04 per claim, based on 702,067 claims from 223 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 Des Moines, IA?
There are 223 Medicaid providers offering Emergency Room Visit related services in Des Moines, IA according to public payment data.
What is the price range for Emergency Room Visit in Des Moines, IA?
Medicaid reimbursement for Emergency Room Visit in Des Moines, IA ranges from $11.60 to $1,751 per claim, with an average of $135.04. 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 Des Moines, IA
Office Visit
Avg $32.61
1,644,515 claims
Blood Work & Lab Tests
Avg $4.48
1,009,999 claims
Psychiatric Evaluation
Avg $74.70
882,204 claims
Vaccines & Immunizations
Avg $14.31
507,649 claims
Dental Cleaning & Exam
Avg $23.97
466,251 claims
Personal Care Services
Avg $68.74
403,169 claims
Case Management Services
Avg $98.76
274,116 claims
Behavioral & Mental Health Therapy
Avg $103.07
266,493 claims