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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Dover, DE: $142.47

Avg. Paid

$142.47

Range

$0.00 – $441.69

Total Claims

220,056

Providers

60

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 Dover, DE

Provider Avg. Paid Claims Patients
Bayhealth Emergency Physicians Llc

640 S State St

$101.83 98,943 83,852
Bayhealth Medical Center, Inc.

640 South State Street

$186.18 10,725 7,926
Kelly Lynn Abbrescia

640 S State St

$185.70 10,170 6,899
Philliph Bialecki

640 S State St

$86.63 10,126 9,468
John P. Gusdon

640 S State St

$175.31 8,564 6,757
Robert S Fumento

640 S. State Street

$215.28 8,105 5,651
Julia Michelle Cullen

640 S State St

$263.55 5,022 4,558
Daniel M Mirau

640 S State St

$144.62 4,866 4,203
Tabia Collins-Mitchell

640 S State St

$219.05 4,805 3,617
Jerome T Kochinsky

640 S State St

$287.68 4,324 3,891
Matthew Brooks

640 S State St

$166.33 4,177 3,568
Dean E. Johnson

640 S State St

$103.05 3,670 3,284
Craig Hochstein

640 S State St

$203.77 3,301 2,854
Anne Marie Darlington

640 S State St

$66.08 2,821 2,694
Andrew L Aswegan

640 S State St

$80.84 2,613 2,366
Susan Brennan

640 S State St

$186.57 2,409 1,772
Robert Scott Baeder

640 S State St

$206.42 2,359 1,626
Ellie Pavich Salinski

640 S State St

$165.41 2,349 2,000
Aamer Arif Khan

640 S State St

$245.83 2,179 1,518
Rebecca Jennifer Rubenstein

640 S State St

$244.62 2,166 1,687
Cade Lampley

640 S State St

$277.10 2,098 1,834
Emily Jeanne Massey

640 S State St

$152.20 1,948 1,822
Akshay Gupta

640 S State St

$218.00 1,867 1,311
Susan E Thompson

640 S State St

$52.84 1,832 1,698
Ob Hospitalist Services Delaware Pa

640 S State St

$34.09 1,758 1,064
Apogee Medical Group, Delaware, Inc

640 S State St

$103.41 1,713 603
Kent Pulmonary Associates

938 S Bradford St

$136.45 1,503 285
Courtney Wilczynski

640 S. State Street

$134.78 1,473 1,116
Lisa Elphick Smale

640 S State St

$109.40 1,447 1,366
Lee Thomas Colaianni

640 S State St

$249.36 1,393 1,214
Edward Justin Dranoff

640 S State St

$274.60 1,288 1,079
Dedicated To Women Ob-Gyn, P.A.

200 Banning St

$62.64 976 736
Frank Mayer

640 S State St

$254.96 915 806
Rhonda Gill

640 S State St

$82.21 890 563
Cameron Timothy Bubar

640 S State St

$255.15 789 680
Brittney Eva Bunkis

640 S State St

$274.43 723 605
Marc C Tarsillo

640 S State St

$286.58 697 612
Barrington O Brown

640 S Queen St

$250.51 693 438
Kevin Wiley

640 S State St

$214.39 353 323
Kenneth R Miller

640 S State St

$90.43 277 239
Domonique E Parkes

640 S State St

$292.37 223 200
Bayhealth Medical Center, Inc

640 S State St

$48.10 185 144
Delmarva Emergency Physicians Llp

640 S State St

$6.49 143 122
Breckinridge Sievers Smith

Kent General Hospital Emergency Department

$70.81 140 122
Caitlin T Budd

640 S State St

$68.86 126 118
Kim Anh Nguyen

640 S State St

$259.37 119 98
Jeremy Yoder

640 S State St

$415.05 112 110
Kari L Pollock

15 S Dupont Hwy

$130.54 101 94
John L Sullivan

540 S Governors Ave

$155.03 82 75
Allison Emily Rabe

640 S State St

$441.69 81 79

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 Dover, DE?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Dover, DE is $142.47 per claim, based on 220,056 claims from 60 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 Dover, DE?

There are 60 Medicaid providers offering Emergency Room Visit related services in Dover, DE according to public payment data.

What is the price range for Emergency Room Visit in Dover, DE?

Medicaid reimbursement for Emergency Room Visit in Dover, DE ranges from $0.00 to $441.69 per claim, with an average of $142.47. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Dover, DE