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
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 Dover, DE
Office Visit
Avg $55.49
541,196 claims
Personal Care Services
Avg $107.16
437,262 claims
Blood Work & Lab Tests
Avg $14.59
230,179 claims
X-Ray
Avg $11.25
131,691 claims
Psychiatric Evaluation
Avg $55.09
118,201 claims
Dental Cleaning & Exam
Avg $50.03
102,368 claims
Vaccines & Immunizations
Avg $7.81
91,997 claims
Ultrasound
Avg $41.46
77,650 claims