Average Medicaid Emergency Room Visit Payments in Dover, OH: $78.68
Avg. Paid
$78.68
Range
$32.39 – $115.96
Total Claims
97,135
Providers
21
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, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Union Hospital Association
659 Boulevard |
$115.96 | 23,049 | 19,061 |
|
Eileen Frances Baker
659 Boulevard |
$72.24 | 10,599 | 10,091 |
|
Ellen Klepzig Potts
659 Boulevard |
$71.98 | 10,034 | 7,229 |
|
Danielle Henry
659 Boulevard St |
$68.75 | 7,459 | 5,507 |
|
Joel Anthony Lehman
659 Boulevard St |
$69.21 | 7,407 | 5,253 |
|
Jeffrey Lee Cameron
659 Boulevard St |
$66.12 | 7,070 | 4,963 |
|
Andrea Carpenter
659 Boulevard St |
$69.81 | 5,821 | 4,197 |
|
Mark N Kubina
659 Boulevard St |
$66.36 | 5,270 | 3,661 |
|
Gina Marie Vitale-Amos
204 S Bellevue Ave |
$54.39 | 3,716 | 3,188 |
|
Kerri Pearch
1716 N Cross St |
$66.38 | 3,511 | 2,515 |
|
John M Pleshinger
659 Boulevard St |
$67.16 | 3,106 | 2,023 |
|
Jeffrey Zets
659 Boulevard St |
$62.21 | 2,212 | 1,494 |
|
Amber Dunlap-Ott
897 E Iron Ave |
$75.26 | 2,132 | 2,078 |
|
William Vincent Swoger
515 Union Ave |
$32.39 | 1,829 | 573 |
|
Nathan Walter Miller
659 Boulevard St |
$58.90 | 1,351 | 1,136 |
|
Ryan Joseph Oliver
659 Boulevard St |
$50.41 | 1,146 | 1,044 |
|
Andrew M Luxenberg
659 Boulevard St |
$92.10 | 496 | 472 |
|
Laura Hartle
659 Boulevard St |
$48.96 | 429 | 380 |
|
Brittany Baughman
659 Boulevard St |
$56.01 | 242 | 189 |
|
Daniel Cody Lollathin
515 Union Ave |
$49.38 | 157 | 156 |
|
Susanne Mont
659 Boulevard St |
$70.11 | 99 | 58 |
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, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Dover, OH is $78.68 per claim, based on 97,135 claims from 21 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, OH?
There are 21 Medicaid providers offering Emergency Room Visit related services in Dover, OH according to public payment data.
What is the price range for Emergency Room Visit in Dover, OH?
Medicaid reimbursement for Emergency Room Visit in Dover, OH ranges from $32.39 to $115.96 per claim, with an average of $78.68. 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, OH
Office Visit
Avg $42.28
182,852 claims
Blood Work & Lab Tests
Avg $6.21
153,340 claims
Substance Abuse Treatment
Avg $45.88
80,781 claims
Psychiatric Evaluation
Avg $71.86
63,767 claims
Behavioral & Mental Health Therapy
Avg $98.43
61,584 claims
Ambulance Transport
Avg $46.30
38,414 claims
Urinalysis & Urine Tests
Avg $3.70
30,150 claims
EKG / ECG (Electrocardiogram)
Avg $6.41
22,434 claims