Average Medicaid Emergency Room Visit Payments in Downers Grove, IL: $74.43
Avg. Paid
$74.43
Range
$29.97 – $157.79
Total Claims
43,407
Providers
32
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 Downers Grove, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Patrick Carmody
3815 Highland Ave |
$60.94 | 7,165 | 6,539 |
|
Bradly Healton
30000 Woodcreek Dr |
$97.65 | 4,423 | 3,638 |
|
Christopher Patrick Bellm
3000 Woodcreek Dr Ste 200B |
$59.93 | 4,181 | 3,822 |
|
Aristides Alexander
3815 Highland Ave |
$68.92 | 3,139 | 2,951 |
|
Victoria Lynn Hausen Kelly
1441 Branding Ave Ste 310 |
$45.16 | 2,939 | 2,411 |
|
Matthew D Belden
3815 Highland Ave Ste 177 |
$75.68 | 2,273 | 2,163 |
|
Christina Georgopoulos Livak
3815 Highland Ave |
$72.09 | 2,229 | 2,114 |
|
Thomas Kenneth Grudowski
3815 Highland Ave |
$107.03 | 2,216 | 2,006 |
|
Benazir Baig
3851 Highland Avenue |
$77.87 | 2,046 | 1,901 |
|
Andrea Gale Carlson
3815 Highland Ave |
$52.81 | 1,994 | 1,841 |
|
Julia Hummel
555 31St St |
$100.46 | 1,152 | 1,138 |
|
Anas Lababidi
3815 Highland Ave Ste Aip |
$113.69 | 1,106 | 455 |
|
Sonia M Mininni
3815 Highland Ave |
$79.21 | 1,073 | 987 |
|
Michael D Scott
5404 Fairview Ave |
$45.39 | 923 | 843 |
|
Lauren Ann Dawson
4944 Cumnor Rd |
$129.93 | 895 | 875 |
|
Donald J Steiner
3815 Highland Ave |
$66.60 | 843 | 762 |
|
Valerie Phillips
3815 Highland Ave |
$69.56 | 727 | 687 |
|
Dipul V Patadia
3815 Highland Ave |
$56.85 | 667 | 646 |
|
Jessica Sime
3815 Highland Ave |
$68.31 | 584 | 533 |
|
Grace Huei Chang
3825 Highland Ave |
$107.93 | 444 | 257 |
|
Jissille Rama Reddy
3815 Highland Ave |
$45.41 | 410 | 410 |
|
Marc R. Spiller
3815 Highland Ave |
$64.82 | 309 | 294 |
|
Pablo Garcia
3815 Highland Ave |
$157.79 | 286 | 118 |
|
Bruce Donenberg
3815 Highland Ave |
$48.01 | 280 | 264 |
|
Harold Henry Bach
3825 Highland Ave Ste 303 |
$136.59 | 221 | 147 |
|
Michael J Iwanicki
3815 Highland Ave |
$151.97 | 199 | 121 |
|
Erika Marie Danelski
3815 Highland Ave |
$97.82 | 193 | 191 |
|
Michael Gucci
2655 Warrenville Rd Ste 500 |
$41.03 | 180 | 178 |
|
Paul Geoffrey Vana
3825 Highland Ave Ste 303 |
$120.72 | 154 | 95 |
|
Nicole Ann Schwab
3825 Highland Ave Suite 2B |
$59.19 | 118 | 118 |
|
Jeanice D Jones
1441 Branding Ave Ste 310 |
$29.97 | 26 | 24 |
|
Stephen Hugh Crouch
3815 Highland Ave |
$52.18 | 12 | 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 Downers Grove, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Downers Grove, IL is $74.43 per claim, based on 43,407 claims from 32 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 Downers Grove, IL?
There are 32 Medicaid providers offering Emergency Room Visit related services in Downers Grove, IL according to public payment data.
What is the price range for Emergency Room Visit in Downers Grove, IL?
Medicaid reimbursement for Emergency Room Visit in Downers Grove, IL ranges from $29.97 to $157.79 per claim, with an average of $74.43. 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 Downers Grove, IL
Office Visit
Avg $54.01
127,334 claims
Dental Cleaning & Exam
Avg $31.46
89,213 claims
Blood Work & Lab Tests
Avg $7.48
56,028 claims
Non-Emergency Medical Transportation
Avg $20.52
49,835 claims
Nursing Facility Care
Avg $15.40
35,863 claims
X-Ray
Avg $5.11
30,751 claims
Speech Therapy
Avg $26.01
28,969 claims
Psychiatric Evaluation
Avg $76.81
20,780 claims