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Based on public Medicaid payment data.

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

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