Average Medicaid Emergency Room Visit Payments in Dubuque, IA: $121.29
Avg. Paid
$121.29
Range
$24.47 – $234.47
Total Claims
105,556
Providers
27
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 Dubuque, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Philip Scott Zimmerman
350 N Grandview Ave |
$150.12 | 21,272 | 20,092 |
|
Paul Thomas Mccaughey
350 N Grandview Ave |
$144.61 | 18,975 | 18,115 |
|
Mark A Mckeon
250 Mercy Dr |
$104.12 | 8,931 | 8,171 |
|
Angelique Mccoy
350 N Grandview Ave |
$126.35 | 7,894 | 7,427 |
|
Tami Sue Gudenkauf
250 Mercy Dr |
$99.17 | 7,859 | 7,191 |
|
Frederick Osborne Liaboe
250 Mercy Dr |
$103.37 | 7,674 | 7,047 |
|
Nicole Felice Mancha
350 N Grandview Ave |
$71.26 | 5,322 | 5,001 |
|
Michael James Banyasz
350 N Grandview Ave |
$162.45 | 4,752 | 4,472 |
|
Amy K Engelman
250 Mercy Dr |
$89.74 | 4,693 | 4,278 |
|
Michael Chandler Severson
250 Mercy Dr |
$103.06 | 4,105 | 3,801 |
|
Jeffrey D Fogle
350 N Grandview Ave |
$85.11 | 3,340 | 3,121 |
|
Jennifer Leigh Sullivan
350 N Grandview Ave |
$115.76 | 3,167 | 3,067 |
|
Neal Sauerberg
350 N Grandview Ave |
$84.17 | 2,499 | 2,400 |
|
Luke M Casey
350 N Grandview Ave |
$69.84 | 1,569 | 1,462 |
|
Sean Matthew Wetjen
250 Mercy Dr |
$107.54 | 1,083 | 1,044 |
|
Lucas Evett
350 N Grandview Ave |
$71.50 | 688 | 667 |
|
Tonya Elvidge
350 N Grandview Ave |
$157.13 | 351 | 339 |
|
Lisa Ann Tyler
250 Mercy Dr |
$115.78 | 309 | 296 |
|
Mercy Medical Center-Dubuque
250 Mercy Dr |
$181.24 | 226 | 213 |
|
Christopher Edward Little
250 Mercy Dr |
$104.47 | 223 | 175 |
|
Jeffrey L. Ashline
4005 Westmark Dr Ste 200 |
$131.68 | 221 | 199 |
|
The Finley Hospital
350 N Grandview Ave |
$234.47 | 167 | 163 |
|
Dubuque Emergency Physicians Pc
250 Mercy Dr |
$24.47 | 110 | 90 |
|
The Finley Hospital
350 N Grandview Ave |
$27.20 | 53 | 48 |
|
Debra Oldaker-Tedrow
2255 John F Kennedy Rd |
$114.24 | 42 | 28 |
|
Renee Lynn Scheitzach
250 Mercy Dr |
$40.37 | 17 | 12 |
|
Sarah A Justmann
200 Mercy Dr |
$67.93 | 14 | 14 |
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 Dubuque, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Dubuque, IA is $121.29 per claim, based on 105,556 claims from 27 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 Dubuque, IA?
There are 27 Medicaid providers offering Emergency Room Visit related services in Dubuque, IA according to public payment data.
What is the price range for Emergency Room Visit in Dubuque, IA?
Medicaid reimbursement for Emergency Room Visit in Dubuque, IA ranges from $24.47 to $234.47 per claim, with an average of $121.29. 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 Dubuque, IA
Office Visit
Avg $32.20
373,672 claims
Home Health Visit
Avg $80.30
197,901 claims
Non-Emergency Medical Transportation
Avg $18.04
191,796 claims
Blood Work & Lab Tests
Avg $4.85
188,839 claims
Dental Cleaning & Exam
Avg $21.68
170,898 claims
Psychiatric Evaluation
Avg $64.62
133,016 claims
Physical Therapy
Avg $32.69
124,259 claims
Vaccines & Immunizations
Avg $15.59
65,715 claims