Average Medicaid Emergency Room Visit Payments in Durango, CO: $110.93
Avg. Paid
$110.93
Range
$16.01 – $195.10
Total Claims
89,281
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 Durango, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Todd A Mcgrath
1010 Three Springs Blvd |
$128.12 | 12,766 | 12,419 |
|
Michael J Cavanaugh
1010 Three Springs Blvd |
$107.87 | 9,165 | 8,161 |
|
John Mathers
575 Rivergate |
$86.84 | 8,503 | 6,626 |
|
Charles Eaton Page
1010 Three Springs Blvd |
$106.34 | 7,290 | 7,089 |
|
Kimberlee Ann Yeargin
1010 Three Springs Blvd |
$117.08 | 7,275 | 6,801 |
|
John D Wells
575 Rivergate Lane |
$138.60 | 7,267 | 6,309 |
|
Catholic Health Initiatives Colorado
1010 Three Springs Blvd. |
$156.72 | 4,983 | 4,697 |
|
Stephen Samuel Haverly
1010 Three Springs Blvd |
$93.84 | 4,450 | 4,165 |
|
Dylan Norton
1010 Three Springs Blvd |
$110.15 | 3,573 | 3,503 |
|
Darcy Marie Rumberger Denegre
1010 Three Springs Blvd |
$90.97 | 3,404 | 3,058 |
|
Patrick Henry Cain
1010 Three Springs Blvd. |
$112.21 | 3,290 | 2,820 |
|
Kelli Danna
1010 Three Springs Blvd |
$132.28 | 2,055 | 1,902 |
|
David Cannon Hughes
1010 Three Springs Blvd |
$107.69 | 1,939 | 1,842 |
|
Usacs Of Colorado Inc
1010 Three Springs Blvd |
$76.74 | 1,468 | 1,217 |
|
John Leo Mcmanus
1010 Three Springs Blvd |
$95.67 | 1,447 | 1,375 |
|
Alexander William Schermer
1010 Three Springs Blvd |
$72.77 | 1,406 | 1,305 |
|
Amanda Grace Kiessel
2577 Main Ave |
$93.18 | 1,390 | 1,313 |
|
Steven Matthew Weiss
1010 Three Springs Blvd Ste 110A |
$150.39 | 1,236 | 366 |
|
Miriam Christine Rollason
810 E 3Rd St |
$40.44 | 1,148 | 1,139 |
|
Stephanie Noelle Connely
2577 Main Ave |
$78.09 | 1,136 | 1,042 |
|
Breanna Marie Payne
373 Horse Thief Ln |
$39.57 | 1,110 | 1,096 |
|
Susan Diane Graham
1010 Three Springs Blvd |
$49.75 | 950 | 921 |
|
Simon Kotlyar
1010 Three Springs Blvd |
$195.10 | 822 | 778 |
|
Bradley Todd Johnson
1010 Three Springs Blvd |
$16.72 | 355 | 314 |
|
Alan H Oram
1010 Three Springs Blvd |
$122.89 | 329 | 313 |
|
David B Merritt
575 Rivergate |
$82.37 | 187 | 137 |
|
Michael A. Dempsey
1010 Three Springs Blvd |
$146.63 | 105 | 44 |
|
Gustav W Hallin
1010 Three Springs Blvd |
$161.52 | 101 | 39 |
|
Mark Wesley Turpen
450 Prospector Ave |
$16.01 | 56 | 55 |
|
Southwest Emergency Physicians, Pc
1010 Three Springs Blvd |
$33.98 | 28 | 12 |
|
Erin Gray Clarkinson
1199 Main Ave Ste 206 |
$73.93 | 27 | 12 |
|
Tierney A Lake
1010 Three Springs Blvd |
$156.72 | 20 | 13 |
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 Durango, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Durango, CO is $110.93 per claim, based on 89,281 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 Durango, CO?
There are 32 Medicaid providers offering Emergency Room Visit related services in Durango, CO according to public payment data.
What is the price range for Emergency Room Visit in Durango, CO?
Medicaid reimbursement for Emergency Room Visit in Durango, CO ranges from $16.01 to $195.10 per claim, with an average of $110.93. 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 Durango, CO
Office Visit
Avg $86.23
262,459 claims
Psychiatric Evaluation
Avg $136.09
129,125 claims
Substance Abuse Treatment
Avg $54.30
112,757 claims
Dental Cleaning & Exam
Avg $31.68
104,542 claims
Behavioral & Mental Health Therapy
Avg $98.96
52,387 claims
Blood Work & Lab Tests
Avg $7.96
50,497 claims
Vaccines & Immunizations
Avg $19.23
47,988 claims
Physical Therapy
Avg $42.08
46,342 claims