Average Medicaid Emergency Room Visit Payments in Durham, NC: $105.90
Avg. Paid
$105.90
Range
$0.00 – $533.96
Total Claims
448,598
Providers
242
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 Durham, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fernando Alonzo Lopez
2100 Erwin Road |
$107.76 | 17,480 | 14,754 |
|
Reza Mahram
3114 Croasdaile Dr |
$54.01 | 13,060 | 9,474 |
|
William Bordley
2100 Erwin Rd |
$141.48 | 11,338 | 10,263 |
|
Kirsten Elizabeth Hillsley
2301 Erwin Rd |
$72.10 | 11,254 | 10,946 |
|
Jonathan Ho
1644 Snowmass Way |
$159.89 | 10,731 | 9,354 |
|
Movva Navin Reddy
3114 Croasdaile Dr |
$76.37 | 10,104 | 8,840 |
|
Steven James Barmach
40 Duke Medicine Cir |
$106.00 | 9,482 | 8,629 |
|
Jeremy Silver
3643 N Roxboro St |
$58.62 | 8,461 | 7,426 |
|
William Low
1901 Hillandale Rd |
$97.05 | 8,135 | 7,593 |
|
Douglas Timothy Lane
3643 N Roxboro St |
$90.25 | 8,072 | 7,325 |
|
Daniel James Thomas
3643 N Roxboro St |
$101.65 | 7,655 | 7,047 |
|
Brian John Burrows
3643 N Roxboro St |
$122.92 | 7,606 | 6,969 |
|
Jennifer Margaret Dunnick
2301 Erwin Rd |
$160.20 | 7,549 | 7,355 |
|
Kyle Abshire
2301 Erwin Rd |
$106.60 | 7,426 | 6,719 |
|
Craig Alan Mangum
2100 Erwin Rd |
$144.97 | 6,948 | 6,059 |
|
Frank Alan Agatucci
3643 N Roxboro St |
$102.53 | 6,441 | 5,852 |
|
Brenda Jean Lanan
2301 Erwin Rd Ste 2600 |
$136.06 | 6,411 | 6,245 |
|
James C. Mathews
3400 Wake Forest Road |
$104.60 | 6,156 | 5,611 |
|
David Brewer
2828 Croasdaile Dr |
$71.07 | 6,126 | 4,971 |
|
Joshua Boyd
Duke Regional Hospital |
$111.12 | 5,955 | 5,465 |
|
Lauren Paige Sokolsky
3643 N Roxboro St |
$96.38 | 5,920 | 5,061 |
|
Christopher Paul Pitre
Durham Regional Hospital |
$93.91 | 5,892 | 5,543 |
|
Tyler D Hamilton
3643 N Roxboro St |
$137.22 | 5,813 | 4,643 |
|
Lydia Darlud Mitchell
3643 N Roxboro St |
$122.66 | 5,694 | 5,240 |
|
Catherine Burger
2301 Erwin Rd |
$132.10 | 5,497 | 5,114 |
|
Christian L Balmadrid
3643 N Roxboro St |
$113.29 | 5,471 | 5,035 |
|
Kale A. Whalen
3643 N Roxboro St |
$131.86 | 5,261 | 4,802 |
|
Christina A Francis
40 Duke Medicine Cir |
$80.92 | 5,212 | 4,475 |
|
Suzanne N. Dapo
3643 N Roxboro St |
$89.96 | 5,055 | 4,725 |
|
Brian Nelson
2301 Erwin Rd |
$81.41 | 4,875 | 4,814 |
|
Alexander Foott
2301 Erwin Rd |
$79.27 | 4,855 | 4,720 |
|
Todd A Rogers
3643 N Roxboro St |
$88.49 | 4,817 | 4,453 |
|
Julie M Le Leux
3643 N Roxboro St |
$89.03 | 4,752 | 4,544 |
|
Samuel M Grossinger
3643 N Roxboro St |
$86.80 | 4,749 | 4,513 |
|
Sara Isabel Gonzalez
2301 Erwin Rd |
$125.05 | 4,670 | 3,790 |
|
Jennifer L Meyer
Erwin Rd |
$73.08 | 4,524 | 4,430 |
|
Cari Wilcox Dillard
2645 Meridian Pkwy Ste 323 |
$85.07 | 4,418 | 4,047 |
|
Michael Healy Ward
508 Fulton St |
$56.12 | 4,369 | 3,949 |
|
Joshua Garrett Ring
2301 Erwin Rd |
$129.14 | 4,313 | 3,606 |
|
Amanda Northeim
2301 Erwin Rd |
$43.31 | 4,260 | 4,136 |
|
James W Fox
2100 Erwin Rd |
$130.78 | 4,132 | 3,807 |
|
Caroline E Freiermuth
2100 Erwin Rd |
$64.66 | 4,020 | 3,834 |
|
Sarah Elizabeth Hamilton
3643 N Roxboro St |
$94.04 | 3,968 | 3,272 |
|
Mikal Nasir Bennett
2100 Erwin Rd |
$58.91 | 3,894 | 3,709 |
|
Duke University Health System, Inc.
2301 Erwin Road |
$275.52 | 3,888 | 3,255 |
|
Jodie Johnson
3643 N Roxboro St |
$88.06 | 3,671 | 3,464 |
|
Joseph Brian Borawski
2100 Erwin Rd |
$156.48 | 3,537 | 3,295 |
|
Chukwuemeka Onwuzurumba
200 Trent Dr |
$128.91 | 3,519 | 3,354 |
|
James Abram Mcshane
2100 Erwin Rd |
$130.58 | 3,401 | 3,061 |
|
Kathleen Marie Mcmanus
2645 Meridian Pkwy Ste 323 |
$121.80 | 3,369 | 3,007 |
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 Durham, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Durham, NC is $105.90 per claim, based on 448,598 claims from 242 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 Durham, NC?
There are 242 Medicaid providers offering Emergency Room Visit related services in Durham, NC according to public payment data.
What is the price range for Emergency Room Visit in Durham, NC?
Medicaid reimbursement for Emergency Room Visit in Durham, NC ranges from $0.00 to $533.96 per claim, with an average of $105.90. 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 Durham, NC
Office Visit
Avg $53.48
1,229,002 claims
Dental Cleaning & Exam
Avg $29.86
790,132 claims
Substance Abuse Treatment
Avg $122.82
746,211 claims
X-Ray
Avg $5.74
576,677 claims
Blood Work & Lab Tests
Avg $13.80
572,218 claims
Speech Therapy
Avg $57.51
491,949 claims
Psychiatric Evaluation
Avg $65.37
472,359 claims
Vaccines & Immunizations
Avg $15.02
377,320 claims