Based on public Medicaid payment data.

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
Zachary Harlan Baker 2301 Erwin Rd	$88.30	12	12
John Moses 4020 N Roxboro St	$54.86	12	12
Sara Martin 2100 Erwin Rd	$0.00	13	12
Rahul Uday Nayak 1821 Hillandale Rd Ste 24A	$85.35	13	13
Joshua M Mcconkey 2100 Erwin Rd	$65.15	13	13
Stephen Leinenweber Duke Hospital South Trent Dr	$427.84	14	14
Melissa Anne Radliff 2301 Erwin Rd	$65.73	14	14
Cody Hill M145 Green Zone Duke South 40 Duke Medicine Circle	$82.91	15	14
Daniel L Mercader 2301 Erwin Rd	$68.29	15	14
Jong Hoon Lee 3643 N Roxboro St	$35.63	18	14
Katherine Ann Young 40 Duke Medicine Cir # 2F2G	$79.77	18	12
Cherith Godwin Duke Medicine Pavilion 8Th Floor	$33.25	18	12
Jennifer Anne Rymer 2301 Erwin Rd	$76.05	19	12
Jordan Steven Pung 2301 Erwin Rd	$120.70	21	14
Rachael A. Mintz-Cole 2301 Erwin Rd	$67.10	21	12
Craig Ray Rackley 40 Duke Medicine Cir	$171.93	22	12
Kaitlyn Schmutz 749 9Th St Unit 105	$75.71	24	24
James Taylor Herbert 2301 Erwin Rd	$120.94	24	13
Dean Harrison 2100 Erwin Rd	$77.21	27	27
Michael Douglas Morris 2812 Erwin Rd Ste 207	$34.69	27	13
Christopher C Young 2100 Erwin Rd	$127.17	27	12
Maureen Elizabeth Metz 2301 Erwin Road	$115.12	29	12
Mary Claire Ellis Duke University Hospital 2301 Erwin Rd	$77.86	29	26
Stacey T Allred 2301 Erwin Rd	$127.36	30	12
Daniel Laskowitz 2100 Erwin Rd	$118.98	30	12
Mitchell Clayton Veverka 2301 Erwin Rd	$84.29	30	30
Thomas Joseph D'Angelo 3643 N Roxboro St	$294.57	31	26
Si Sandy An Dumc 3094	$139.46	32	13
Ganga S. Moorthy 2301 Erwin Rd	$88.62	33	33
Michaela Natosha Lewis Dumc Box 102352 10 Duke Medicine Circle	$29.49	33	22
Patrick Edward Georgoff 40 Duke Medicine Cir	$112.38	33	12
Jacinta Kara Ingram Curtis 2301 Erwin Rd	$261.36	34	32
Emily Keefer Vernola 10 Duke Medicine Cir	$94.55	34	24
Kathleen Claus 2301 Erwin Rd	$121.09	36	13
Ryan Richard Plesher 10 Duke Medicine Cir Fl 8	$80.77	36	25
Galen Alexia Royce-Nagel 2301 Erwin Rd	$61.13	38	26
Candice Marlow Ray 2301 Erwin Rd	$211.90	38	13
Andrew David Mcgraw Duke University Medical Center Emergency	$58.82	39	38
Mashael S. Al-Hegelan 40 Duke Medicine Cir	$67.95	41	24
Jessica Chia Duke University Medical Ctr	$90.35	42	38
Rebecca Sara Rich 3643 N Roxboro St	$45.95	43	40
Yuh-Chin Tony Huang Erwin Road	$122.96	46	12
Emily Zakhary 2901 Bertland Ave Apt 1515	$43.05	52	51
Jared Pelo 600 Park Offices Dr Ste 140	$74.93	53	53
Mattias Thomas Norbert Hartmann 5501 Fortunes Ridge Dr Ste P	$29.39	53	36
Blair Noel Costin 2301 Erwin Rd	$58.19	53	12
Kevin Hill 2100 Erwin Rd	$188.35	57	12
Zachary Wegermann 2301 Erwin Road	$61.38	59	13
Ekaterina Sergeyevna Lundberg 10 Duke Medicine Cir	$66.70	64	60
Bradley Kolls Duke University Medical Ctr	$95.56	65	16

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.

Average Medicaid Emergency Room Visit Payments in Durham, NC: $105.90

Providers Offering Emergency Room Visit in Durham, NC

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Durham, NC

Office Visit

Dental Cleaning & Exam

Substance Abuse Treatment

X-Ray

Blood Work & Lab Tests

Speech Therapy

Psychiatric Evaluation

Vaccines & Immunizations