Average Medicaid Emergency Room Visit Payments in Edgewood, KY: $152.51
Avg. Paid
$152.51
Range
$30.35 – $253.55
Total Claims
512,114
Providers
82
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 Edgewood, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Elizabeth Medical Center, Inc
1 Medical Village Dr |
$253.55 | 238,938 | 196,453 |
|
David M Stanforth
1 Medical Village Dr |
$66.01 | 10,308 | 9,556 |
|
Ryan Geers
1 Medical Village Dr |
$63.45 | 9,924 | 9,272 |
|
John Ganim
1 Medical Village Dr |
$66.53 | 9,426 | 8,792 |
|
Joshua Abell
1 Medical Village Dr |
$99.43 | 8,824 | 7,938 |
|
Emily J. Dozier
1 Medical Village Dr |
$66.84 | 8,382 | 7,762 |
|
Janell M Epley
1 Medical Village Dr |
$65.81 | 8,227 | 7,634 |
|
William F. Geiger
1 Medical Village Dr |
$68.76 | 7,962 | 7,268 |
|
Eric T. Richardson
1 Medical Village Dr |
$64.30 | 7,864 | 7,219 |
|
Mitchell Andrew Strohmaier
1 Medical Village Dr |
$66.55 | 7,513 | 6,889 |
|
Michael Mcclurg
1 Medical Village Dr |
$64.69 | 7,460 | 6,879 |
|
Balaji Nithianandam
1 Medical Village Dr |
$65.84 | 7,264 | 6,641 |
|
Anthony France
1 Medical Village Dr |
$64.58 | 7,175 | 6,648 |
|
Christina M Kopras
1 Medical Village Dr |
$62.54 | 7,164 | 6,954 |
|
Jon Jeffrey Schott
1 Medical Village Dr |
$65.59 | 6,999 | 6,452 |
|
Jason Andrew Murray
1 Medical Village Dr |
$67.24 | 6,798 | 6,276 |
|
Michael Ross Lawson
1 Medical Village Dr |
$77.17 | 6,707 | 5,978 |
|
Julie L Villari
1 Medical Village Dr |
$67.52 | 6,516 | 5,982 |
|
Samar Sharma
1 Medical Village Dr |
$61.28 | 6,475 | 5,999 |
|
Ian Scott Boyd
1 Medical Village Dr |
$63.15 | 6,343 | 5,305 |
|
Rachel J Lehmkuhl
1 Medical Village Dr |
$65.72 | 6,040 | 5,626 |
|
Pamela Marie Stemen-Godshalk
1 Medical Village Dr |
$62.90 | 6,016 | 5,508 |
|
Gregory Dean Sweeney
1 Medical Village Dr |
$68.70 | 5,905 | 5,427 |
|
Krista G Varnell
1 Medical Village Dr |
$69.13 | 5,740 | 5,176 |
|
Rachel Helpling
1 Medical Village Dr |
$63.29 | 5,340 | 4,900 |
|
Stephen Oswald Bernardon
1 Medical Village Dr |
$63.34 | 5,039 | 4,737 |
|
David Leon Bracken
1 Medical Village Dr |
$60.61 | 4,866 | 4,582 |
|
Danielle Marie Marsh
1 Medical Village Dr |
$44.26 | 4,763 | 4,541 |
|
Marleen Cousins Johnson
1 Medical Village Dr |
$62.28 | 4,641 | 4,327 |
|
Dhruv Prakash Patel
1 Medical Village Dr |
$72.13 | 4,436 | 3,935 |
|
Heather Graham
1 Medical Village Dr |
$49.54 | 4,417 | 4,130 |
|
Emily Stover
1 Medical Village Dr |
$62.65 | 4,404 | 4,053 |
|
Ashley Jo Moran
1 Medical Village Dr |
$46.07 | 4,366 | 4,100 |
|
Brett J Finkleman
1 Medical Village Dr |
$49.25 | 3,882 | 3,636 |
|
Jerry Alan Kripal
1 Medical Village Dr |
$69.87 | 3,754 | 3,475 |
|
Emily Lynn Wolff
1 Medical Village Dr |
$69.77 | 3,468 | 3,126 |
|
Mark Joseph Grever
1 Medical Village Dr |
$64.98 | 3,359 | 3,129 |
|
Sherri Lee
1 Medical Village Dr |
$50.97 | 3,263 | 3,107 |
|
Sharon Rogers
1 Medical Village Dr |
$47.97 | 3,132 | 3,013 |
|
Nicole Mangus
1 Medical Village Dr |
$46.25 | 2,775 | 2,569 |
|
Daniel G Brunner
1 Medical Village Dr |
$64.08 | 2,767 | 2,634 |
|
Tiffany Loy Tiseo
1 Medical Village Dr |
$72.82 | 2,714 | 2,587 |
|
Robert Fichner
1 Medical Village Dr |
$44.25 | 2,523 | 2,325 |
|
Stephanie Ann Kennedy
1 Medical Village Dr |
$41.22 | 2,293 | 1,794 |
|
Joseph Michael Mckinney
1 Medical Village Dr |
$51.48 | 2,197 | 2,009 |
|
Renee Marie Mathew
1 Medical Village Dr |
$51.87 | 1,997 | 1,929 |
|
Matthew Eilerman
1 Medical Village Dr |
$30.35 | 1,966 | 1,279 |
|
Compass Emergency Physicians Psc
1 Medical Village Dr |
$51.04 | 1,935 | 1,736 |
|
James Michael Makinen
1 Medical Village Dr |
$77.45 | 1,851 | 1,616 |
|
Monica M Clary
1 Medical Village Dr |
$45.53 | 1,832 | 1,731 |
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 Edgewood, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Edgewood, KY is $152.51 per claim, based on 512,114 claims from 82 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 Edgewood, KY?
There are 82 Medicaid providers offering Emergency Room Visit related services in Edgewood, KY according to public payment data.
What is the price range for Emergency Room Visit in Edgewood, KY?
Medicaid reimbursement for Emergency Room Visit in Edgewood, KY ranges from $30.35 to $253.55 per claim, with an average of $152.51. 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 Edgewood, KY
Blood Work & Lab Tests
Avg $10.10
1,335,437 claims
X-Ray
Avg $17.26
338,127 claims
Office Visit
Avg $37.98
271,432 claims
CT Scan (Computed Tomography)
Avg $71.34
152,508 claims
Urinalysis & Urine Tests
Avg $4.85
141,891 claims
Physical Therapy
Avg $31.21
119,139 claims
EKG / ECG (Electrocardiogram)
Avg $15.95
116,576 claims
Ultrasound
Avg $68.15
113,247 claims