Average Medicaid Emergency Room Visit Payments in Elkhart, IN: $101.82
Avg. Paid
$101.82
Range
$36.02 – $164.09
Total Claims
355,194
Providers
52
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 Elkhart, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michelle R Bache
600 East Blvd |
$59.85 | 17,954 | 15,855 |
|
Bruce Newswanger
600 East Blvd |
$100.52 | 16,881 | 14,520 |
|
Matthew Terrence Michalski
600 East Blvd |
$106.30 | 16,191 | 14,048 |
|
Troy D Clouse
600 East Blvd |
$106.25 | 16,083 | 13,513 |
|
David Reser
600 East Blvd |
$99.34 | 15,591 | 13,420 |
|
Adam Charles Losch
600 East Blvd |
$110.89 | 14,528 | 12,569 |
|
James Lee Shoemaker
600 East Blvd |
$106.82 | 14,373 | 12,520 |
|
Anthony Houston
600 East Blvd |
$114.06 | 13,798 | 12,526 |
|
Andre Nathan Hirschler
600 East Blvd |
$105.17 | 11,726 | 10,298 |
|
Mark A. Quiring
600 East Blvd |
$104.07 | 11,559 | 9,890 |
|
Tracy Lynn Mitchel
600 East Blvd |
$114.58 | 11,055 | 10,125 |
|
Nicole S Brunette
600 East Blvd |
$106.97 | 11,032 | 9,607 |
|
Daniel Maas
600 East Blvd |
$105.66 | 10,881 | 9,518 |
|
Thomas P. Moretti
500 Arcade Ave |
$139.73 | 10,349 | 9,049 |
|
Caesar Joseph Weston
600 East Blvd |
$103.01 | 9,903 | 8,641 |
|
Jamie L Rice
600 East Blvd |
$98.03 | 9,809 | 8,711 |
|
Katharine Renee Alber
600 East Blvd |
$102.00 | 9,790 | 8,566 |
|
Scott E Ludwig
600 East Blvd |
$111.57 | 9,398 | 8,137 |
|
Bruce Hughes
600 East Blvd |
$109.66 | 8,855 | 7,758 |
|
Halsey Anne Heinselman
600 East Blvd |
$90.33 | 8,806 | 8,368 |
|
Phillip Edward Schafer
600 East Blvd |
$100.75 | 8,752 | 7,661 |
|
Doyle Yeager
600 East Blvd |
$110.45 | 8,558 | 7,453 |
|
George A Cancel
600 East Blvd |
$91.62 | 8,230 | 7,244 |
|
George S Kim
600 East Blvd |
$94.64 | 8,205 | 7,271 |
|
Jason Paul Graber
600 East Blvd |
$83.82 | 8,078 | 7,111 |
|
Glen H Brookshire
600 East Blvd |
$67.32 | 7,877 | 6,973 |
|
Megan Mcgrew Koenig
600 East Blvd |
$111.71 | 7,623 | 6,656 |
|
David E Vanryn
600 East Blvd |
$104.16 | 6,804 | 5,938 |
|
Elite Emergency Physicians Inc
600 East Blvd |
$68.80 | 5,145 | 4,809 |
|
John T Rice
600 East Blvd |
$92.32 | 5,111 | 4,590 |
|
Jenna Renee Nofziger
600 East Blvd |
$127.39 | 4,630 | 4,086 |
|
Sanjay Vasudeva
600 East Blvd |
$101.90 | 4,287 | 3,703 |
|
Elkhart General Hospital, Inc.
600 East Blvd |
$164.09 | 3,717 | 3,413 |
|
Daniel L Sullivan
600 East Blvd |
$78.44 | 3,105 | 2,702 |
|
Kathrine Elizabeth Hughes
600 East Blvd |
$79.10 | 2,590 | 2,255 |
|
David Erazo
600 East Blvd |
$109.04 | 2,439 | 2,058 |
|
Tiffany Johnson-Bussberg
600 East Blvd |
$77.45 | 1,742 | 1,531 |
|
Lyn Marie Stevens
105 N Nappanee St |
$85.94 | 1,700 | 1,285 |
|
Kamran Javaid
500 Arcade Ave Ste 210 |
$119.00 | 1,418 | 488 |
|
Rachel M Kratzer
3301 County Road 6 E |
$79.48 | 1,302 | 1,150 |
|
Dylan Garvey
3301 County Road 6 E |
$124.72 | 1,180 | 1,098 |
|
Katelyn Renee Chronis
600 East Blvd |
$97.67 | 1,148 | 1,066 |
|
Edwin Laryea Annan
500 Arcade Ave Ste 210 |
$116.71 | 1,108 | 356 |
|
Sylvia Joy Zakusilov
600 East Blvd |
$93.82 | 655 | 601 |
|
Kenneth Francis Raderstorf
1753 Fulton St |
$106.82 | 440 | 399 |
|
Muhammad A Saeed
500 Arcade Ave Ste 210 |
$142.66 | 294 | 118 |
|
Barbara L Zimmerman
600 East Blvd |
$56.97 | 291 | 233 |
|
Asma Iftikhar
500 Arcade Ave Ste 210 |
$38.98 | 77 | 39 |
|
Stephanie Kay Kertes
5230 Beck Dr Ste 3 |
$37.68 | 40 | 24 |
|
Patricia Jo Chapman
1215 Lawn Ave |
$36.02 | 30 | 26 |
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 Elkhart, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Elkhart, IN is $101.82 per claim, based on 355,194 claims from 52 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 Elkhart, IN?
There are 52 Medicaid providers offering Emergency Room Visit related services in Elkhart, IN according to public payment data.
What is the price range for Emergency Room Visit in Elkhart, IN?
Medicaid reimbursement for Emergency Room Visit in Elkhart, IN ranges from $36.02 to $164.09 per claim, with an average of $101.82. 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 Elkhart, IN
Office Visit
Avg $49.36
323,807 claims
Blood Work & Lab Tests
Avg $4.55
309,110 claims
Psychiatric Evaluation
Avg $46.11
120,775 claims
EKG / ECG (Electrocardiogram)
Avg $19.76
97,844 claims
Vaccines & Immunizations
Avg $8.44
94,806 claims
Urinalysis & Urine Tests
Avg $1.93
70,876 claims
Speech Therapy
Avg $41.25
61,659 claims
Case Management Services
Avg $48.27
42,105 claims