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Based on public Medicaid payment data.

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

Other Procedures in Elkhart, IN