Average Medicaid Emergency Room Visit Payments in Fort Thomas, KY: $118.93
Avg. Paid
$118.93
Range
$39.96 – $280.87
Total Claims
299,995
Providers
44
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 Fort Thomas, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Elizabeth Medical Center, Inc
85 N Grand Ave |
$280.87 | 71,414 | 58,809 |
|
David L Allen
85 N Grand Ave |
$85.91 | 17,669 | 16,681 |
|
Kevin T Platt
85 N Grand Ave |
$77.08 | 15,374 | 14,115 |
|
Alan Turpin Summe
85 N Grand Ave |
$78.05 | 13,268 | 12,369 |
|
Kevin Michael Ziegler
85 N Grand Ave |
$64.05 | 10,439 | 9,495 |
|
Michael N Elleman
85 N Grand Ave |
$67.27 | 8,063 | 7,426 |
|
Paul Spellman
85 N Grand Ave |
$65.76 | 8,032 | 7,321 |
|
J'Mir Cousar
85 N Grand Ave |
$62.77 | 7,944 | 7,276 |
|
Hien T Le
85 N Grand Ave |
$66.74 | 7,868 | 7,247 |
|
Cheryl Koscik
85 N Grand Ave |
$92.47 | 7,838 | 7,547 |
|
Kevin C Meyer
85 N Grand Ave |
$64.87 | 7,815 | 7,212 |
|
Andrew Elliott
85 N Grand Ave |
$67.79 | 7,669 | 7,059 |
|
Taylor Duncan
85 N Grand Ave |
$65.33 | 7,459 | 6,902 |
|
Brenton D Warren
85 N Grand Ave |
$69.78 | 7,432 | 6,842 |
|
David P. Sharp
85 N Grand Ave |
$63.89 | 7,239 | 6,640 |
|
Daryl Leon Emery
85 N Grand Ave |
$65.05 | 7,082 | 6,461 |
|
Thomas E Richardson
85 N Grand Ave |
$64.59 | 6,986 | 6,456 |
|
Erin K Davren
85 N Grand Ave |
$71.96 | 6,869 | 6,274 |
|
Brian J Miller
85 N Grand Ave |
$70.31 | 6,837 | 6,288 |
|
Kyle Walters
85 N Grand Ave |
$66.03 | 6,682 | 6,101 |
|
Richard Stewart
85 N Grand Ave |
$66.93 | 6,523 | 5,982 |
|
Amy Michelle Alsip
85 N Grand Ave |
$48.77 | 5,893 | 5,424 |
|
Kyle Benjamin Dougherty
85 N Grand Ave |
$68.39 | 4,162 | 3,720 |
|
Abdul Latif Banire
85 N Grand Ave |
$54.22 | 4,093 | 3,835 |
|
Jamie Elena Thomas
85 N Grand Ave |
$53.00 | 4,065 | 3,765 |
|
Trevor Joseph Skrobut
85 N Grand Ave |
$66.88 | 3,842 | 3,491 |
|
Kimberly K Edwards
85 N Grand Ave |
$52.74 | 3,125 | 2,861 |
|
Jill S Crabtree
85 N Grand Ave |
$53.16 | 3,111 | 2,857 |
|
Crystal Wagner
85 N Grand Ave |
$47.61 | 2,974 | 2,797 |
|
Natalie N Webb
85 N Grand Ave |
$46.72 | 2,922 | 2,707 |
|
Kaitlyn Gerrety
85 N Grand Ave |
$54.13 | 2,864 | 2,481 |
|
Raimi Carrigan
85 N Grand Ave |
$51.34 | 2,523 | 2,327 |
|
Robert Herfel
85 N Grand Ave |
$68.51 | 2,347 | 2,199 |
|
Benjamin James Favier
85 N Grand Ave |
$80.81 | 2,307 | 2,130 |
|
Mary Jane Whitson
85 N Grand Ave |
$61.62 | 2,223 | 2,009 |
|
Alexandra Rawlings Hunt
85 N Grand Ave |
$67.21 | 2,105 | 1,915 |
|
Lee Underwood Herfel
85 N Grand Ave |
$99.91 | 1,763 | 1,628 |
|
Allison Budde
85 N Grand Ave |
$50.35 | 1,218 | 1,065 |
|
Lisa-Marie Aders
85 N Grand Ave |
$51.23 | 941 | 899 |
|
Timothy A. Love
85 N Grand Ave |
$67.98 | 703 | 664 |
|
Stephanie Krueger-Maxwell
85 N Grand Ave |
$60.52 | 150 | 147 |
|
Victoria Stark
85 N Grand Ave |
$39.96 | 104 | 71 |
|
Diana Ann Mccann
85 N Grand Ave |
$46.19 | 45 | 44 |
|
Kodie Lee Stone
85 N Grand Ave |
$97.03 | 13 | 12 |
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 Fort Thomas, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Fort Thomas, KY is $118.93 per claim, based on 299,995 claims from 44 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 Fort Thomas, KY?
There are 44 Medicaid providers offering Emergency Room Visit related services in Fort Thomas, KY according to public payment data.
What is the price range for Emergency Room Visit in Fort Thomas, KY?
Medicaid reimbursement for Emergency Room Visit in Fort Thomas, KY ranges from $39.96 to $280.87 per claim, with an average of $118.93. 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
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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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 Fort Thomas, KY
Blood Work & Lab Tests
Avg $5.63
194,343 claims
Case Management Services
Avg $106.83
48,302 claims
X-Ray
Avg $35.60
34,460 claims
EKG / ECG (Electrocardiogram)
Avg $13.84
30,075 claims
Home Health Visit
Avg $82.73
28,483 claims
Urinalysis & Urine Tests
Avg $2.09
27,545 claims
Prescription Medications
Avg $4.02
23,974 claims
Office Visit
Avg $55.75
22,879 claims