Average Medicaid Emergency Room Visit Payments in Franklin, IN: $88.89
Avg. Paid
$88.89
Range
$26.32 – $106.91
Total Claims
48,093
Providers
11
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 Franklin, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Joseph Welsh
1070 W Jefferson St |
$106.91 | 25,994 | 21,212 |
|
Thomas James Small
1101 W Jefferson St |
$75.16 | 7,078 | 6,166 |
|
Kathleen Marion
1125 W Jefferson St |
$83.18 | 5,256 | 4,752 |
|
Amy Lynn Purol
1125 W Jefferson St |
$48.42 | 3,647 | 2,975 |
|
Brenna Clark
1125 W Jefferson St |
$64.64 | 3,087 | 2,666 |
|
Georgianne Pangallo
198 E Jefferson St |
$49.46 | 1,457 | 1,351 |
|
Niall Richard Atkinson
198 E Jefferson St |
$51.71 | 927 | 893 |
|
Johnson Memorial Hospital
1125 W Jefferson St |
$26.32 | 320 | 298 |
|
Joseph Kenny
1125 W Jefferson St |
$55.65 | 236 | 169 |
|
Porscha Dyanne Ward
1300 W Jefferson St |
$96.49 | 50 | 46 |
|
Lauren Fowler
2087 Acorn Blvd |
$95.92 | 41 | 36 |
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 Franklin, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Franklin, IN is $88.89 per claim, based on 48,093 claims from 11 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 Franklin, IN?
There are 11 Medicaid providers offering Emergency Room Visit related services in Franklin, IN according to public payment data.
What is the price range for Emergency Room Visit in Franklin, IN?
Medicaid reimbursement for Emergency Room Visit in Franklin, IN ranges from $26.32 to $106.91 per claim, with an average of $88.89. 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 Franklin, IN
Office Visit
Avg $55.01
126,162 claims
Blood Work & Lab Tests
Avg $5.77
73,635 claims
Physical Therapy
Avg $16.11
68,864 claims
Substance Abuse Treatment
Avg $322.02
49,286 claims
Eye Exam
Avg $38.10
48,355 claims
Speech Therapy
Avg $38.77
44,161 claims
X-Ray
Avg $19.78
32,563 claims
Psychiatric Evaluation
Avg $21.11
28,762 claims