Average Medicaid Emergency Room Visit Payments in Gainesville, GA: $148.90
Avg. Paid
$148.90
Range
$22.02 – $1,231
Total Claims
349,608
Providers
78
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 Gainesville, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Northeast Georgia Medical Center, Inc.
743 Spring St Ne |
$194.27 | 216,414 | 196,483 |
|
Manjunath Markandaya
743 Spring St Ne |
$53.39 | 10,704 | 1,118 |
|
Joshua Scott Colliver
1296 Sims St Ste B |
$72.40 | 9,528 | 8,896 |
|
Misty Litt
743 Spring St Ne |
$77.89 | 5,888 | 5,458 |
|
Jennifer Day
743 Spring St Ne |
$76.73 | 5,704 | 5,337 |
|
Keith Edwin Leap
743 Spring St Ne |
$113.12 | 4,526 | 4,076 |
|
Gregory Denly
743 Spring St Ne |
$77.76 | 4,316 | 3,968 |
|
Norman D Baker
604 Green St Ne Ste 1 |
$57.19 | 3,956 | 3,484 |
|
Ethan Rogers
743 Spring St |
$72.17 | 3,668 | 3,317 |
|
Yogi Shah
743 Spring St Ne |
$76.66 | 3,608 | 3,381 |
|
Ryan Gethers
743 Spring St Ne |
$74.81 | 3,556 | 3,197 |
|
Preston Ball
743 Spring St Ne |
$74.62 | 3,461 | 3,112 |
|
Alison Charruf Ruch
743 Spring St Ne |
$79.81 | 3,457 | 3,116 |
|
Steven John Smigelsky
743 Spring St Ne |
$72.38 | 3,330 | 3,067 |
|
Alexander G Benz
5629 Fields Rd |
$82.64 | 3,307 | 2,984 |
|
David Michael Wade
743 Spring St Ne |
$71.19 | 3,188 | 2,953 |
|
Jack Freeman
743 Spring St Ne |
$78.83 | 3,004 | 2,678 |
|
Jerrid Pippin
Northeast Georgia Medical Center |
$66.04 | 2,985 | 2,759 |
|
Camden Michael Thurmond
1296 Sims St Ste B |
$72.55 | 2,905 | 2,679 |
|
Nicholas Tovera Johnson
743 Spring St Ne |
$72.88 | 2,741 | 2,469 |
|
Hilliary G Rounds
743 Spring St Ne |
$66.69 | 2,662 | 2,485 |
|
Cory Duncan
535 Jesse Jewell Pkwy Se |
$73.55 | 2,611 | 2,344 |
|
Briana Jill Massa
743 Spring St Ne |
$72.50 | 2,601 | 2,338 |
|
Todd Jordan
743 Spring St Ne |
$74.48 | 2,534 | 2,279 |
|
Gonzalo Villalobos
743 Spring St Ne |
$70.29 | 2,477 | 2,268 |
|
Jason L Konzelmann
743 Spring St Ne |
$75.25 | 2,412 | 2,158 |
|
Jacob Leedekerken
743 Spring St Ne |
$80.78 | 2,192 | 2,031 |
|
Heather Holstein
743 Spring St Ne |
$96.24 | 1,984 | 1,766 |
|
William E Davis
743 Spring St Ne |
$68.70 | 1,821 | 1,580 |
|
Randy H Jackson
743 Spring St Ne |
$62.45 | 1,758 | 1,630 |
|
Philippe Gadegbeku
743 Spring St Ne |
$64.07 | 1,736 | 1,559 |
|
Kevin Charles
743 Spring St Ne |
$82.29 | 1,601 | 944 |
|
Luis Felipe Rojas
1439 Jesse Jewell Pkwy Ne Ste 102 |
$69.83 | 1,456 | 1,263 |
|
Robert Gisness
743 Spring St Ne |
$65.11 | 1,448 | 1,287 |
|
Kartik Shah
743 Spring St Ne |
$105.79 | 1,392 | 1,302 |
|
Gary Alan Jordan
597 S Enota Dr Ne |
$81.85 | 1,364 | 1,254 |
|
Laura Reed
743 Spring St Ne |
$63.08 | 1,351 | 1,274 |
|
Sara Diosdado
200 S Enota Dr Ne Ste 100 |
$64.43 | 1,215 | 1,107 |
|
Krishna Chaitanya Thandra
Northeast Georgia Physicians Group |
$83.71 | 1,200 | 417 |
|
Thomas E Stauter
743 Spring St Ne |
$50.88 | 1,195 | 1,022 |
|
Konstantin Zubelevitskiy
743 Spring St Ne |
$138.48 | 1,188 | 475 |
|
Lynn Michelle Cooper
2324 Limestone Overlook |
$67.16 | 1,188 | 1,121 |
|
Jairius Stephen Mayweather
1301 New Holland Way Ne |
$94.94 | 1,024 | 969 |
|
Sherry Brock
743 Spring St Ne |
$105.28 | 1,020 | 965 |
|
Donald Freeman
743 Spring St Ne |
$66.53 | 949 | 864 |
|
Ashley Porter
743 Spring St Ne |
$67.37 | 911 | 834 |
|
Rahul G Sangani
1439 Jesse Jewell Pkwy Ne Ste 201 |
$136.68 | 890 | 379 |
|
Ashley E King
743 Spring St Ne |
$51.63 | 878 | 813 |
|
James Allan Panter
4728 Highland Cir |
$93.54 | 625 | 606 |
|
Paul Merlis
743 Spring St Ne |
$74.83 | 521 | 468 |
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 Gainesville, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Gainesville, GA is $148.90 per claim, based on 349,608 claims from 78 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 Gainesville, GA?
There are 78 Medicaid providers offering Emergency Room Visit related services in Gainesville, GA according to public payment data.
What is the price range for Emergency Room Visit in Gainesville, GA?
Medicaid reimbursement for Emergency Room Visit in Gainesville, GA ranges from $22.02 to $1,231 per claim, with an average of $148.90. 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 Gainesville, GA
Blood Work & Lab Tests
Avg $6.15
670,741 claims
X-Ray
Avg $14.41
301,764 claims
Office Visit
Avg $64.98
242,258 claims
Urinalysis & Urine Tests
Avg $3.08
129,637 claims
Physical Therapy
Avg $20.41
124,785 claims
EKG / ECG (Electrocardiogram)
Avg $16.56
117,622 claims
CT Scan (Computed Tomography)
Avg $118.37
110,349 claims
Prescription Medications
Avg $1.62
86,639 claims