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Based on public Medicaid payment data.

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

Other Procedures in Gainesville, GA