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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
Ellen Patton Stanaway

2150 Limestone Pkwy Ste 222

$46.36 13 13
Anisha Kumari Patel

1315 Jesse Jewell Pkwy Ne Ste 201

$33.01 14 13
Mohamed Modar Abidian

663 Lanier Park Dr

$1,231 15 13
Phaedra A Hill-Lazenby

1250 Jesse Jewell Pkwy Se Ste 400

$28.16 15 12
John H Adamski

200 S Enota Dr Ne

$76.63 21 12
Navneeth Rao Bongu

743 Spring St Ne

$86.41 23 12
Tonya Adams Scott

1211 Sherwood Park Dr Ne Ste A

$23.60 23 14
Susan Cana Samuel

743 Spring St Ne

$49.73 27 12
Adam Matthew Bressler

1211 Sherwood Park Dr Ne Ste B

$22.02 29 12
Haley B. Queen

743 Spring St Ne

$35.52 30 29
Leigh Ann Powell

3814 Alexandria Dr

$99.20 33 32
Linne' Marie Merck

1931 Jesse Jewell Pkwy Se

$71.94 41 40
Kim Evelyn Schultheiss

743 Spring St Ne

$111.41 53 24
Marco Yat Hang Yung

1439 Jesse Jewell Pkwy Ne Ste 301

$35.06 55 14
Moaz Ahmad

743 Spring Street

$448.34 61 56
Stephanie E Freeman

743 Spring St Ne

$233.83 74 48
Prateek Juneja

743 Spring St Ne

$269.58 80 55
Ahmed Fathy

743 Spring St Ne

$57.22 113 25
Donna Cota

743 Spring St Ne

$128.68 117 41
Vivek Sunny Sambhara

1240 Jesse Jewell Pkwy Se Ste 500

$50.89 117 98
Saksham Sulove

1439 Jesse Jewell Pkwy Ne Ste 202

$117.55 136 69
Nitesh Kumar Jain

743 Spring St Ne

$100.73 169 49
Eric Akonwi Mabo

743 Spring St Ne

$65.16 178 168
Ifeanyi Obianyo Iwuchukwu

743 Spring St Ne

$81.89 233 69
John Davison Filson

1240 Jesse Jewell Pkwy Se Ste 300

$66.29 301 294
Vijaya Sivalingam Ramalingam

743 Spring St Ne

$43.80 312 134
Mohak P Dave

743 Spring St Ne

$68.94 382 341
Heidi T Nicholson

743 Spring St Ne

$60.67 493 434
Paul Merlis

743 Spring St Ne

$74.83 521 468
James Allan Panter

4728 Highland Cir

$93.54 625 606
Ashley E King

743 Spring St Ne

$51.63 878 813
Rahul G Sangani

1439 Jesse Jewell Pkwy Ne Ste 201

$136.68 890 379
Ashley Porter

743 Spring St Ne

$67.37 911 834
Donald Freeman

743 Spring St Ne

$66.53 949 864
Sherry Brock

743 Spring St Ne

$105.28 1,020 965
Jairius Stephen Mayweather

1301 New Holland Way Ne

$94.94 1,024 969
Konstantin Zubelevitskiy

743 Spring St Ne

$138.48 1,188 475
Lynn Michelle Cooper

2324 Limestone Overlook

$67.16 1,188 1,121
Thomas E Stauter

743 Spring St Ne

$50.88 1,195 1,022
Krishna Chaitanya Thandra

Northeast Georgia Physicians Group

$83.71 1,200 417
Sara Diosdado

200 S Enota Dr Ne Ste 100

$64.43 1,215 1,107
Laura Reed

743 Spring St Ne

$63.08 1,351 1,274
Gary Alan Jordan

597 S Enota Dr Ne

$81.85 1,364 1,254
Kartik Shah

743 Spring St Ne

$105.79 1,392 1,302
Robert Gisness

743 Spring St Ne

$65.11 1,448 1,287
Luis Felipe Rojas

1439 Jesse Jewell Pkwy Ne Ste 102

$69.83 1,456 1,263
Kevin Charles

743 Spring St Ne

$82.29 1,601 944
Philippe Gadegbeku

743 Spring St Ne

$64.07 1,736 1,559
Randy H Jackson

743 Spring St Ne

$62.45 1,758 1,630
William E Davis

743 Spring St Ne

$68.70 1,821 1,580

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