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
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