Average Medicaid Emergency Room Visit Payments in Gallup, NM: $166.21
Avg. Paid
$166.21
Range
$9.95 – $219.09
Total Claims
107,683
Providers
22
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 Gallup, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rehoboth Mckinley Christian Health Care Services, Inc.
1901 Redrock Drive |
$219.09 | 57,051 | 52,500 |
|
Dale E Kester
516 East Nizhoni Blvd. |
$126.30 | 15,376 | 14,810 |
|
Mehdi Sattari
Rehoboth Mckinley Christian Health Care Services |
$62.67 | 7,906 | 7,835 |
|
Deann Lynn Nelson
1901 Red Rock Dr |
$112.20 | 7,297 | 7,112 |
|
Alan Craig Beamsley
1010 Milda Ave |
$108.52 | 6,536 | 6,294 |
|
Darryl Macias
Rehoboth Mckinley Christian Health Care Services |
$107.31 | 4,565 | 4,506 |
|
Faye Maryann Lee
Gimc Department Of Emergency Medicine |
$95.16 | 2,811 | 2,513 |
|
Mac Henry
516 E Nizhoni Blvd |
$76.24 | 1,140 | 1,015 |
|
Marci C Gambarota
516 E. Nizhoni Blvd. |
$157.85 | 1,129 | 1,119 |
|
Erin Elizabeth Hassel
516 E Nizhoni Blvd |
$175.06 | 864 | 834 |
|
Cleora Shunkamolah
516 E Nizhoni Blvd |
$79.91 | 695 | 648 |
|
Bryan Jarrett
516 E Nizhoni Blvd |
$75.41 | 621 | 608 |
|
Alexander Miles Jenson
516 E Nizhoni Blvd |
$118.29 | 443 | 412 |
|
Clayton M Dalton
516 E Nizhoni Blvd |
$101.30 | 329 | 311 |
|
Ashley Sullivan
516 E Nizhoni Blvd |
$126.19 | 209 | 200 |
|
Jennifer Rae Withers
516 E Nizhoni Blvd |
$29.31 | 207 | 198 |
|
Shaila Delea
516 E Nizhoni Blvd |
$51.16 | 132 | 132 |
|
Carissa Elisabeth Solari
516 E Nizhoni Blvd |
$111.08 | 90 | 90 |
|
Esperanza C Sanchez
516 E. Nizhoni Blvd. |
$147.91 | 86 | 86 |
|
Kadallah Zizwee Brandy
516 East Nizhoni Blvd. |
$92.41 | 86 | 54 |
|
Dhhs,Phs,Naihs, Gallup Indian Medical Center
516 E. Nizhoni Blvd. |
$9.95 | 55 | 48 |
|
Patrick M. Dalessio
516 East Nizhoni Blvd. |
$18.03 | 55 | 54 |
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 Gallup, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Gallup, NM is $166.21 per claim, based on 107,683 claims from 22 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 Gallup, NM?
There are 22 Medicaid providers offering Emergency Room Visit related services in Gallup, NM according to public payment data.
What is the price range for Emergency Room Visit in Gallup, NM?
Medicaid reimbursement for Emergency Room Visit in Gallup, NM ranges from $9.95 to $219.09 per claim, with an average of $166.21. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Gallup, NM
Home Health Visit
Avg $61.91
399,443 claims
Dental Cleaning & Exam
Avg $32.18
167,205 claims
Blood Work & Lab Tests
Avg $9.72
161,374 claims
Office Visit
Avg $94.87
147,355 claims
Non-Emergency Medical Transportation
Avg $138.51
108,108 claims
Physical Therapy
Avg $40.45
107,979 claims
Dialysis
Avg $72.92
78,202 claims
Ambulance Transport
Avg $462.50
75,587 claims