Average Medicaid Emergency Room Visit Payments in Gary, IN: $104.80
Avg. Paid
$104.80
Range
$48.42 – $179.23
Total Claims
145,760
Providers
27
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 Gary, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cynthia Galvan
600 Grant St |
$124.35 | 25,111 | 21,719 |
|
Ricardo Rivera-Yagnich
600 Grant St |
$107.21 | 19,095 | 16,100 |
|
Phillip James Kunz
600 Grant St |
$130.06 | 18,109 | 15,871 |
|
Jude Kieltyka
600 Grant St |
$106.42 | 16,951 | 14,701 |
|
Hester Chakyung Lee
600 Grant St |
$61.97 | 7,567 | 6,671 |
|
Olusegun Apata
650 Grant St Ste 7 |
$94.98 | 7,559 | 2,036 |
|
Thessa Grace Robertson
600 Grant Street |
$118.76 | 7,281 | 6,242 |
|
Andrea N. Gill
600 Grant St |
$68.05 | 5,240 | 4,764 |
|
Guangyu Bai
600 Grant St |
$158.26 | 5,114 | 4,639 |
|
Kathryn Avina
600 Grant St |
$57.76 | 4,896 | 4,278 |
|
Steven Flynn
600 Grant St |
$70.28 | 4,806 | 3,585 |
|
Mary Ella Kenefake
600 Grant St |
$70.85 | 4,585 | 4,065 |
|
Emily Alice Strong Duym
600 Grant St |
$158.98 | 4,444 | 4,001 |
|
Kaitlyn Marie Daniels
600 Grant St |
$69.75 | 3,913 | 3,561 |
|
Joshua Zalot
600 Grant St |
$62.42 | 3,482 | 3,075 |
|
Evelina Zieba
600 Grant St |
$76.67 | 1,872 | 1,738 |
|
Claudine E Ruzga
600 Grant St |
$51.30 | 1,572 | 1,310 |
|
Madeline Jones
600 Grant St |
$82.93 | 783 | 734 |
|
Adolphus A Anekwe
3195 Broadway |
$115.46 | 781 | 283 |
|
Alexx Puckett
600 Grant St |
$49.34 | 643 | 579 |
|
Elizabeth Baldys
600 Grant St |
$48.42 | 417 | 394 |
|
Jessica Lisa Bruskoski
600 Grant St |
$59.68 | 405 | 337 |
|
Cory Lee Haston
600 Grant St |
$96.27 | 370 | 361 |
|
The Methodist Hospitals, Inc
600 Richard Gordon Hatcher Blvd |
$179.23 | 354 | 298 |
|
Derek J Robinson
600 Grant St |
$68.16 | 244 | 191 |
|
Paul Chike Okolocha
2054 Grant St |
$86.92 | 93 | 82 |
|
Tonya A. Harvey
4900 Broadway |
$111.54 | 73 | 29 |
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 Gary, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Gary, IN is $104.80 per claim, based on 145,760 claims from 27 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 Gary, IN?
There are 27 Medicaid providers offering Emergency Room Visit related services in Gary, IN according to public payment data.
What is the price range for Emergency Room Visit in Gary, IN?
Medicaid reimbursement for Emergency Room Visit in Gary, IN ranges from $48.42 to $179.23 per claim, with an average of $104.80. 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 Gary, IN
Office Visit
Avg $51.27
293,741 claims
Behavioral & Mental Health Therapy
Avg $108.68
268,228 claims
Psychiatric Evaluation
Avg $72.78
199,026 claims
Substance Abuse Treatment
Avg $35.10
188,324 claims
Blood Work & Lab Tests
Avg $6.27
171,267 claims
Ambulance Transport
Avg $85.88
85,091 claims
Vaccines & Immunizations
Avg $6.55
81,288 claims
Case Management Services
Avg $47.92
53,104 claims