Average Medicaid Emergency Room Visit Payments in Grand Rapids, MI: $106.82
Avg. Paid
$106.82
Range
$19.64 – $587.93
Total Claims
1,903,454
Providers
76
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ecs Western Michigan Pc
100 Michigan St Ne |
$63.45 | 771,397 | 706,710 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$193.21 | 415,013 | 382,374 |
|
Grand River Emergency Medical Group Plc
200 Jefferson Ave Se |
$61.28 | 200,190 | 172,038 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$177.25 | 185,539 | 164,918 |
|
Emergency Care Specialists Pc
100 Michigan Ne |
$50.80 | 103,325 | 93,618 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$106.74 | 69,051 | 20,190 |
|
Leif Eric Meyers
1000 Monroe Ave Nw # Mc-49 |
$139.31 | 21,934 | 19,953 |
|
Amy Ann Croff
414 Plymouth Ave Ne |
$99.71 | 10,817 | 9,628 |
|
Kendra Dee Atkinson
100 Michigan Ne |
$150.00 | 10,074 | 8,609 |
|
Advantage Health Saint Mary'S Medical Group
200 Jefferson Se |
$89.85 | 10,014 | 5,056 |
|
Lindsay Zimmerman
1000 Monroe Ave Nw |
$95.84 | 9,959 | 8,326 |
|
David Chester Haller
80 68Th St Se |
$33.93 | 9,226 | 9,151 |
|
Yonatan Solomon Lemma
1000 Monroe Ave Nw |
$148.04 | 9,154 | 8,850 |
|
Brian M Bosscher
100 Michigan St Ne |
$69.35 | 8,990 | 8,207 |
|
Daniel Schmutz
1000 Monroe Ave Nw |
$72.35 | 7,578 | 7,221 |
|
James Dernocoeur
200 Jefferson Ave Se |
$130.87 | 6,324 | 6,217 |
|
Larry Pinter
80 68Th St Se |
$58.34 | 5,643 | 5,264 |
|
Kristin Inger
145 Michigan St Ne Ste 3410 |
$142.95 | 5,568 | 4,817 |
|
Mark D Lettinga
100 Michigan St Ne |
$120.06 | 5,391 | 4,694 |
|
Kevin Michael Nowak
100 Michigan St Ne |
$135.93 | 4,117 | 3,761 |
|
Joshua Badour
100 Michigan St Ne # Mc49 |
$77.28 | 4,101 | 3,577 |
|
Allen C Bragdon
100 Michigan St Ne |
$79.10 | 3,881 | 3,856 |
|
Todd M Heffern
100 Michigan Ne Mc49 |
$96.89 | 3,602 | 3,069 |
|
Matthew J Steinmetz
100 Michigan St Ne # Mc49 |
$29.85 | 3,024 | 2,763 |
|
David Swenson
100 Michigan St Ne # Mc49 |
$79.12 | 1,451 | 1,267 |
|
Hayden Jacob Schenker
1840 Wealthy St Se |
$57.55 | 1,372 | 1,284 |
|
Micah Larsen
100 Michigan St Ne # Mc49 |
$186.53 | 1,263 | 1,253 |
|
Randy L Chilcote
100 Michigan St Ne |
$60.07 | 1,175 | 1,082 |
|
Sarah Kathryn Tran
100 Michigan St Ne |
$121.61 | 1,132 | 1,057 |
|
Robert Bruce Schwallie
1140 Monroe Ave Nw |
$61.16 | 1,070 | 1,027 |
|
Meredith East Walton
100 Michigan St Ne |
$80.42 | 891 | 875 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$108.54 | 858 | 265 |
|
Joshua Nathanael Vance
1919 Boston St |
$75.75 | 769 | 750 |
|
Julie A Johnson
4055 Cascade Rd Se |
$38.58 | 757 | 714 |
|
Caroline Foura
100 Michigan St Ne |
$122.40 | 752 | 673 |
|
Mitchell Lebel
932 Fulton St E Unit 1 |
$102.40 | 736 | 629 |
|
Linda Lou
4100 Embassy Dr Se Ste 400 |
$19.64 | 620 | 615 |
|
Kara E Charles
275 Michigan St Ne |
$34.81 | 587 | 542 |
|
Stuart A Malafa
100 Michigan St Ne |
$176.14 | 519 | 473 |
|
Daniel Overbeek
1840 Wealthy St Se |
$80.62 | 502 | 498 |
|
Sierra Debenham
100 Michigan Avenue |
$107.35 | 479 | 470 |
|
Jonathan P Corley
4100 Embassy Dr Se |
$59.46 | 420 | 401 |
|
Shawn Elizabeth-Bott Brown
1000 Monroe Ave Nw |
$58.28 | 337 | 308 |
|
Jason Wells
4100 Lake Dr Se |
$136.74 | 336 | 152 |
|
Reid Kenneth Smith
100 Michigan St Ne |
$85.53 | 309 | 303 |
|
Travis Andrew Lien
100 Michigan St Ne Mc 49 |
$230.94 | 292 | 283 |
|
Lorrie Jean Oldham
200 Jefferson Ave Se |
$60.09 | 284 | 144 |
|
Ryan Benjamin Pitney
100 Michigan St Ne |
$59.02 | 279 | 237 |
|
Ashley Danelle Rozema
1840 Wealthy St Se Dept |
$100.97 | 257 | 249 |
|
Rebecca K Andrews-Dickert
100 Michigan St Ne |
$89.47 | 239 | 212 |
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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Grand Rapids, MI is $106.82 per claim, based on 1,903,454 claims from 76 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 Grand Rapids, MI?
There are 76 Medicaid providers offering Emergency Room Visit related services in Grand Rapids, MI according to public payment data.
What is the price range for Emergency Room Visit in Grand Rapids, MI?
Medicaid reimbursement for Emergency Room Visit in Grand Rapids, MI ranges from $19.64 to $587.93 per claim, with an average of $106.82. 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 Grand Rapids, MI
Office Visit
Avg $56.03
3,306,257 claims
Blood Work & Lab Tests
Avg $4.19
2,384,351 claims
Substance Abuse Treatment
Avg $24.17
2,223,309 claims
X-Ray
Avg $7.57
2,155,834 claims
Psychiatric Evaluation
Avg $79.32
1,323,354 claims
Physical Therapy
Avg $24.71
1,298,324 claims
Vaccines & Immunizations
Avg $10.34
1,229,009 claims
CT Scan (Computed Tomography)
Avg $43.84
903,891 claims