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Based on public Medicaid payment data.

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

Other Procedures in Grand Rapids, MI