Average Medicaid Emergency Room Visit Payments in Granite City, IL: $53.86
Avg. Paid
$53.86
Range
$28.73 – $161.58
Total Claims
30,544
Providers
12
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 Granite City, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Janel L. Clark
2166 Madison Ave |
$46.68 | 18 | 18 |
|
Joellen Juenger
50 Northgate Industrial Dr |
$39.86 | 22 | 21 |
|
Bridget Ray
2100 Madison Ave |
$67.62 | 82 | 78 |
|
David Bogolub
2100 Madison Ave |
$38.83 | 140 | 138 |
|
Debra K Seiffert
2044 Madison Ave Ste G5 |
$28.73 | 404 | 337 |
|
Melvin D Merritt
2166 Madison Ave |
$161.58 | 516 | 438 |
|
Hannah Ziegler
2100 Madison Ave |
$58.08 | 644 | 614 |
|
Melissa Lee Bounds
2100 Madison Ave |
$40.09 | 1,398 | 1,352 |
|
Donald Lee Clark
2100 Madison Ave |
$60.10 | 3,707 | 3,340 |
|
John R Williams
2044 Madison Ave |
$37.91 | 4,360 | 4,105 |
|
Debabrata Ray
2100 Madison Ave |
$54.29 | 9,582 | 8,585 |
|
Jeffrey D Arendell
2100 Madison Ave |
$55.40 | 9,671 | 8,673 |
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 Granite City, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Granite City, IL is $53.86 per claim, based on 30,544 claims from 12 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 Granite City, IL?
There are 12 Medicaid providers offering Emergency Room Visit related services in Granite City, IL according to public payment data.
What is the price range for Emergency Room Visit in Granite City, IL?
Medicaid reimbursement for Emergency Room Visit in Granite City, IL ranges from $28.73 to $161.58 per claim, with an average of $53.86. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Chicago, IL
Avg $84.83
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Avg $203.26
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New York, NY
Avg $130.02
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Avg $98.63
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Avg $130.10
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Avg $135.52
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Other Procedures in Granite City, IL
Office Visit
Avg $23.16
244,898 claims
Case Management Services
Avg $40.04
83,944 claims
Vaccines & Immunizations
Avg $2.90
52,516 claims
Speech Therapy
Avg $21.12
51,307 claims
Psychiatric Evaluation
Avg $34.69
32,083 claims
Urinalysis & Urine Tests
Avg $1.00
26,422 claims
Physical Therapy
Avg $39.65
25,256 claims
Substance Abuse Treatment
Avg $93.84
25,172 claims