Average Medicaid Emergency Room Visit Payments in Great Falls, MT: $48.59
Avg. Paid
$48.59
Range
$10.02 – $205.00
Total Claims
187,468
Providers
52
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 Great Falls, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benefis Hospitals, Inc.
1101 26Th St S |
$10.02 | 68,207 | 59,780 |
|
Cmsc, Llc
3010 15Th Ave S |
$11.64 | 26,215 | 22,543 |
|
Rafael Martinez
1101 26Th St S |
$81.04 | 5,981 | 5,279 |
|
Wendy Sue Killham
1101 26Th St S |
$77.89 | 5,847 | 5,598 |
|
Nicholas Ray Burnham
1101 26Th St S |
$110.21 | 5,217 | 4,959 |
|
Ryan Butler
3010 15Th Ave S |
$50.10 | 5,166 | 4,667 |
|
Dustin R Stuart
1401 25Th St S |
$109.04 | 4,988 | 4,745 |
|
Samantha Berman
1101 26Th St S |
$58.69 | 4,681 | 4,265 |
|
Bobby Gene Lucas
2517 7Th Ave S Ste B2 |
$58.87 | 4,187 | 4,023 |
|
Matthew Clayton Taecker
113 38Th Ave Ne |
$98.82 | 4,135 | 3,922 |
|
James Michael Todd
1401 25Th St S |
$74.26 | 3,926 | 3,504 |
|
Jordan Elizabeth Hronek
1401 25Th St S |
$80.61 | 3,838 | 3,728 |
|
Justin Madill
1101 26Th St S |
$98.41 | 3,599 | 3,430 |
|
Matthew M Newsted
1101 26Th St S |
$90.92 | 3,552 | 3,389 |
|
Matthew Humbert
1101 26Th St S |
$97.23 | 3,308 | 3,156 |
|
Michael A Jasumback
1101 26Th St S |
$110.68 | 3,264 | 3,098 |
|
Adrienne Mary Krysiak
1401 25Th St S |
$102.36 | 3,220 | 3,035 |
|
Carolyn Sierra Rust
1101 26Th St S |
$114.77 | 2,937 | 2,807 |
|
Timothy N Sinton
1600 Division Rd |
$72.40 | 2,831 | 2,527 |
|
Benjamin Reehl
1101 26Th St S |
$78.33 | 2,500 | 2,359 |
|
Joie Abner
1101 26Th St S |
$113.76 | 2,466 | 2,420 |
|
Andrew Steven Taecker
1101 26Th St S |
$94.63 | 2,245 | 1,956 |
|
Brittany Wynn Mayfield
1101 26Th St S |
$100.59 | 2,204 | 2,132 |
|
Becky Ann Slater
3010 15Th Ave S |
$106.79 | 1,314 | 1,239 |
|
Cara Louise Callison
1101 26Th St S |
$102.81 | 1,286 | 1,191 |
|
Robert Weiss
1401 25Th St S |
$53.09 | 1,221 | 1,162 |
|
Chad Nathaniel Sievers
1310 9Th Ave S |
$55.59 | 970 | 926 |
|
John C Stowers
463 Flood Rd |
$102.10 | 886 | 882 |
|
Helenka M Marcinek
1101 Th St S |
$70.73 | 842 | 738 |
|
Robert Todd Harper
1101 26Th St S |
$60.66 | 791 | 703 |
|
Aaron David Neeley
1101 26Th St S |
$127.20 | 750 | 707 |
|
Robert M Grasseschi
1401 25Th St S Ste 4 |
$128.33 | 744 | 573 |
|
Larry D Hall
3010 15Th Ave S |
$29.23 | 735 | 409 |
|
Andrew A. Barber
1101 26Th St S |
$54.53 | 527 | 467 |
|
Heidi L Fritz
1101 26Th St S |
$176.00 | 518 | 285 |
|
Stephanie L Catron
199 Woodland Estates Rd |
$32.21 | 341 | 331 |
|
Philip E Donahue
1101 26Th St S |
$73.67 | 314 | 296 |
|
Michael W Adams
1101 26Th St S |
$32.95 | 288 | 288 |
|
Anne Kathryn Eby
3010 15Th Ave S |
$85.21 | 231 | 219 |
|
Bridget A. Brennan
425 Smelter Ave Ne |
$81.15 | 196 | 195 |
|
Holly C. Strong
401 15Th Ave S Ste 202 |
$205.00 | 193 | 95 |
|
Krystal Rennee Kackley
1101 26Th St S |
$184.95 | 181 | 103 |
|
Cari Elaine Matthews
1101 26Th St S |
$74.64 | 141 | 140 |
|
Julia Marie Fitzpatrick
1101 26Th St S |
$121.33 | 115 | 55 |
|
Sarah-Anne Victoria Solberg
3000 15Th Ave S |
$66.14 | 78 | 76 |
|
Raheel Khalid
1101 26Th St S |
$84.81 | 76 | 24 |
|
Anna Mary Christensen
1101 26Th St S |
$96.55 | 55 | 52 |
|
Kelsey A. Bock
1401 25Th St S |
$95.87 | 44 | 42 |
|
Amber Molnar
1300 28Th St S Fl 2 |
$33.51 | 44 | 42 |
|
Sean B Dow
1101 26Th St S |
$166.55 | 36 | 24 |
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 Great Falls, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Great Falls, MT is $48.59 per claim, based on 187,468 claims from 52 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 Great Falls, MT?
There are 52 Medicaid providers offering Emergency Room Visit related services in Great Falls, MT according to public payment data.
What is the price range for Emergency Room Visit in Great Falls, MT?
Medicaid reimbursement for Emergency Room Visit in Great Falls, MT ranges from $10.02 to $205.00 per claim, with an average of $48.59. 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 Great Falls, MT
Blood Work & Lab Tests
Avg $1.34
632,349 claims
Office Visit
Avg $69.01
498,486 claims
Psychiatric Evaluation
Avg $51.07
388,793 claims
Behavioral & Mental Health Therapy
Avg $70.57
325,633 claims
Physical Therapy
Avg $13.45
181,583 claims
X-Ray
Avg $5.68
130,701 claims
Case Management Services
Avg $130.84
123,372 claims
Vaccines & Immunizations
Avg $18.24
104,182 claims