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Based on public Medicaid payment data.

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

Other Procedures in Great Falls, MT