Average Medicaid Emergency Room Visit Payments in Hagerstown, MD: $112.51
Avg. Paid
$112.51
Range
$32.46 – $222.85
Total Claims
119,319
Providers
46
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 Hagerstown, MD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nikhil K. Mehta
251 E Antietam St |
$143.48 | 21,715 | 21,079 |
|
Zachary Smith
11116 Medical Campus Rd |
$117.80 | 14,670 | 13,923 |
|
Meritus Medical Center Inc
11116 Medical Campus Rd |
$32.46 | 13,797 | 11,404 |
|
John Y Lee
11116 Medical Campus Rd |
$150.62 | 6,566 | 5,887 |
|
Stephen Kotch
251 E Antietam St |
$95.70 | 4,478 | 4,001 |
|
Meagan Theresa Cooper
11116 Medical Campus Rd |
$131.58 | 4,418 | 3,931 |
|
Christopher Michael Gentle
251 E Antietam St |
$138.73 | 4,172 | 3,889 |
|
Noah Lamond Keller
Washington County Hospital |
$117.26 | 4,124 | 3,916 |
|
Robert D Flint
251 E Antietam St |
$115.39 | 4,032 | 3,692 |
|
Bryn Dekosky
11116 Medical Campus Rd |
$103.09 | 3,881 | 3,598 |
|
Katherine E Spann
Meritus Medical Center |
$124.33 | 3,719 | 3,540 |
|
Jill N Wilkins
11116 Medical Campus Rd |
$115.18 | 3,410 | 3,254 |
|
Joseph Gibney
11116 Medical Campus Rd |
$121.48 | 3,267 | 3,043 |
|
Jill Mikash
11116 Medical Campus Rd |
$126.58 | 2,897 | 2,785 |
|
Christopher Bjork
11116 Medical Campus Rd |
$121.60 | 2,757 | 2,594 |
|
Anacostia Medical Associates
11116 Medical Campus Rd |
$37.05 | 2,626 | 755 |
|
Joshua Travis Mcclain
11116 Medical Campus Rd |
$103.23 | 1,975 | 1,922 |
|
Sarah Norris
11116 Medical Campus Rd |
$122.60 | 1,956 | 1,859 |
|
Zachary James Schreiber
19230 Jamestown Dr |
$122.47 | 1,890 | 1,797 |
|
Gregory Loeb
11116 Medical Campus Rd |
$112.64 | 1,604 | 1,465 |
|
Erin Strasser
11116 Medical Campus Rd |
$134.13 | 1,480 | 1,435 |
|
Cambria M Baylor
11116 Medical Campus Rd |
$151.74 | 1,345 | 1,202 |
|
Caitlin Alexandra Dichiara
24 N Walnut St |
$76.63 | 1,123 | 1,088 |
|
Janelle Marie Martin
251 E Antietam St |
$85.52 | 1,054 | 708 |
|
Zachary Durham
11116 Medical Campus Rd |
$147.83 | 918 | 873 |
|
Ama Asabea Asare
11116 Medical Campus Rd |
$143.53 | 818 | 778 |
|
Milad L Pooran
11116 Medical Campus Rd |
$90.67 | 686 | 203 |
|
Christopher Allen Brandon
251 E Antietam St |
$98.36 | 647 | 629 |
|
Gelnar Teresa Talj
11110 Medical Campus Rd Ste 250 |
$104.76 | 580 | 513 |
|
Gerald W Adcock
11116 Medical Campus Rd |
$123.32 | 473 | 450 |
|
Jerilyn Joy Vanfossen
13424 Pennsylvania Ave |
$85.61 | 380 | 362 |
|
Melissa M. Kershner
11116 Medical Campus Rd |
$97.47 | 338 | 305 |
|
Haley Mesol
11110 Medical Campus Rd Ste 147 |
$125.05 | 320 | 291 |
|
Rondal Nicole Zapf
11116 Medical Campus Rd |
$124.91 | 269 | 259 |
|
Tanveer Gaibi
251 E Antietam St |
$81.69 | 236 | 219 |
|
Allan Okot Anyumba
10974 Sassan Ln |
$60.15 | 184 | 177 |
|
Donna Jean Catt
10715 Downsville Pike |
$90.69 | 181 | 164 |
|
Stacey Nicole Gibson
11110 Medical Campus Rd Ste 147 |
$95.37 | 94 | 82 |
|
Mdics At Meritus Medical Center, Llc
11116 Medical Campus Rd |
$84.55 | 44 | 40 |
|
Margaret Keeley Murray
201 E Irvin Ave |
$101.79 | 41 | 39 |
|
Nicholas John Branca
11116 Medical Campus Rd |
$144.90 | 39 | 39 |
|
Steven R Turley
11116 Medical Campus Rd |
$113.89 | 34 | 13 |
|
Ajay Bhandari
11116 Medical Campus Rd |
$55.99 | 33 | 25 |
|
Mudusar I Raza
12821 Oak Hill Ave |
$222.85 | 23 | 14 |
|
Matthew George Wagner
11116 Medical Campus Rd |
$123.67 | 13 | 12 |
|
Roger Stone
251 E Antietam St |
$171.76 | 12 | 12 |
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 Hagerstown, MD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hagerstown, MD is $112.51 per claim, based on 119,319 claims from 46 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 Hagerstown, MD?
There are 46 Medicaid providers offering Emergency Room Visit related services in Hagerstown, MD according to public payment data.
What is the price range for Emergency Room Visit in Hagerstown, MD?
Medicaid reimbursement for Emergency Room Visit in Hagerstown, MD ranges from $32.46 to $222.85 per claim, with an average of $112.51. 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 Hagerstown, MD
Office Visit
Avg $78.99
1,200,926 claims
Substance Abuse Treatment
Avg $77.30
697,922 claims
Psychiatric Evaluation
Avg $102.16
509,775 claims
Blood Work & Lab Tests
Avg $10.40
456,369 claims
Physical Therapy
Avg $46.83
246,188 claims
Case Management Services
Avg $156.99
236,417 claims
Speech Therapy
Avg $42.48
159,888 claims
X-Ray
Avg $9.05
139,975 claims