Average Medicaid Emergency Room Visit Payments in Hamilton, OH: $93.92
Avg. Paid
$93.92
Range
$46.43 – $123.95
Total Claims
120,353
Providers
19
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 Hamilton, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Fort Hamilton Hospital
630 Eaton Avenue |
$123.95 | 33,696 | 28,485 |
|
Brandon Emerson Forbes
630 Eaton Ave |
$90.80 | 17,759 | 16,851 |
|
Ghazala Sadruddin Malik
630 Eaton Ave |
$84.34 | 17,053 | 16,190 |
|
Charlene Alison Miller
630 Eaton Ave |
$87.05 | 12,294 | 11,661 |
|
Andrew Sasak
630 Eaton Ave |
$77.57 | 10,770 | 9,089 |
|
Kristen Frazier
9582 Princeton Glendale Rd |
$65.05 | 7,921 | 7,684 |
|
Anthony Jasseim Abdullah
630 Eaton Ave |
$84.54 | 7,654 | 7,305 |
|
Ryan Elizabeth Matson
630 Eaton Ave |
$67.13 | 3,993 | 3,874 |
|
Francisco J Ramirez
630 Eaton Ave |
$103.91 | 3,476 | 3,307 |
|
Carlyn Yeong Sook Ko
630 Eaton Ave |
$80.41 | 2,280 | 2,137 |
|
Ritche C Chiu
3090 Mcbride Ct |
$52.04 | 1,117 | 529 |
|
David Robert Dinuoscio
25 Office Park Dr |
$55.90 | 620 | 314 |
|
Oluwole O.A. Onadeko
25 Office Park Dr |
$62.70 | 462 | 207 |
|
Michael I Gabrilovich
25 Office Park Dr |
$58.16 | 410 | 171 |
|
Samir Ashokkumar Brahmbhatt
3090 Mcbride Ct |
$61.60 | 344 | 149 |
|
Pius Manavalan
3090 Mcbride Ct, Suite B |
$54.69 | 228 | 97 |
|
Scott R Day
840 Nw Washington Blvd |
$46.43 | 131 | 126 |
|
Maico Julian Baez
543 Park Ave |
$69.50 | 130 | 126 |
|
Aubrey Scrudato
520 Eaton Ave |
$47.51 | 15 | 15 |
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 Hamilton, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hamilton, OH is $93.92 per claim, based on 120,353 claims from 19 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 Hamilton, OH?
There are 19 Medicaid providers offering Emergency Room Visit related services in Hamilton, OH according to public payment data.
What is the price range for Emergency Room Visit in Hamilton, OH?
Medicaid reimbursement for Emergency Room Visit in Hamilton, OH ranges from $46.43 to $123.95 per claim, with an average of $93.92. 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 Hamilton, OH
Office Visit
Avg $46.10
600,395 claims
Substance Abuse Treatment
Avg $88.41
508,579 claims
Psychiatric Evaluation
Avg $75.06
252,958 claims
Behavioral & Mental Health Therapy
Avg $81.28
232,890 claims
Blood Work & Lab Tests
Avg $5.94
228,109 claims
Vaccines & Immunizations
Avg $7.76
132,248 claims
Speech Therapy
Avg $26.37
119,235 claims
Dental Cleaning & Exam
Avg $19.79
88,813 claims