Average Medicaid Emergency Room Visit Payments in Helena, MT: $58.38
Avg. Paid
$58.38
Range
$0.00 – $152.49
Total Claims
111,160
Providers
28
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 Helena, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St. Peter'S Health
2475 E Broadway St |
$12.98 | 60,445 | 52,474 |
|
Andrew C Michel
2475 E Broadway St |
$123.60 | 6,402 | 6,028 |
|
Andy Bush Coil
2475 E Broadway St |
$121.78 | 6,331 | 5,997 |
|
Adam Ryan Plate
2475 E Broadway St |
$125.81 | 5,947 | 5,603 |
|
Trent S. Jensen
2475 E Broadway St |
$124.66 | 5,775 | 5,470 |
|
David W Silk
2475 E Broadway St |
$79.76 | 4,976 | 4,766 |
|
Jacob R. Williams
2475 E Broadway St |
$106.57 | 4,781 | 4,505 |
|
Aaron Lee Peters
2475 E Broadway St |
$100.20 | 4,575 | 4,310 |
|
Emily Parkman Morrison
2960 N Washington St |
$106.90 | 3,700 | 3,555 |
|
Tiffany Kniepkamp
2475 E Broadway St |
$133.23 | 3,653 | 3,499 |
|
Guthrie Lewis
2475 E Broadway St |
$100.27 | 1,930 | 1,798 |
|
Cassie Ann Searle
2475 Broadway |
$100.02 | 929 | 875 |
|
Patrick Michael Alduenda
Montana Army National Guard Attn: 83Rd Cst Lt Alduenda |
$95.37 | 651 | 619 |
|
Douglas L Kuntzweiler
820 N Montana Ave |
$93.31 | 425 | 405 |
|
Melissa Marie Quist
2475 E Broadway St |
$1.35 | 216 | 183 |
|
Jacob Cail
2735 Colonial Dr Ste B |
$101.19 | 117 | 111 |
|
Patrick Richard Mclaughlin
301 Saddle Dr Ste G |
$152.49 | 46 | 45 |
|
Andrea Hedblom
630 N Last Chance Gulch Ste 1100 |
$91.14 | 42 | 42 |
|
Lewis And Clark Emergency Physicians P C
2475 E Broadway St |
$0.00 | 37 | 36 |
|
Rachel M Mattern
2707 Colonial Dr |
$107.14 | 33 | 30 |
|
Risa Dawn Paul
2550 E Broadway St |
$129.35 | 31 | 29 |
|
Kristy Kay Spaulding
4185 N Montana Ave |
$81.78 | 25 | 24 |
|
Christopher J Holdhusen
1930 9Th Ave |
$41.34 | 19 | 16 |
|
Jeffrey B Chandler
2910 Prospect Ave Ste 2 |
$77.24 | 19 | 19 |
|
William S Gallea
2475 E Broadway St |
$55.45 | 15 | 12 |
|
Seth Simpson
2755 Colonial Dr |
$111.83 | 15 | 13 |
|
Brad Allen Nieset
1645 Vandelay Ave Ste 301 |
$59.24 | 13 | 12 |
|
Casey Bradford Schanz
2442 Winne Ave |
$47.56 | 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 Helena, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Helena, MT is $58.38 per claim, based on 111,160 claims from 28 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 Helena, MT?
There are 28 Medicaid providers offering Emergency Room Visit related services in Helena, MT according to public payment data.
What is the price range for Emergency Room Visit in Helena, MT?
Medicaid reimbursement for Emergency Room Visit in Helena, MT ranges from $0.00 to $152.49 per claim, with an average of $58.38. 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 Helena, MT
Blood Work & Lab Tests
Avg $0.56
363,316 claims
Office Visit
Avg $67.63
311,254 claims
Psychiatric Evaluation
Avg $64.81
233,254 claims
Physical Therapy
Avg $32.33
219,555 claims
Dental Cleaning & Exam
Avg $30.07
164,772 claims
Behavioral & Mental Health Therapy
Avg $81.01
163,561 claims
Speech Therapy
Avg $28.32
96,283 claims
Case Management Services
Avg $39.68
85,729 claims