Average Medicaid Emergency Room Visit Payments in Herrin, IL: $52.48
Avg. Paid
$52.48
Range
$34.23 – $83.19
Total Claims
61,459
Providers
11
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 Herrin, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mustafa Hindi
201 S 14Th St |
$55.61 | 13,635 | 12,109 |
|
Chante Thanh Trinh
201 S 14Th St |
$48.60 | 9,411 | 8,695 |
|
Eric A Ruebke
201 S 14Th St |
$53.80 | 7,685 | 7,098 |
|
Dobroslawa Reschke
201 S 14Th St |
$83.19 | 5,339 | 4,748 |
|
Jaswant S Sidhu
201 S 14Th St |
$41.10 | 5,176 | 4,843 |
|
Donnie Edwin Shelton
201 S 14Th St |
$47.95 | 5,068 | 4,822 |
|
Lucas Craig Webb
201 S 14Th St |
$41.35 | 4,194 | 3,869 |
|
Joshua James Miksanek
201 S 14Th St |
$48.38 | 4,061 | 3,815 |
|
Alan John Wilson
201 S 14Th St |
$53.74 | 3,473 | 3,275 |
|
Jessica Lohman
405 Rushing Dr |
$34.23 | 2,668 | 2,213 |
|
Anna Szyfer
201 S 14Th St |
$64.54 | 749 | 733 |
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 Herrin, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Herrin, IL is $52.48 per claim, based on 61,459 claims from 11 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 Herrin, IL?
There are 11 Medicaid providers offering Emergency Room Visit related services in Herrin, IL according to public payment data.
What is the price range for Emergency Room Visit in Herrin, IL?
Medicaid reimbursement for Emergency Room Visit in Herrin, IL ranges from $34.23 to $83.19 per claim, with an average of $52.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Herrin, IL
Office Visit
Avg $14.61
182,238 claims
Durable Medical Equipment (DME)
Avg $48.76
58,376 claims
Physical Therapy
Avg $92.50
51,027 claims
EKG / ECG (Electrocardiogram)
Avg $9.21
15,793 claims
Eye Exam
Avg $27.44
7,535 claims
Pathology & Lab Services
Avg $19.97
7,489 claims
Blood Work & Lab Tests
Avg $50.61
6,704 claims
Urinalysis & Urine Tests
Avg $9.66
6,389 claims