Average Medicaid Emergency Room Visit Payments in Hillsboro, OH: $92.09
Avg. Paid
$92.09
Range
$7.73 – $351.50
Total Claims
119,507
Providers
17
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 Hillsboro, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frederick L Tanzer
1275 N High St |
$7.73 | 12 | 12 |
|
Rachelle A. Cameron
1275 N High St |
$51.54 | 486 | 411 |
|
Kombian Gbaruk
1275 N High St |
$72.85 | 534 | 379 |
|
Bruce Allen Wallace
1275 N High St |
$113.50 | 839 | 768 |
|
Leslie Rea Kallevang
1275 N High St |
$351.50 | 1,877 | 1,622 |
|
Anthony Wetherington
1275 N High St |
$54.32 | 2,916 | 1,803 |
|
Jason K Durose
1275 N High St |
$68.13 | 3,336 | 3,128 |
|
Robert Hunt
231 W Main St |
$57.69 | 3,762 | 3,645 |
|
Rebecca Cavey
1275 N High St |
$120.62 | 5,014 | 4,788 |
|
Amanda K. Jones-Humphrey
1275 N High St |
$62.45 | 5,065 | 4,610 |
|
Brad Stewart Goldman
1275 N High St |
$76.46 | 9,279 | 8,881 |
|
Thomas R. Randall
1275 N High St |
$82.19 | 9,891 | 7,386 |
|
Michael P. Parker
1275 N High St |
$69.51 | 10,454 | 9,576 |
|
Diane Craig
1275 N High St |
$77.78 | 10,612 | 10,247 |
|
Highland District Hospital
1275 North High Street |
$133.61 | 15,626 | 12,272 |
|
Michael John Glueckert
1275 N High St |
$102.98 | 17,053 | 16,274 |
|
Keith J Harkins
1275 N High St |
$76.64 | 22,751 | 21,701 |
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 Hillsboro, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hillsboro, OH is $92.09 per claim, based on 119,507 claims from 17 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 Hillsboro, OH?
There are 17 Medicaid providers offering Emergency Room Visit related services in Hillsboro, OH according to public payment data.
What is the price range for Emergency Room Visit in Hillsboro, OH?
Medicaid reimbursement for Emergency Room Visit in Hillsboro, OH ranges from $7.73 to $351.50 per claim, with an average of $92.09. 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 Hillsboro, OH
Office Visit
Avg $33.39
189,834 claims
Blood Work & Lab Tests
Avg $6.01
182,379 claims
Behavioral & Mental Health Therapy
Avg $92.38
39,346 claims
Dental Cleaning & Exam
Avg $23.83
36,155 claims
Psychiatric Evaluation
Avg $77.09
35,275 claims
Vaccines & Immunizations
Avg $7.63
29,349 claims
Urinalysis & Urine Tests
Avg $1.90
27,024 claims
Eye Exam
Avg $34.60
25,947 claims