Average Medicaid Emergency Room Visit Payments in Hilton Head, SC: $75.76
Avg. Paid
$75.76
Range
$48.57 – $119.10
Total Claims
3,499
Providers
7
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 Hilton Head, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brett Jeffrey Cargill
25 Hospital Center Blvd |
$81.04 | 1,833 | 1,779 |
|
John Thomas Daniels
2323 Main St., Ste 202 |
$68.99 | 545 | 152 |
|
Michael R Kaup
25 Hospital Center Blvd |
$63.62 | 495 | 476 |
|
Robert Lee Clodfelter
25 Hospital Medical Center |
$65.45 | 266 | 258 |
|
Van Alan Gauby
93 N Main St |
$79.82 | 124 | 124 |
|
Stephen Dale Coats
100 Exchange St |
$119.10 | 123 | 113 |
|
Patrick Michael Jordan
2 Greenwood Dr |
$48.57 | 113 | 109 |
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 Hilton Head, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Hilton Head, SC is $75.76 per claim, based on 3,499 claims from 7 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 Hilton Head, SC?
There are 7 Medicaid providers offering Emergency Room Visit related services in Hilton Head, SC according to public payment data.
What is the price range for Emergency Room Visit in Hilton Head, SC?
Medicaid reimbursement for Emergency Room Visit in Hilton Head, SC ranges from $48.57 to $119.10 per claim, with an average of $75.76. 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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Avg $130.10
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Avg $135.52
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Other Procedures in Hilton Head, SC
Office Visit
Avg $88.64
22,646 claims
Dental Cleaning & Exam
Avg $33.21
15,785 claims
Vaccines & Immunizations
Avg $14.78
10,938 claims
Dental Filling
Avg $89.93
2,466 claims
Physical Therapy
Avg $75.93
2,214 claims
Psychiatric Evaluation
Avg $104.08
1,296 claims
Urinalysis & Urine Tests
Avg $2.81
1,053 claims
Hearing Test (Audiometry)
Avg $1.08
774 claims