Average Medicaid Emergency Room Visit Payments in Idaho Falls, ID: $117.85
Avg. Paid
$117.85
Range
$39.71 – $177.78
Total Claims
122,984
Providers
24
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 Idaho Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy Diana Thornley
3100 Channing Way |
$100.69 | 21 | 12 |
|
Jacklyn Hagg
3100 Channing Way |
$101.31 | 22 | 13 |
|
Kenneth E Krell
2860 Channing Way Ste 221 |
$109.70 | 142 | 37 |
|
Anne L Broadway
2730 Channing Way |
$39.71 | 167 | 152 |
|
Jason T Rinker
1995 E 17Th St |
$94.28 | 524 | 521 |
|
Patrick Connor Spotts
2325 Coronado St |
$80.77 | 823 | 812 |
|
Kelly Meacham
3389 Merlin Dr |
$94.46 | 1,306 | 1,295 |
|
Jeffrey B Stieglitz
3100 Channing Way |
$82.98 | 2,160 | 2,061 |
|
Audrey J Schaefer
3100 Channing Way |
$69.19 | 2,164 | 2,070 |
|
Idaho Falls Community Hospital Llc
2327 Coronado St |
$72.79 | 3,060 | 2,606 |
|
Alan Joel Jensen
3360 Washington Pkwy |
$88.42 | 4,467 | 4,408 |
|
Matthew R Griggs
3100 Channing Way |
$95.37 | 4,627 | 4,478 |
|
David Andrew Garrity
3100 Channing Way |
$93.92 | 4,738 | 4,586 |
|
Joseph M Anderson
3100 Channing Way |
$84.91 | 4,792 | 4,530 |
|
Scott G Cross
3100 Channing Way |
$91.54 | 4,870 | 4,705 |
|
Douglas James Cook
3100 Channing Way |
$86.57 | 5,441 | 5,282 |
|
Jerry B Smedley
3100 Channing Way |
$85.40 | 5,489 | 5,296 |
|
Eric B Maughan
3100 Channing Way |
$95.66 | 5,577 | 5,410 |
|
Rebekah J Bird
3100 Channing Way |
$80.14 | 5,594 | 5,436 |
|
Justin John Thompson
3100 Channing Way |
$93.64 | 5,651 | 5,465 |
|
James Tyler Christensen
3100 Channing Way |
$75.32 | 5,872 | 5,741 |
|
Caren J Smith
765 S Utah Ave |
$81.60 | 5,933 | 5,822 |
|
Nate Boyle
3100 Channing Way |
$77.94 | 6,443 | 6,304 |
|
Eastern Idaho Health Services Inc
3100 Channing Way |
$177.78 | 43,101 | 37,849 |
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 Idaho Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Idaho Falls, ID is $117.85 per claim, based on 122,984 claims from 24 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 Idaho Falls, ID?
There are 24 Medicaid providers offering Emergency Room Visit related services in Idaho Falls, ID according to public payment data.
What is the price range for Emergency Room Visit in Idaho Falls, ID?
Medicaid reimbursement for Emergency Room Visit in Idaho Falls, ID ranges from $39.71 to $177.78 per claim, with an average of $117.85. 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 Idaho Falls, ID
Office Visit
Avg $61.52
566,749 claims
Blood Work & Lab Tests
Avg $7.24
547,065 claims
Case Management Services
Avg $48.12
426,038 claims
Physical Therapy
Avg $62.36
366,638 claims
Substance Abuse Treatment
Avg $117.95
364,872 claims
Speech Therapy
Avg $47.43
320,858 claims
Home Health Visit
Avg $47.78
296,402 claims
Behavioral & Mental Health Therapy
Avg $91.88
294,557 claims