Average Medicaid Emergency Room Visit Payments in Kalispell, MT: $64.81
Avg. Paid
$64.81
Range
$0.97 – $294.36
Total Claims
97,679
Providers
33
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 Kalispell, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kalispell Regional Medical Center Inc
310 Sunnyview Ln |
$22.23 | 52,070 | 46,583 |
|
Daniel F Zlogar
310 Sunnyview Ln |
$120.30 | 4,159 | 4,024 |
|
Leonard B Desmul
310 Sunnyview Ln |
$120.28 | 3,528 | 3,424 |
|
Katie D King
310 Sunnyview Ln |
$96.50 | 3,415 | 3,328 |
|
Tyler Cameron Hoppes
310 Sunnyview Ln |
$115.87 | 3,394 | 3,256 |
|
Todd Alan Johnson
310 Sunnyview Ln |
$123.31 | 3,376 | 3,273 |
|
Andrew David Craig
310 Sunnyview Ln |
$129.97 | 3,220 | 3,122 |
|
Theodore Losey
310 Sunnyview Ln |
$118.41 | 3,161 | 3,027 |
|
Richard Briles
310 Sunnyview Ln |
$120.65 | 2,904 | 2,787 |
|
Dallas Tanner Koperski
310 Sunnyview Ln |
$108.61 | 2,713 | 2,575 |
|
Suzy Buckmaster
310 Sunnyview Ln |
$116.97 | 2,696 | 2,609 |
|
Kimberly Ann Hill
310 Sunnyview Ln |
$133.52 | 2,526 | 2,409 |
|
Robert J Blair
310 Sunnyview Ln |
$89.47 | 2,182 | 2,034 |
|
Douglas R Day
1333 Surgical Services Way |
$70.84 | 1,812 | 1,725 |
|
Amy Jolene Skeel
310 Sunnyview Ln |
$141.59 | 1,098 | 1,027 |
|
John V Vanarendonk
310 Sunnyview Ln |
$105.73 | 891 | 853 |
|
Scott D Burry
310 Sunnyview Ln |
$72.65 | 868 | 820 |
|
Stacia Kristine Shimanek
200 Commons Way Ste B |
$122.51 | 817 | 786 |
|
Elizabeth A Schilling
310 Sunnyview Ln |
$108.63 | 681 | 658 |
|
Robert W Bates
310 Sunnyview Ln |
$119.56 | 462 | 442 |
|
Tracy Pollath
160 Heritage Way |
$53.00 | 372 | 347 |
|
Terasa Louise Prock
310 Sunnyview Ln |
$115.17 | 306 | 133 |
|
Alexandria Renee Rutherford
310 Sunnyview Ln |
$56.63 | 227 | 221 |
|
Kalispell Regional Medical Center Inc
310 Sunnyview Lane |
$0.97 | 180 | 133 |
|
Sue A Fessler
350 Heritage Way Ste 2100 |
$121.02 | 170 | 55 |
|
Kevin Lee Keeton
350 Heritage Way |
$175.05 | 123 | 63 |
|
Laurel Skeek
310 Sunnyview Ln |
$84.41 | 112 | 98 |
|
Erik Peltz
1333 Surgical Services Way |
$151.47 | 62 | 19 |
|
Scott Paul Seager
200 Commons Way |
$66.33 | 34 | 33 |
|
Seth William Clemens
350 Heritage Way Ste 2100 |
$171.11 | 33 | 30 |
|
Anthony Roy Dal Nogare
350 Heritage Way |
$198.17 | 32 | 13 |
|
Tanya Shah
310 Sunnyview Ln |
$294.36 | 29 | 29 |
|
Bethany Ann Weiler
350 Heritage Way Ste 2100 |
$61.69 | 26 | 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 Kalispell, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Kalispell, MT is $64.81 per claim, based on 97,679 claims from 33 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 Kalispell, MT?
There are 33 Medicaid providers offering Emergency Room Visit related services in Kalispell, MT according to public payment data.
What is the price range for Emergency Room Visit in Kalispell, MT?
Medicaid reimbursement for Emergency Room Visit in Kalispell, MT ranges from $0.97 to $294.36 per claim, with an average of $64.81. 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 Kalispell, MT
Blood Work & Lab Tests
Avg $30.97
747,032 claims
Substance Abuse Treatment
Avg $13.14
544,564 claims
Office Visit
Avg $72.03
400,343 claims
Home Health Visit
Avg $52.48
390,446 claims
Psychiatric Evaluation
Avg $59.76
242,185 claims
Physical Therapy
Avg $29.18
183,783 claims
Dental Cleaning & Exam
Avg $31.44
182,445 claims
Behavioral & Mental Health Therapy
Avg $63.17
153,027 claims