Average Medicaid Emergency Room Visit Payments in Kettering, OH: $92.55
Avg. Paid
$92.55
Range
$17.52 – $227.08
Total Claims
963,000
Providers
210
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 Kettering, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kettering Medical Center
3535 Southern Blvd |
$109.37 | 54,021 | 45,271 |
|
Gary E Gries
4750 Hempstead Station Dr |
$83.02 | 25,753 | 24,544 |
|
Zena Jalloh
4750 Hempstead Station Dr |
$86.99 | 18,330 | 17,354 |
|
Shawn Michael Priem
3535 Southern Blvd |
$80.33 | 17,064 | 16,050 |
|
Brian Michael Pennington
3535 Southern Blvd |
$94.06 | 16,872 | 16,124 |
|
Laura Marissa Field
3525 Southern Blvd |
$88.65 | 15,781 | 15,017 |
|
Matthew P Kiefaber
3535 Southern Blvd |
$87.62 | 15,172 | 14,635 |
|
Gregory Stephen Kohls
3533 Southern Blvd |
$85.18 | 15,042 | 14,321 |
|
Ryan Matthew Babienco
3525 Southern Blvd |
$86.62 | 14,778 | 14,083 |
|
Aditya Arora
3535 Southern Blvd |
$92.44 | 13,735 | 13,139 |
|
William R. Breeding
3535 Southern Blvd |
$101.09 | 13,497 | 12,786 |
|
Michael Edward Dowler
3535 Southern Blvd |
$95.57 | 13,445 | 12,897 |
|
John Mark Miller
3535 Southern Blvd |
$227.08 | 13,179 | 10,331 |
|
Scarlett Ann Michael
3535 Southern Blvd |
$86.69 | 12,879 | 12,266 |
|
Derek Lee Broering
3535 Southern Blvd |
$86.69 | 12,667 | 12,082 |
|
Daniel P. Marcus
4750 Hempstead Station Dr |
$99.53 | 12,263 | 11,753 |
|
Joel Andrew Crane
3535 Southern Blvd |
$87.82 | 12,208 | 11,566 |
|
Jeremy J Traylor
3535 Southern Blvd |
$108.37 | 12,178 | 11,609 |
|
Andrew W Lee
3535 Southern Blvd |
$96.62 | 12,012 | 11,623 |
|
Theresa Foreman
3535 Southern Blvd |
$92.82 | 11,977 | 11,446 |
|
Julie V Knott
3535 Southern Blvd |
$83.90 | 11,953 | 11,492 |
|
Lalit Kishore Goyal
3535 Southern Blvd |
$74.13 | 11,854 | 10,977 |
|
Jamie Bonner
3525 Southern Blvd |
$91.00 | 11,789 | 11,303 |
|
John Corker
3535 Southern Blvd |
$95.40 | 11,748 | 11,304 |
|
John David Ewing
3535 Southern Blvd |
$92.93 | 11,723 | 11,292 |
|
Jill Clarissa Aston
4750 Hempstead Station Dr |
$89.71 | 11,620 | 11,094 |
|
Scott David Koncal
3535 Southern Blvd |
$83.48 | 11,516 | 10,927 |
|
Mark E Gebhart
3535 Southern Blvd |
$92.42 | 11,493 | 10,979 |
|
William Edward Brady
3535 Southern Blvd |
$85.81 | 11,476 | 11,021 |
|
Jamie Siesel
3525 Southern Blvd |
$87.37 | 11,384 | 10,813 |
|
Kindra C Engle
3535 Southern Blvd |
$89.75 | 11,191 | 10,573 |
|
Sarah Valentine
3535 Southern Blvd |
$88.16 | 10,914 | 10,395 |
|
Haley Sauder
3535 Southern Blvd |
$93.33 | 10,587 | 10,203 |
|
Christopher Paul Miller
3535 Southern Blvd |
$87.62 | 10,452 | 10,081 |
|
Richard Marriott
3525 Southern Blvd |
$89.26 | 10,202 | 9,662 |
|
Richard L Harover
3535 Southern Blvd |
$76.34 | 10,062 | 9,574 |
|
Joshua Neal Klepinger
3525 Southern Blvd |
$83.33 | 9,975 | 9,355 |
|
James Matthew Freyhof
3535 Southern Blvd |
$93.83 | 9,799 | 9,428 |
|
Anna M. Robinson
4750 Hempstead Station Dr |
$94.19 | 9,744 | 9,199 |
|
Katie Calaway Imhof
3535 Southern Blvd |
$74.38 | 9,434 | 8,808 |
|
Stephanie Lynn Maus
3535 Southern Blvd |
$97.34 | 9,071 | 8,719 |
|
David L Marcus
3535 Southern Blvd |
$92.11 | 9,033 | 8,650 |
|
Eric James Landman
3535 Southern Blvd |
$91.62 | 8,990 | 8,602 |
|
Tracy Diane Givens
4750 Hempstead Station Dr |
$75.25 | 8,988 | 8,632 |
|
Debra Gale Edwards
3535 Southern Blvd |
$95.28 | 8,854 | 8,525 |
|
Scott M Balonier
3535 Southern Blvd |
$100.88 | 8,643 | 8,315 |
|
Elizabeth Joyce Gannon
3535 Southern Blvd |
$89.53 | 8,582 | 8,250 |
|
Brooke Mccarthy
3535 Southern Blvd |
$99.72 | 8,435 | 8,109 |
|
Usman B. Asad
3535 Southern Blvd |
$81.38 | 8,234 | 7,703 |
|
Krystle Torok
3525 Southern Blvd |
$97.20 | 8,142 | 7,809 |
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 Kettering, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Kettering, OH is $92.55 per claim, based on 963,000 claims from 210 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 Kettering, OH?
There are 210 Medicaid providers offering Emergency Room Visit related services in Kettering, OH according to public payment data.
What is the price range for Emergency Room Visit in Kettering, OH?
Medicaid reimbursement for Emergency Room Visit in Kettering, OH ranges from $17.52 to $227.08 per claim, with an average of $92.55. 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 Kettering, OH
Blood Work & Lab Tests
Avg $3.42
657,607 claims
Home Health Visit
Avg $55.80
476,695 claims
Office Visit
Avg $48.87
316,054 claims
X-Ray
Avg $5.77
211,699 claims
EKG / ECG (Electrocardiogram)
Avg $4.57
167,967 claims
Urinalysis & Urine Tests
Avg $0.59
157,306 claims
Vaccines & Immunizations
Avg $12.13
112,018 claims
CT Scan (Computed Tomography)
Avg $86.65
101,284 claims