Average Medicaid Emergency Room Visit Payments in Kokomo, IN: $99.17
Avg. Paid
$99.17
Range
$8.31 – $178.94
Total Claims
104,685
Providers
29
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 Kokomo, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stuart Devaul
5111 Clinton Dr |
$109.49 | 22,541 | 18,335 |
|
Paula Wilham
3500 S Lafountain St |
$114.66 | 16,935 | 14,811 |
|
Tai Duong
1907 W Sycamore St |
$105.55 | 11,746 | 9,708 |
|
Richard Hehner
3505 S Reed Rd |
$98.71 | 10,281 | 8,385 |
|
Lynn T Coy
3500 S Lafountain St |
$124.16 | 8,493 | 7,466 |
|
Kristin Martin
3500 S Lafountain St |
$137.71 | 5,977 | 5,056 |
|
David Williams
1907 W Sycamore St |
$63.56 | 4,817 | 4,084 |
|
Addison Schwaller
1907 W Sycamore St |
$61.71 | 4,540 | 3,481 |
|
Sukhdev Dhindsa
1907 W Sycamore St |
$62.41 | 4,205 | 3,378 |
|
Franklin Forest Purciful
620 N Bell St |
$56.54 | 3,732 | 3,237 |
|
Kaitlyn Elizabeth Zimmer
1907 W Sycamore St |
$70.79 | 2,873 | 2,376 |
|
Kim B Rashada
2130 W Sycamore St Ste 140 |
$42.04 | 2,337 | 2,021 |
|
Lacey Diane Maul
1907 W Sycamore St |
$49.45 | 2,136 | 1,769 |
|
Benjamin York Constable
1907 W Sycamore St |
$73.10 | 1,682 | 1,473 |
|
Jacob Bledsoe
1907 W Sycamore St |
$117.83 | 734 | 657 |
|
Alex Gutierrez
1907 W Sycamore St |
$149.11 | 487 | 423 |
|
Susan Catherine Crampton
1907 W Sycamore St |
$80.39 | 370 | 355 |
|
Muni K Theertham
3500 S Lafountain St |
$81.18 | 207 | 157 |
|
Baha Mohammed Taleb Obaidat
3504 S Lafountain St |
$93.63 | 172 | 52 |
|
Karthik Rao Polsani
3500 S Lafountain St |
$33.95 | 134 | 87 |
|
Theodore C Hicks
1010 S Reed Rd |
$13.36 | 54 | 52 |
|
St. Joseph Hospital & Health Center, Inc.
1907 W Sycamore St |
$163.10 | 49 | 47 |
|
Kiran K Baikati
3500 S Lafountain St |
$101.53 | 38 | 32 |
|
Janice Elaine Morecraft
138 N Dixon Rd |
$42.90 | 29 | 25 |
|
Natalie M Emert
3500 S Lafountain St |
$53.26 | 29 | 27 |
|
Courtney Nicole Shaffer
1907 W Sycamore St # 200 |
$8.31 | 29 | 27 |
|
Chris Bahler
1907 W Sycamore St Fl 3 |
$162.09 | 27 | 12 |
|
Daniel Seth Livingston
3504 S Lafountain St |
$55.79 | 16 | 12 |
|
Community Howard Regional Health, Inc
3500 S Lafountain St |
$178.94 | 15 | 14 |
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 Kokomo, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Kokomo, IN is $99.17 per claim, based on 104,685 claims from 29 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 Kokomo, IN?
There are 29 Medicaid providers offering Emergency Room Visit related services in Kokomo, IN according to public payment data.
What is the price range for Emergency Room Visit in Kokomo, IN?
Medicaid reimbursement for Emergency Room Visit in Kokomo, IN ranges from $8.31 to $178.94 per claim, with an average of $99.17. 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 Kokomo, IN
Office Visit
Avg $57.56
596,793 claims
Psychiatric Evaluation
Avg $59.19
233,105 claims
Physical Therapy
Avg $31.97
204,887 claims
Blood Work & Lab Tests
Avg $6.21
186,583 claims
Vaccines & Immunizations
Avg $9.72
141,743 claims
Behavioral & Mental Health Therapy
Avg $93.35
115,049 claims
Speech Therapy
Avg $40.07
69,574 claims
Durable Medical Equipment (DME)
Avg $26.31
68,100 claims