Average Medicaid Emergency Room Visit Payments in Lancaster, OH: $86.82
Avg. Paid
$86.82
Range
$31.58 – $119.94
Total Claims
139,499
Providers
32
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 Lancaster, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Fairfield Medical Center
401 N Ewing St |
$119.94 | 45,029 | 37,288 |
|
Emergency Medicine Physicians Of Lancaster, Ltd.
401 N Ewing St |
$53.95 | 19,118 | 17,915 |
|
Robert Javier Dominguez
784 E Main St |
$92.97 | 14,842 | 13,862 |
|
John P Scott
401 N Ewing St |
$90.22 | 10,136 | 9,500 |
|
Mark Darnell
401 N Ewing St |
$91.56 | 9,467 | 8,848 |
|
Kevin Karl Bowman
401 N Ewing St |
$92.49 | 6,180 | 5,838 |
|
Eric Trushaw
401 N Ewing St |
$44.73 | 5,820 | 5,160 |
|
Douglas Richard White
401 N Ewing St |
$39.20 | 5,613 | 5,435 |
|
Russell M Rudy
401 N Ewing St |
$62.03 | 4,684 | 4,399 |
|
Kristin Sue White
401 N Ewing St |
$39.79 | 3,267 | 3,173 |
|
Sarah Elizabeth Asbridge
401 N Ewing St |
$94.47 | 2,979 | 2,780 |
|
Leslie Michael Sachon
401 N Ewing St |
$77.06 | 2,890 | 2,723 |
|
Charles L Pruitt
401 N Ewing St |
$91.19 | 2,537 | 2,347 |
|
Courtney Ann Rodgers
401 N Ewing St |
$42.84 | 1,884 | 1,789 |
|
Benjamin E Pruitt
401 N Ewing St |
$33.35 | 1,539 | 1,514 |
|
Haley Carlson
401 N Ewing St |
$44.44 | 860 | 805 |
|
Christa Marie Nagle
401 N Ewing St |
$38.87 | 638 | 631 |
|
Chelsea Alizabeth Decker
401 S Ewing Street |
$40.46 | 465 | 444 |
|
Kyle Aaron Beiter
401 N Ewing St |
$106.00 | 291 | 259 |
|
Andrew Robert Twehues
618 Pleasantville Rd |
$31.75 | 289 | 133 |
|
Christian Thomas Tencza
618 Pleasantville Rd |
$36.11 | 268 | 109 |
|
Carrie Lynn Huber
401 N Ewing St |
$93.17 | 252 | 224 |
|
Jarrod Thomas Bruce
618 Pleasantville Rd |
$39.68 | 166 | 78 |
|
Sarah C Steward
401 N Ewing St |
$66.26 | 105 | 57 |
|
Talal M Sabbagh
401 N Ewing St |
$46.11 | 43 | 40 |
|
Avneet Singh
618 Pleasantville Rd Ste 303 |
$45.34 | 29 | 14 |
|
Martha L Buckley
1550 Sheridan Dr |
$60.49 | 24 | 12 |
|
Eric T Overdorf
135 N Ewing St |
$35.97 | 23 | 23 |
|
Carrie Jividen
2151 W Fair Ave |
$31.58 | 19 | 18 |
|
Matthew David Campos
401 N Ewing St |
$61.98 | 16 | 12 |
|
Tim L Kynion
1201 River Valley Blvd |
$112.13 | 14 | 12 |
|
Sarah H. Bonza
401 N Ewing St |
$80.83 | 12 | 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 Lancaster, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lancaster, OH is $86.82 per claim, based on 139,499 claims from 32 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 Lancaster, OH?
There are 32 Medicaid providers offering Emergency Room Visit related services in Lancaster, OH according to public payment data.
What is the price range for Emergency Room Visit in Lancaster, OH?
Medicaid reimbursement for Emergency Room Visit in Lancaster, OH ranges from $31.58 to $119.94 per claim, with an average of $86.82. 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 Lancaster, OH
Office Visit
Avg $50.30
559,428 claims
Blood Work & Lab Tests
Avg $9.90
271,954 claims
Home Health Visit
Avg $39.13
269,599 claims
Psychiatric Evaluation
Avg $67.44
228,531 claims
Substance Abuse Treatment
Avg $100.16
198,133 claims
Behavioral & Mental Health Therapy
Avg $76.56
156,025 claims
Physical Therapy
Avg $23.10
103,203 claims
Dental Cleaning & Exam
Avg $25.07
81,301 claims