Average Medicaid Emergency Room Visit Payments in Lewes, DE: $92.80
Avg. Paid
$92.80
Range
$8.26 – $157.83
Total Claims
64,937
Providers
19
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 Lewes, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sussex Emergency Associates Llc
424 Savannah Rd |
$72.21 | 36,052 | 30,298 |
|
Beebe Medical Center, Inc.
424 Savannah Rd |
$157.83 | 8,736 | 8,114 |
|
Kevin Michael Eanes
424 Savannah Road |
$125.98 | 3,308 | 3,101 |
|
John Mackenzie
424 Savannah Road |
$47.72 | 3,085 | 2,692 |
|
John J Dillon
424 Savannah Rd |
$121.40 | 2,219 | 2,063 |
|
Eric L Gallagher
424 Savannah Rd |
$130.07 | 2,177 | 2,055 |
|
Philemon Parker Bailey
424 Savannah Rd |
$115.22 | 1,911 | 1,810 |
|
Joydeep Haldar
424 Savannah Road |
$116.66 | 1,780 | 1,675 |
|
Beebe Physician Network Inc.
1515 Savannah Rd |
$139.02 | 1,200 | 435 |
|
Paul Cowan
424 Savannah Rd |
$79.02 | 1,153 | 1,086 |
|
Harold M Spangler
424 Savannah Rd |
$79.89 | 798 | 735 |
|
Jacqueline A Smith
424 Savannah Rd |
$71.27 | 650 | 599 |
|
Ali Mohammed
424 Savannah Rd |
$154.41 | 466 | 444 |
|
Lindsay Albanese
424 Savannah Rd |
$8.49 | 453 | 406 |
|
Laurel Ann Steen
34434 King Street Row |
$94.60 | 364 | 327 |
|
Claude L Lavallee
424 Savannah Rd |
$8.26 | 195 | 186 |
|
Brett S Blemle
424 Savannah Road |
$75.46 | 184 | 170 |
|
Matthew M Rydlewski
16337 Coastal Hwy |
$21.25 | 133 | 131 |
|
Kevin D Bristowe
424 Savannah Rd |
$43.84 | 73 | 68 |
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 Lewes, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lewes, DE is $92.80 per claim, based on 64,937 claims from 19 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 Lewes, DE?
There are 19 Medicaid providers offering Emergency Room Visit related services in Lewes, DE according to public payment data.
What is the price range for Emergency Room Visit in Lewes, DE?
Medicaid reimbursement for Emergency Room Visit in Lewes, DE ranges from $8.26 to $157.83 per claim, with an average of $92.80. 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 Lewes, DE
Office Visit
Avg $59.41
228,910 claims
Blood Work & Lab Tests
Avg $15.80
55,477 claims
X-Ray
Avg $8.11
49,014 claims
Psychiatric Evaluation
Avg $69.70
47,830 claims
Physical Therapy
Avg $22.33
27,552 claims
CT Scan (Computed Tomography)
Avg $58.43
26,238 claims
Ultrasound
Avg $23.42
18,915 claims
Speech Therapy
Avg $19.36
16,295 claims