Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Lexington, KY: $156.12

Avg. Paid

$156.12

Range

$2.21 – $436.55

Total Claims

2,128,548

Providers

494

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 Lexington, KY

Provider	Avg. Paid	Claims	Patients
University Of Kentucky 800 Rose St	$420.87	342,013	294,651
Saint Joseph Health System, Inc 1 Saint Joseph Dr	$278.62	154,948	125,221
Saint Joseph Health System, Inc 150 N Eagle Creek Dr	$289.93	95,309	77,471
Baptist Healthcare System, Inc 1740 Nicholasville Rd	$205.23	88,260	73,921
Hazim Rishmawi 1221 S Broadway	$63.07	25,345	23,500
Bruce Joseph Kostelnik 1221 S Broadway	$64.81	23,928	22,324
Jesse J Dean 1221 S Broadway	$62.56	21,673	20,272
Nickolas Ray Collins 800 Rose Street	$64.14	17,962	16,535
Paul W Finley 1792 Alysheba Way	$61.10	17,083	15,317
Vinayak Gupta 800 Rose St Rm M-53	$140.01	16,214	13,989
Cody Blake Gilbert 1221 S Broadway	$60.19	15,661	14,025
Luke Justin Wilder 4057 Mooncoin Way	$147.03	15,638	13,763
Eric M Reid 310 S Limestone	$55.96	15,378	14,263
Slade Thompson 1221 S Broadway	$163.89	14,957	13,595
Erika Pasciuta 800 Rose St	$62.94	14,942	14,246
Ryan T Smith University Of Kentucky 800 Rose St	$91.45	14,773	13,969
Joe Richardson 1 Saint Joseph Dr	$56.69	14,598	13,327
James Combs 1221 S Broadway	$71.88	14,590	12,941
Daniel Lim Cuevas 800 Rose St	$80.29	14,265	12,484
Marc Raymond Deshaies 1221 S Broadway	$65.95	13,330	12,335
Abdolreza Rabiee 1221 S Broadway	$68.14	13,093	12,082
Matthew Lally 800 Rose St	$80.82	12,952	12,210
Jaryd Kaufman Zummer 800 Rose Street	$57.02	12,934	12,222
Landon Jones M53 Chandler Medical Ctr	$61.85	12,847	12,329
Craig T Carter 800 Rose Street	$61.73	12,423	11,889
Andrew D Buckley 2032 Twain Ridge Dr	$58.41	11,845	10,597
Christina Marie Sullivan 3205 Summit Square Pl Ste 100	$56.43	11,474	10,564
John Mayo University Of Kentucky 800 Rose St	$64.41	11,422	10,428
Robert Anthony Hill 1221 S Broadway	$56.63	11,178	10,272
Ryan C Hubbard University Of Kentucky 800 Rose Street	$88.12	11,163	10,106
Linda Yasmeen Katirji 800 Rose Street	$72.14	11,135	10,483
Gena Lynn Cooper 1000 S Limestone	$61.22	11,064	10,654
Timothy Wayne Carroll 1221 S Broadway	$62.85	10,921	10,127
Bradley Parker Buckingham 800 Rose St # M53	$53.86	10,507	9,730
Joseph Paul Karpinsky 1221 S Broadway	$63.54	10,484	9,596
James Joseph Blake 1 Saint Joseph Dr	$65.60	10,353	9,585
Sama Ghali 1000 South Limestone Street	$82.96	10,250	9,658
Timothy Scott Talbot 1221 S Broadway	$69.29	10,236	8,905
Michael Thomas Sweeney 1000 South Limestone	$62.42	9,907	9,195
Jordan Michael Brunswick 800 Rose St	$79.93	9,702	8,901
Ashwin Basrur Prabhu 800 Rose St	$61.68	9,373	8,760
Danielle Dardis 800 Rose Street	$60.27	9,314	8,895
Glenn R Proudfoot 1221 S Broadway	$61.22	9,306	8,590
Raymond Lehnert 150 N Eagle Creek Dr	$72.66	9,243	8,621
Kimberly Jo Wells 1792 Alysheba Way, Suite 150	$62.87	9,194	8,613
William Edward Wehrman 1221 S Broadway	$65.80	9,171	8,447
Nagabhushanam R Bollavaram 1401 Harrodsburg Rd Ste A300	$73.59	9,129	2,817
Adrian Chaffin 1221 S Broadway	$62.64	8,928	8,220
Lynda Newman 1221 S Broadway	$69.71	8,921	8,307
Joshua Garland Sykes 1221 S Broadway	$41.94	8,836	8,414

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 Lexington, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lexington, KY is $156.12 per claim, based on 2,128,548 claims from 494 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 Lexington, KY?

There are 494 Medicaid providers offering Emergency Room Visit related services in Lexington, KY according to public payment data.

What is the price range for Emergency Room Visit in Lexington, KY?

Medicaid reimbursement for Emergency Room Visit in Lexington, KY ranges from $2.21 to $436.55 per claim, with an average of $156.12. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Lexington, KY: $156.12

Providers Offering Emergency Room Visit in Lexington, KY

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Lexington, KY

Blood Work & Lab Tests

Office Visit

X-Ray

Psychiatric Evaluation

Physical Therapy

Substance Abuse Treatment

Dental Cleaning & Exam

CT Scan (Computed Tomography)