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
Jessica Horne 800 Rose Street	$74.05	12	12
Nicole M. Moss 1401 Harrodsburg Rd	$33.45	12	12
Mary Ann Hall 800 Rose St	$67.21	12	12
Pamela R Kouns 740 South Limestone	$40.94	12	12
Ashley T Frankowski Lester 1218 S Broadway Ste 310	$55.54	13	13
Nathan Andrew Brown 1000 S Limestone	$55.71	13	13
Douglas Fredrick Smith 800 Rose Street	$43.75	13	12
Oleva Jane Coleman Mullins 1401 Harrodsburg Rd	$35.61	13	13
Kelly J Meyers University Of Kentucky Medical Ctr	$76.53	14	12
Matthew Fain 3205 Summit Square Pl Ste 100	$96.86	14	14
Connor Greer Uk Albert B Chandler Hospital Pavilion Ha 800 Rose St	$70.35	14	14
Lee Ann Brewer 2195 Harrodsburg Rd	$21.16	14	12
Kelsey Rhea Jobe 800 Rose St	$86.80	15	12
James Foster 3205 Summit Square Pl Ste 100	$59.24	15	15
Ana Karolina Viquez-Beita 900 S Limestone Ctw 304	$129.33	16	13
James C Kemp 1401 Harrodsburg Rd Ste A300	$88.99	16	16
Corey Clinton Thomas 1055 Wellington Way	$23.20	16	13
Patrick Albert Cleeton University Of Kentucky	$157.14	17	12
Molly V Houser 1700 Nicholasville Rd	$436.55	18	16
Robin Mchale Polly 1101 Veterans Dr	$41.55	18	15
Virginia Watson Sowders 740 S Limestone	$92.59	19	12
Tamra Langley 800 Rose St	$101.25	20	12
Joseph A Edie 800 Rose St	$61.27	21	13
Ashwin Subramani Krishna 800 Rose St	$143.19	21	13
Manpreet K. Datta 800 Rose St	$59.34	23	12
Edna Danielle Williamson 3205 Summit Square Pl Ste 100	$34.37	24	24
Jamie Raglin Uk Healthcare	$80.36	25	24
Thomas Grant Avritt 800 Rose St	$151.56	25	15
Joshua Neace 1000 S Limestone	$80.61	25	12
Charles Andrew Tringo 1221 S Broadway	$50.09	26	26
Blair Elizabeth Lawless 800 Rose St	$101.41	27	13
Jennifer B Catlett 151 N Eagle Creek Dr	$43.45	27	26
Andrew Michael Smith 740 S Limestone D200	$135.58	27	15
Diana Lee Heiman 2195 Harrodsburg Rd Ste 125	$9.29	28	26
Megan Elizabeth Steely 800 Rose St	$72.76	29	13
Leslie Thompson 800 Rose St	$68.92	29	13
Adria Gibbs 800 Rose St # N212	$61.51	29	13
Alexander E Tzouanakis 166 Pasadena Dr	$115.95	30	12
Asha N Shenoi 800 Rose St	$142.50	32	13
Jerri L Campbell 1101 Veterans Dr	$2.21	32	29
Sarah H Knight 800 Rose St	$99.41	32	14
Tanya Jane Raef 800 Rose St	$40.75	33	26
Ashish Prakash Maskey Uk Division Of Pulmonary Critical Care	$96.29	33	31
Ryan Patrick Miller 3094 Harrodsburg Rd Ste 201	$53.61	34	29
Donna Ruth Schwartz 360 West Loudon Ave.	$62.05	35	35
Scott Studeny 800 Rose St	$132.45	37	25
Danielle V Lenz 800 Rose St	$115.17	38	25
Summar Nassar 1000 S Limestone	$57.23	38	36
Kaitlyn Shrake 1000 S Limestone	$144.48	38	14
Gopalkumar Rakesh 400 Rose Street	$26.67	38	31

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)