Average Medicaid Emergency Room Visit Payments in Lexington, SC: $74.27
Avg. Paid
$74.27
Range
$3.55 – $114.10
Total Claims
57,026
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 Lexington, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christopher Wyler Munger
811 W Main St |
$82.75 | 13,200 | 11,790 |
|
Patrick M O'Malley
811 W Main St |
$64.67 | 7,081 | 6,875 |
|
Carl Wehr Peter
223 Kenwood Dr |
$69.04 | 6,434 | 5,650 |
|
Celeste M Nelson
811 W Main St |
$57.07 | 4,804 | 4,417 |
|
Susan Bowers
154 Saluda Pointe Ct. |
$43.32 | 4,783 | 4,191 |
|
Jonathan David Taylor
1106 Morning Shore Dr |
$80.85 | 4,547 | 4,448 |
|
Eliza Jacob Appleby
154 Saluda Pointe Dr |
$63.87 | 4,506 | 4,226 |
|
Kathryn Rebecca Rawlings
811 W Main St |
$114.10 | 4,497 | 4,063 |
|
Michael Patrick Fox
5336 Sunset Blvd Ste A |
$95.15 | 3,719 | 3,386 |
|
Gordon H Bobbett
154 Saluda Pointe Court |
$77.04 | 1,130 | 1,081 |
|
Gerri A Kukucka
5224 Sunset Blvd |
$49.50 | 710 | 696 |
|
Michael T Crump
154 Saluda Pointe Court |
$75.48 | 599 | 589 |
|
Elizabeth A Renwick
154 Saluda Pointe Dr |
$73.71 | 457 | 440 |
|
Henry Evan Dingle
154 Saluda Pointe Dr |
$109.72 | 277 | 227 |
|
Donald Lewis Bloodworth
811 W Main St |
$3.55 | 167 | 166 |
|
Mark S Green
1847 S Lake Dr |
$43.96 | 53 | 40 |
|
Thomas D Bryan
5535 Platt Springs Rd |
$50.01 | 33 | 32 |
|
Anne Morrison Harper
104 Saluda Pointe Dr |
$37.57 | 15 | 14 |
|
Robin Theo Mitchell
154 Saluda Pointe Dr |
$32.55 | 14 | 13 |
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, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lexington, SC is $74.27 per claim, based on 57,026 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 Lexington, SC?
There are 19 Medicaid providers offering Emergency Room Visit related services in Lexington, SC according to public payment data.
What is the price range for Emergency Room Visit in Lexington, SC?
Medicaid reimbursement for Emergency Room Visit in Lexington, SC ranges from $3.55 to $114.10 per claim, with an average of $74.27. 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 Lexington, SC
Office Visit
Avg $71.88
565,550 claims
Home Health Visit
Avg $71.51
466,969 claims
Personal Care Services
Avg $27.09
224,532 claims
Vaccines & Immunizations
Avg $18.26
216,231 claims
Speech Therapy
Avg $58.70
213,419 claims
Dental Cleaning & Exam
Avg $33.23
202,701 claims
Psychiatric Evaluation
Avg $139.71
186,171 claims
Ambulance Transport
Avg $48.43
167,981 claims