Average Medicaid Emergency Room Visit Payments in Lima, OH: $86.27
Avg. Paid
$86.27
Range
$0.83 – $203.20
Total Claims
360,245
Providers
79
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 Lima, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health-St Ritas Medical Center Llc
730 W Market St |
$117.29 | 53,699 | 39,961 |
|
Lima Memorial Joint Operating Company
1001 Bellefontaine Ave |
$115.83 | 25,681 | 19,541 |
|
Jian Cui
730 W Market St |
$73.23 | 20,248 | 18,951 |
|
John T Meyer
730 W Market St |
$77.12 | 19,189 | 17,896 |
|
Hussein Ibrahim Kashk
967 Bellefontaine Ave |
$72.66 | 16,845 | 15,300 |
|
Seth O. Agiro
730 W Market St |
$71.51 | 16,369 | 15,221 |
|
Christopher M Davis
730 W Market St |
$80.46 | 15,165 | 14,327 |
|
Sampath Medepalli
730 W Market St |
$78.74 | 14,661 | 13,904 |
|
Shane Trotter
730 W Market St |
$57.95 | 10,265 | 8,746 |
|
Manuel Florent Julian Patricio
730 W Market St |
$70.37 | 9,964 | 9,580 |
|
Tammy A Parker
1001 Bellefontaine Ave |
$86.27 | 9,789 | 9,245 |
|
Erin E Rinto
730 W Market St |
$73.74 | 8,096 | 7,728 |
|
Kenneth L Fox
730 W Market St |
$67.99 | 7,746 | 6,129 |
|
Pooja Gupta
730 W Market St |
$81.65 | 7,360 | 7,030 |
|
David Paul Bafford
1001 Bellefontaine Ave |
$76.05 | 7,153 | 6,850 |
|
Nicholas J Feison
730 W Market St |
$103.54 | 6,836 | 5,945 |
|
Zachery Norton
Po Box 73 |
$71.58 | 6,436 | 6,124 |
|
Cody Jones
1001 Bellefontaine Ave |
$70.72 | 6,135 | 5,930 |
|
Jamil Khan
730 W Market St |
$130.45 | 6,005 | 5,407 |
|
Stephanie Nicole Casey
730 W Market St |
$79.82 | 5,911 | 5,283 |
|
Kerry Andrew Forrestal
730 W Market St |
$104.69 | 5,841 | 4,891 |
|
David Ross Cheney
730 W Market St |
$72.52 | 5,703 | 4,810 |
|
Gary A Poturalski
730 W Market St |
$65.27 | 5,406 | 5,192 |
|
Jeffrey N Boulter
730 W Market St |
$69.46 | 4,632 | 4,437 |
|
Nathan J Walters
1001 Bellefontaine Ave |
$105.34 | 4,443 | 4,183 |
|
Mary Elizabeth Koch
730 W Market St |
$76.80 | 4,439 | 4,025 |
|
William Clifford Cole
770 W High St Ste 240 |
$44.88 | 4,040 | 1,166 |
|
John Robert Stuber
1550 N Main St |
$82.85 | 4,010 | 3,803 |
|
Joshua Wagenknecht
1001 Bellefontaine Ave |
$75.66 | 3,901 | 3,797 |
|
David Stemen
2195 Allentown Rd |
$94.53 | 3,614 | 3,416 |
|
Rina Stein
1001 Bellefontaine Ave |
$73.01 | 3,583 | 2,963 |
|
Brittany Horvath
1001 Bellefontaine Ave |
$77.46 | 2,959 | 2,798 |
|
Nathan Travis Vermillion
1001 Bellefontaine Ave |
$81.13 | 2,758 | 2,599 |
|
Gary J Cathcart
730 W Market St |
$95.34 | 2,634 | 2,493 |
|
Ahmad Mohammadieh
730 W Market St |
$76.45 | 2,580 | 2,322 |
|
Alexandre Lightfoot
730 W Market St |
$62.40 | 2,334 | 2,198 |
|
Scott Calvin Batterson
730 W Market St |
$113.82 | 2,312 | 2,192 |
|
Shannan M Dennis
730 W Market St |
$63.69 | 2,225 | 2,150 |
|
Nicole Johann Wolff
3083 Fort Amanda Rd |
$112.35 | 2,146 | 2,041 |
|
Jessica M Schierloh
1001 Bellefontaine Ave |
$73.64 | 2,081 | 1,984 |
|
Geoffrey C Mitchell
730 W Market St |
$71.32 | 2,029 | 1,934 |
|
Mohammad Taleb
770 W High St Ste 240 |
$43.93 | 1,818 | 647 |
|
Melba Michele Brown
750 W High St |
$46.08 | 1,661 | 1,581 |
|
Edwin Cole Mcmillan
730 W Market St |
$59.49 | 1,389 | 1,294 |
|
Connor Mckenzie Rohrback
730 W Market St |
$65.71 | 1,113 | 1,070 |
|
Jordan Richard Pothast
730 W Market St |
$124.94 | 1,098 | 1,063 |
|
Toby James Tippie
801 Medical Dr |
$89.63 | 943 | 907 |
|
Yaser Hamwi
730 W Market St |
$112.89 | 727 | 631 |
|
Inderpal S Thethi
1003 Bellefontaine Ave Ste 150 |
$50.61 | 486 | 211 |
|
Matthew Kaufman
801 Medical Dr Ste A |
$49.53 | 364 | 315 |
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 Lima, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lima, OH is $86.27 per claim, based on 360,245 claims from 79 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 Lima, OH?
There are 79 Medicaid providers offering Emergency Room Visit related services in Lima, OH according to public payment data.
What is the price range for Emergency Room Visit in Lima, OH?
Medicaid reimbursement for Emergency Room Visit in Lima, OH ranges from $0.83 to $203.20 per claim, with an average of $86.27. 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 Lima, OH
Office Visit
Avg $37.97
1,104,248 claims
Blood Work & Lab Tests
Avg $4.95
627,203 claims
Home Health Visit
Avg $43.26
488,523 claims
Psychiatric Evaluation
Avg $44.82
315,369 claims
Dental Cleaning & Exam
Avg $17.77
283,150 claims
Substance Abuse Treatment
Avg $85.46
248,726 claims
EKG / ECG (Electrocardiogram)
Avg $6.53
204,022 claims
Behavioral & Mental Health Therapy
Avg $55.07
191,073 claims