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 |
|---|---|---|---|
|
Francis Idemudia Ukpokolo
1001 Bellefontaine Ave |
$94.78 | 13 | 13 |
|
Brandon E Colvin
1003 Bellefontaine Ave Ste 125 |
$68.19 | 18 | 12 |
|
Benjamin Bova
730 W Market St |
$203.20 | 19 | 15 |
|
Paul Anike
1003 Bellefontaine Ave Ste 200 |
$174.66 | 25 | 25 |
|
Jeremy James Heffner
1003 Bellefontaine Ave |
$42.91 | 37 | 13 |
|
Juan Rodriguez Vela
730 W Market St |
$82.32 | 40 | 39 |
|
Zane Waji M Dean
1003 Bellefontaine Ave Ste 200 |
$115.08 | 40 | 37 |
|
Nonso Andrew Ezema
658 W Market St Ste 106 |
$61.14 | 44 | 39 |
|
Elyssa Lynn Roth
2195 Allentown Rd |
$23.76 | 47 | 43 |
|
Pamela R Gardner
1003 Bellefontaine Ave Ste 200 |
$128.75 | 47 | 46 |
|
Masroor Anwar Abro
1003 Bellefontaine Ave Ste 200 |
$162.27 | 55 | 55 |
|
Venkat R Battula
1003 Bellefontaine Ave Ste 200 |
$153.27 | 58 | 58 |
|
Ludmila Gott
2195 Allentown Rd |
$17.57 | 58 | 48 |
|
Jannet Bux
730 W Market St |
$67.95 | 62 | 30 |
|
Seth Jason Sklare
770 W High St Ste 240 |
$93.03 | 66 | 31 |
|
Rusheeth Reddy Thummalapally
770 W High St Ste 300 |
$101.70 | 79 | 71 |
|
Amy L Smith
1220 E Elm St Ste 101 |
$29.91 | 98 | 86 |
|
Kyle Anderson
801 Medical Dr |
$37.59 | 106 | 104 |
|
Kate Elizabeth Mccollum
730 W Market St |
$25.71 | 122 | 117 |
|
Jason E Martin
730 W Market St |
$52.31 | 123 | 117 |
|
Ronda S Nartker
730 W Market St |
$89.35 | 129 | 120 |
|
Derek Oswald
730 W Market St |
$94.92 | 159 | 156 |
|
Tyler Mark
730 W Market St |
$72.55 | 166 | 161 |
|
Ellen K Bowlin
730 W Market St |
$0.83 | 212 | 154 |
|
Samuel Cory
730 W Market St |
$63.83 | 293 | 278 |
|
Jonathan David Tiongco
730 W Market St |
$157.77 | 298 | 285 |
|
Jason A Stienecker
1003 Bellefontaine Ave Ste 150 |
$29.67 | 329 | 126 |
|
Alissa Jean Horton
1220 E Elm St Ste 101 |
$30.77 | 334 | 302 |
|
Adam Robert Osterhage
967 Bellefontaine Ave |
$79.50 | 346 | 323 |
|
Matthew Kaufman
801 Medical Dr Ste A |
$49.53 | 364 | 315 |
|
Inderpal S Thethi
1003 Bellefontaine Ave Ste 150 |
$50.61 | 486 | 211 |
|
Yaser Hamwi
730 W Market St |
$112.89 | 727 | 631 |
|
Toby James Tippie
801 Medical Dr |
$89.63 | 943 | 907 |
|
Jordan Richard Pothast
730 W Market St |
$124.94 | 1,098 | 1,063 |
|
Connor Mckenzie Rohrback
730 W Market St |
$65.71 | 1,113 | 1,070 |
|
Edwin Cole Mcmillan
730 W Market St |
$59.49 | 1,389 | 1,294 |
|
Melba Michele Brown
750 W High St |
$46.08 | 1,661 | 1,581 |
|
Mohammad Taleb
770 W High St Ste 240 |
$43.93 | 1,818 | 647 |
|
Geoffrey C Mitchell
730 W Market St |
$71.32 | 2,029 | 1,934 |
|
Jessica M Schierloh
1001 Bellefontaine Ave |
$73.64 | 2,081 | 1,984 |
|
Nicole Johann Wolff
3083 Fort Amanda Rd |
$112.35 | 2,146 | 2,041 |
|
Shannan M Dennis
730 W Market St |
$63.69 | 2,225 | 2,150 |
|
Scott Calvin Batterson
730 W Market St |
$113.82 | 2,312 | 2,192 |
|
Alexandre Lightfoot
730 W Market St |
$62.40 | 2,334 | 2,198 |
|
Ahmad Mohammadieh
730 W Market St |
$76.45 | 2,580 | 2,322 |
|
Gary J Cathcart
730 W Market St |
$95.34 | 2,634 | 2,493 |
|
Nathan Travis Vermillion
1001 Bellefontaine Ave |
$81.13 | 2,758 | 2,599 |
|
Brittany Horvath
1001 Bellefontaine Ave |
$77.46 | 2,959 | 2,798 |
|
Rina Stein
1001 Bellefontaine Ave |
$73.01 | 3,583 | 2,963 |
|
David Stemen
2195 Allentown Rd |
$94.53 | 3,614 | 3,416 |
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