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Based on public Medicaid payment data.

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

Other Procedures in Lima, OH