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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Lorain, OH: $85.32

Avg. Paid

$85.32

Range

$4.65 – $115.70

Total Claims

173,745

Providers

33

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 Lorain, OH

Provider Avg. Paid Claims Patients
Mercy Health-Regional Medical Center Llc

3700 Kolbe Rd

 $110.79 49,398 39,798
Brian Andrew Romito

3700 Koble Road

 $84.81 32,518 31,247
Carla Ann O'Day

Chp Regional Medical Center

 $94.65 21,569 20,664
Randhir S Paul

3700 Kolbe Rd

 $83.39 19,805 18,820
Joseph Maclellan

5700 Cooper Foster Park Rd W

 $76.81 9,696 9,314
Emergency Medical Services Of Lorain, Inc.

3700 Kolbe Rd

 $4.65 4,952 4,239
Mark Reid Clutter

3700 Kolbe Rd

 $48.25 4,401 4,264
Marc Baumgard

3700 Kolbe Rd

 $73.38 4,388 3,769
David Heidelberg

3700 Kolbe Rd

 $44.19 3,748 2,773
Tanya Maria Konyesni

5800 Cooper Foster Park Rd W

 $82.35 3,257 3,123
Manaf Zaizafoun

3600 Kolbe Rd Ste 109

 $47.28 2,843 1,029
Merna Akram Wilson

3700 Kolbe Rd

 $49.61 2,615 1,957
Casey Tyler Helms

5800 Cooper Foster Park Rd W

 $91.19 2,077 1,983
David M Iliano

3700 Kolbe Rd

 $49.46 2,013 1,890
Lee Donald Zalud

3700 Kolbe Rd

 $77.39 1,843 1,727
Rami Abboud

3600 Kolbe Rd

 $52.39 1,719 684
Courtney Pearl Adelman

3700 Kolbe Rd

 $51.76 1,616 1,530
Mikayla Sue Campana

3700 Kolbe Rd

 $50.79 1,121 1,078
Kimberly Okicki

3700 Kolbe Rd

 $51.22 971 937
Hope Bre-Anna Murphy

3700 Kolbe Rd

 $54.03 968 915
Theresa Anne Repko

3600 Kolbe Rd Ste 205

 $46.12 927 826
Alen Siljak

3700 Kolbe Rd

 $67.26 333 331
Hannah Mallory

3700 Kolbe Rd

 $89.83 270 258
Angela Anne Shay

3700 Kolbe Rd

 $115.70 215 211
Lauren A Dadas

3600 Kolbe Rd Ste 11

 $47.11 130 128
Kelly Ann Mash

3700 Kolbe Rd

 $52.88 91 91
Monica M. Fowler

3700 Kolbe Rd

 $66.25 66 54
Dhruv R Patel

3600 Kolbe Rd Ste 223

 $43.70 42 13
Peter E Harroff

3700 Kolbe Rd

 $20.44 39 39
Community Hospitalist, Llc

3700 Kolbe Rd

 $22.32 36 25
Ashok P Makadia

3600 Kolbe Rd Ste 227

 $27.14 34 14
Christopher Scott Smith

3600 Kolbe Rd Ste 120

 $25.31 25 24
Ashley D Taylor

3700 Kolbe Rd

 $92.23 19 19

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 Lorain, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Lorain, OH is $85.32 per claim, based on 173,745 claims from 33 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 Lorain, OH?

There are 33 Medicaid providers offering Emergency Room Visit related services in Lorain, OH according to public payment data.

What is the price range for Emergency Room Visit in Lorain, OH?

Medicaid reimbursement for Emergency Room Visit in Lorain, OH ranges from $4.65 to $115.70 per claim, with an average of $85.32. 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 Lorain, OH

Office Visit

Avg $42.76

582,044 claims

Behavioral & Mental Health Therapy

Avg $73.54

353,970 claims

Blood Work & Lab Tests

Avg $5.56

292,761 claims

Psychiatric Evaluation

Avg $68.76

200,757 claims

Substance Abuse Treatment

Avg $132.64

187,034 claims

Vaccines & Immunizations

Avg $12.47

139,698 claims

Home Health Visit

Avg $77.73

101,545 claims

Dental Cleaning & Exam

Avg $21.07

89,933 claims