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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Madison, AL: $47.94

Avg. Paid

$47.94

Range

$17.60 – $67.91

Total Claims

50,676

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 Madison, AL

Provider Avg. Paid Claims Patients
Gregory S Borucki

124 Bluff Spring Dr

 $44.74 13,155 11,532
Roger Dale Stanmore

7583 Wall Triana Hwy

 $48.02 11,458 9,987
Derek Hunt

709 Sugar Bend Cir Sw

 $67.91 5,639 5,218
Herbert C Frith

8375 Highway 72 W

 $46.46 4,624 3,937
Brendella Turnbow Montgomery

139 Kensington Dr

 $47.06 3,901 3,624
James Daniel Griffin

8375 Highway 72 W

 $42.18 3,662 2,927
David Manson Grisham

8375 Highway 72 W

 $40.41 2,983 2,569
Aletha Lakay Edison

7583 Wall Triana Hwy

 $44.67 2,263 2,019
Ha Bich Chu

8121 Madison Blvd Ste 101A

 $43.08 1,515 1,411
Whitney E West

550 Sun Temple Dr

 $58.08 739 687
Verne H Webster

8045 Highway 72 W

 $52.44 138 128
Dana Zahran

8375 Highway 72 W

 $51.82 103 78
Kacy Hairell Uribe

8375 Highway 72 W

 $23.03 100 77
Michael Terrell Grissom

8375 Highway 72 W

 $23.02 97 75
Logan Reed Heflin

8375 Highway 72 W

 $21.71 85 80
Ranya Zahran

114 Bridgefield Rd

 $21.07 77 62
Hannah Eason Bates

107 Waterford Cir

 $56.91 53 49
Elizabeth Key

8375 Highway 72 W

 $17.60 48 41
Kristina Easterling

8375 Highway 72 W

 $17.60 36 27

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 Madison, AL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Madison, AL is $47.94 per claim, based on 50,676 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 Madison, AL?

There are 19 Medicaid providers offering Emergency Room Visit related services in Madison, AL according to public payment data.

What is the price range for Emergency Room Visit in Madison, AL?

Medicaid reimbursement for Emergency Room Visit in Madison, AL ranges from $17.60 to $67.91 per claim, with an average of $47.94. 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 Madison, AL

Office Visit

Avg $59.62

168,475 claims

Dental Cleaning & Exam

Avg $24.12

106,529 claims

Psychiatric Evaluation

Avg $21.91

70,524 claims

Vaccines & Immunizations

Avg $26.10

48,698 claims

Nursing Facility Care

Avg $1.98

40,490 claims

Blood Work & Lab Tests

Avg $8.09

31,757 claims

Urinalysis & Urine Tests

Avg $2.79

25,536 claims

Eye Exam

Avg $30.01

18,155 claims