Average Medicaid Emergency Room Visit Payments in Madison, IN: $81.98
Avg. Paid
$81.98
Range
$28.93 – $151.28
Total Claims
45,046
Providers
17
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, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Leon Charpentier
1373 E State Road 62 |
$87.12 | 16,610 | 13,339 |
|
Norton - Kings Daughters Health, Inc
1373 E Sr 62 |
$151.28 | 4,667 | 3,506 |
|
L. Barrett Bernard
1 Kings Daughters Dr |
$59.60 | 4,170 | 3,844 |
|
Ronald G. Kearschner
1 Kings Daughters Dr |
$98.79 | 4,093 | 3,505 |
|
Daniel Long
1373 E State Road 62 |
$35.03 | 3,729 | 2,793 |
|
Gabriel Adam Borisuk
445 Clifty Dr |
$54.82 | 2,534 | 2,128 |
|
Brandon Kuley
1373 E State Road 62 |
$117.87 | 2,178 | 1,855 |
|
Laurence Shapiro
1373 East State Road #62 |
$63.65 | 1,733 | 1,637 |
|
Melissa Kay Meyer
1373 E Sr 62 |
$49.18 | 1,150 | 846 |
|
Jefferson Lake Emergency Physicians Llc
1373 E State Road 62 |
$28.93 | 833 | 576 |
|
William Allan Francis
1373 E State Road 62 |
$43.29 | 773 | 633 |
|
Bryan E Maddox
445 Clifty Dr |
$64.24 | 760 | 694 |
|
Leila Reed
445 Clifty Dr |
$30.43 | 707 | 493 |
|
Michael E Israel
630 Broadway St |
$39.93 | 355 | 221 |
|
Sara Nicole Thorpe
1373 E State Road 62 |
$94.83 | 284 | 275 |
|
Kristen Elisabeth Brewster
445 Clifty Dr |
$29.60 | 258 | 174 |
|
Sarah Leanne Mahoney
445 Clifty Dr |
$81.09 | 212 | 199 |
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, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Madison, IN is $81.98 per claim, based on 45,046 claims from 17 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, IN?
There are 17 Medicaid providers offering Emergency Room Visit related services in Madison, IN according to public payment data.
What is the price range for Emergency Room Visit in Madison, IN?
Medicaid reimbursement for Emergency Room Visit in Madison, IN ranges from $28.93 to $151.28 per claim, with an average of $81.98. 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, IN
Substance Abuse Treatment
Avg $21.63
370,835 claims
Office Visit
Avg $49.14
190,923 claims
Behavioral & Mental Health Therapy
Avg $104.89
164,426 claims
Blood Work & Lab Tests
Avg $6.53
136,502 claims
Psychiatric Evaluation
Avg $58.05
76,683 claims
Durable Medical Equipment (DME)
Avg $23.98
70,991 claims
Case Management Services
Avg $34.69
66,033 claims
Vaccines & Immunizations
Avg $9.63
62,404 claims