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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Madisonville, KY: $147.72

Avg. Paid

$147.72

Range

$34.24 – $242.44

Total Claims

166,082

Providers

21

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 Madisonville, KY

Provider Avg. Paid Claims Patients
Baptist Health Deaconess Madisonville Inc

900 Hospital Dr

 $242.44 74,588 61,657
Christopher Bunch

900 Hospital Dr

 $66.14 12,359 11,422
Jessica Malachowski

200 Clinic Dr

 $78.35 11,947 11,688
Aamir Nawaz

900 Hospital Dr

 $85.58 11,169 9,482
Andrea Renee Williams

900 Hospital Dr

 $64.70 10,471 9,573
Peter E Clemens

900 Hospital Dr

 $67.83 7,423 6,666
Sean M Denton

900 Hospital Dr

 $69.53 7,349 6,774
Michael A Newman

900 Hospital Dr

 $114.81 5,324 5,005
Eric M. Hofmann

1851 N Main St

 $42.33 5,139 4,575
Carla Rivera Y Pierola

200 Clinic Dr

 $65.40 3,929 3,377
Rebecca V Tauil

444 S Main St

 $42.98 3,636 3,461
Jason Aaron Canterberry

510 Ruby Dr

 $44.91 3,516 3,209
Karoly John Dobay

900 Hospital Drive

 $73.90 2,784 2,378
Jinee Marie Brooks

200 Clinic Dr

 $68.60 2,643 2,524
Joshua D Stevens

800 Hospital Dr

 $84.59 2,077 1,664
Thomas S Neely

44 Mccoy Avenue

 $54.62 894 800
Sandra Alexis Soriano

900 Hospital Dr

 $43.30 491 434
Raul Hernandez

900 Hospital Dr

 $37.74 161 128
Folaranmi Ajiboye

200 Clinic Dr

 $59.13 136 130
Kayla Marie Wester

900 Hospital Dr

 $34.24 31 27
Robert William Adams

900 Hospital Dr

 $85.10 15 13

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 Madisonville, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Madisonville, KY is $147.72 per claim, based on 166,082 claims from 21 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 Madisonville, KY?

There are 21 Medicaid providers offering Emergency Room Visit related services in Madisonville, KY according to public payment data.

What is the price range for Emergency Room Visit in Madisonville, KY?

Medicaid reimbursement for Emergency Room Visit in Madisonville, KY ranges from $34.24 to $242.44 per claim, with an average of $147.72. 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 Madisonville, KY

Office Visit

Avg $36.41

590,572 claims

Blood Work & Lab Tests

Avg $9.63

576,248 claims

Physical Therapy

Avg $63.56

120,829 claims

Psychiatric Evaluation

Avg $50.66

108,347 claims

Urinalysis & Urine Tests

Avg $4.02

81,040 claims

Vaccines & Immunizations

Avg $17.25

72,928 claims

Dental Cleaning & Exam

Avg $33.22

64,974 claims

EKG / ECG (Electrocardiogram)

Avg $20.84

64,842 claims