Average Medicaid Emergency Room Visit Payments in Marion, IL: $92.19
Avg. Paid
$92.19
Range
$30.17 – $123.11
Total Claims
65,663
Providers
11
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 Marion, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ramesh Babu Guthikonda
3333 W Deyoung St |
$110.55 | 27,491 | 25,596 |
|
Ghanem Abusbeih
3333 W Deyoung St |
$123.11 | 14,402 | 13,024 |
|
Mark Kiplagat Rotich
1401 Danielle Ct |
$47.51 | 6,772 | 6,222 |
|
Todd L Engdahl
3333 W Deyoung St |
$51.95 | 6,430 | 5,852 |
|
Sean E Mccain
3411 Professional Park Drive |
$44.92 | 4,013 | 3,653 |
|
Clinton Jay Mohr
1008 W Cherry St |
$71.35 | 2,681 | 2,473 |
|
Syed Hassan Khalid Jafri
3333 W Deyoung St |
$65.46 | 2,338 | 2,064 |
|
Wroten Mcquirter
902 N Logan St |
$30.17 | 929 | 747 |
|
Byron R Williamson
3333 W Deyoung St |
$36.01 | 351 | 346 |
|
James O Alexander
1009 W Main St |
$78.23 | 166 | 156 |
|
Raymund O Pineda
2401 W Main St |
$81.73 | 90 | 38 |
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 Marion, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Marion, IL is $92.19 per claim, based on 65,663 claims from 11 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 Marion, IL?
There are 11 Medicaid providers offering Emergency Room Visit related services in Marion, IL according to public payment data.
What is the price range for Emergency Room Visit in Marion, IL?
Medicaid reimbursement for Emergency Room Visit in Marion, IL ranges from $30.17 to $123.11 per claim, with an average of $92.19. 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 Marion, IL
Office Visit
Avg $12.55
358,121 claims
Eye Exam
Avg $24.98
218,058 claims
Home Health Visit
Avg $6.40
195,321 claims
Speech Therapy
Avg $12.60
130,364 claims
Vaccines & Immunizations
Avg $1.73
92,173 claims
Blood Work & Lab Tests
Avg $18.16
76,873 claims
Ultrasound
Avg $42.41
42,393 claims
Substance Abuse Treatment
Avg $80.58
41,950 claims