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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Marshalltown, IA: $154.51

Avg. Paid

$154.51

Range

$28.10 – $268.50

Total Claims

74,521

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 Marshalltown, IA

Provider Avg. Paid Claims Patients
Lance M. Vangundy

3 S 4Th Ave

$166.07 18,317 17,204
Blaine Brian Westemeyer

3 S 4Th Ave

$166.30 16,416 15,577
Jacob Flinkman

3 S 4Th Ave

$169.78 11,873 11,275
Leah A. Bethel

3 South 4Th Ave

$121.45 11,865 9,021
Ross O. Huffman

3 S 4Th Ave

$189.81 7,665 7,155
Eric J Stenberg

3 S 4Th Ave

$75.73 3,846 3,524
Karissa J Junior

802 S Center St

$126.85 1,165 1,130
Autumn Brittany Schmoker

407 E Main St

$121.02 820 787
Melissa Ann Koch

407 E Main St

$114.01 688 658
Patricia Ann Fasbender

101 Iowa Ave W Ste 102

$101.74 307 270
Richard L Dowell

407 E Main St

$74.73 284 256
Unitypoint Health - Marshalltown

55 Unitypoint Way

$268.50 265 252
Unitypoint Health - Marshalltown

55 Unitypoint Way

$28.10 219 197
James David Demmel

312 E Main St

$172.30 178 146
Mckenzie Mae Cooper

3 S 4Th Ave

$87.54 177 175
Andrew John Dolfie

3 S 4Th Ave

$92.11 173 152
Mariah Hope Fritz-Chyma

3 S 4Th Ave

$54.69 154 151
Melissa Michelle Rachuy

3 S 4Th Ave

$128.57 94 89
John Edward Reinertson

3 S 4Th Ave

$89.58 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 Marshalltown, IA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Marshalltown, IA is $154.51 per claim, based on 74,521 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 Marshalltown, IA?

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

What is the price range for Emergency Room Visit in Marshalltown, IA?

Medicaid reimbursement for Emergency Room Visit in Marshalltown, IA ranges from $28.10 to $268.50 per claim, with an average of $154.51. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

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