Average Medicaid Emergency Room Visit Payments in Mason City, IA: $114.20
Avg. Paid
$114.20
Range
$13.81 – $1,750
Total Claims
89,920
Providers
29
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 Mason City, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Michael Kuchay
621 S Illinois Ave |
$112.22 | 14,525 | 13,708 |
|
Melanie Rajkumar
101 S Taylor Ave |
$113.06 | 13,367 | 12,333 |
|
Javeria Iqbal
1000 4Th St Sw |
$109.34 | 13,036 | 12,057 |
|
Satinderjit Singh
1000 4Th St Sw |
$109.64 | 8,725 | 8,213 |
|
Farzad Jamshidian
1000 4Th St Sw |
$120.20 | 8,235 | 7,746 |
|
Tavi J Madden-Leduc
1000 4Th St Sw |
$124.33 | 7,303 | 6,931 |
|
Kimberly Lovik
1000 4Th St Sw |
$181.62 | 4,889 | 4,667 |
|
William I Parker
1000 4Th St Sw |
$92.41 | 3,404 | 2,623 |
|
Rajendra Singh
1000 4Th St Sw |
$109.12 | 3,399 | 3,157 |
|
Steven Dunnick
1000 4Th St Sw |
$72.58 | 2,735 | 2,632 |
|
Patricia K Endress
1000 4Th St Sw |
$118.73 | 2,491 | 2,342 |
|
Leslie W Smith
1501 4Th St Sw |
$95.42 | 2,151 | 1,822 |
|
Amanda Ann Stockton
1000 4Th St Sw |
$90.96 | 1,651 | 1,589 |
|
Robert Daniel Saxon
910 N Eisenhower Ave |
$129.19 | 557 | 516 |
|
Nicole Rayhons
1000 4Th St Sw |
$114.36 | 545 | 527 |
|
Douglas T Summerfield
1000 4Th St Sw |
$81.29 | 483 | 201 |
|
North Iowa Mercy Clinics
1000 4Th St Sw |
$13.81 | 424 | 357 |
|
Christopher S Martin
250 S Crescent Dr |
$111.90 | 363 | 333 |
|
John Blaise Pflugi
621 S. Illinois Ave |
$83.66 | 353 | 117 |
|
Mercy Health Services-Iowa Corp
1000 4Th St Sw |
$276.42 | 303 | 285 |
|
Holly M Arciniega
1000 4Th St Sw |
$51.13 | 230 | 217 |
|
Katelyn Barton Froehner
250 S Crescent Dr |
$96.81 | 173 | 165 |
|
Matthew J Schiller
1000 4Th St Sw |
$98.75 | 169 | 158 |
|
Lindsey M Stock
1000 4Th St Sw |
$49.36 | 141 | 125 |
|
Daniel W Pennington
1000 4Th St Sw |
$86.58 | 96 | 35 |
|
Phillip D Alscher
1000 4Th St Sw |
$81.12 | 94 | 56 |
|
Robert James Fagerholm
1000 4Th St Sw |
$35.44 | 39 | 31 |
|
Pranav Singh
1000 4Th St Sw |
$21.52 | 27 | 12 |
|
Amir Bashar
101 S Taylor Ave |
$1,750 | 12 | 12 |
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 Mason City, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mason City, IA is $114.20 per claim, based on 89,920 claims from 29 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 Mason City, IA?
There are 29 Medicaid providers offering Emergency Room Visit related services in Mason City, IA according to public payment data.
What is the price range for Emergency Room Visit in Mason City, IA?
Medicaid reimbursement for Emergency Room Visit in Mason City, IA ranges from $13.81 to $1,750 per claim, with an average of $114.20. 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 Mason City, IA
Office Visit
Avg $32.52
251,985 claims
Psychiatric Evaluation
Avg $72.80
173,529 claims
Blood Work & Lab Tests
Avg $2.12
101,878 claims
Dental Cleaning & Exam
Avg $23.62
93,067 claims
Chiropractic Care
Avg $22.65
61,891 claims
X-Ray
Avg $14.28
44,313 claims
Vaccines & Immunizations
Avg $18.52
41,423 claims
EKG / ECG (Electrocardiogram)
Avg $7.56
29,813 claims