Average Medicaid Emergency Room Visit Payments in Middlebury, VT: $45.72
Avg. Paid
$45.72
Range
$4.58 – $103.23
Total Claims
9,098
Providers
15
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 Middlebury, VT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Frank Tara Thompson
115 Porter Dr |
$67.00 | 3,586 | 3,514 |
|
Robert D Pitts
115 Porter Dr |
$31.08 | 1,507 | 1,319 |
|
Kathryn Zoll
115 Porter Dr |
$26.67 | 1,060 | 1,015 |
|
Luc Hilaire Dupuis
1436 Exchange St |
$33.17 | 1,049 | 988 |
|
Jessica H Wagener
115 Porter Drive |
$25.34 | 602 | 591 |
|
Michael J Kiernan
115 Porter Dr |
$29.04 | 262 | 255 |
|
Amanda S. Young
115 Porter Drive |
$18.73 | 201 | 197 |
|
Hylah W Patton
115 Porter Dr |
$17.95 | 191 | 181 |
|
Jessica S Racusin
115 Porter Dr |
$26.09 | 189 | 170 |
|
Katie Owens
115 Porter Dr |
$103.23 | 188 | 188 |
|
Thomas W Yurista
115 Porter Dr |
$57.90 | 152 | 139 |
|
Louisa Veazie Pratt
115 Porter Dr |
$4.58 | 55 | 55 |
|
Fred W Kniffin
115 Porter Drive |
$45.97 | 29 | 28 |
|
Diana Leigh Tutelo
115 Porter Dr |
$26.12 | 14 | 13 |
|
Glen R Lovejoy
115 Porter Drive |
$46.76 | 13 | 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 Middlebury, VT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Middlebury, VT is $45.72 per claim, based on 9,098 claims from 15 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 Middlebury, VT?
There are 15 Medicaid providers offering Emergency Room Visit related services in Middlebury, VT according to public payment data.
What is the price range for Emergency Room Visit in Middlebury, VT?
Medicaid reimbursement for Emergency Room Visit in Middlebury, VT ranges from $4.58 to $103.23 per claim, with an average of $45.72. 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
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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 Middlebury, VT
Office Visit
Avg $40.08
70,234 claims
Case Management Services
Avg $0.81
68,850 claims
Behavioral & Mental Health Therapy
Avg $76.26
68,135 claims
Dental Cleaning & Exam
Avg $38.46
44,858 claims
Vaccines & Immunizations
Avg $8.92
20,173 claims
Psychiatric Evaluation
Avg $35.80
11,810 claims
Substance Abuse Treatment
Avg $639.84
11,696 claims
Ambulance Transport
Avg $122.41
10,408 claims