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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Middletown, OH: $70.34

Avg. Paid

$70.34

Range

$43.45 – $169.42

Total Claims

19,447

Providers

16

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 Middletown, OH

Provider Avg. Paid Claims Patients
Dennis M Mann

105 Mcknight Dr

 $92.03 9,154 8,738
Premier Emergency Care Services, Inc.

1 Medical Center Dr

 $50.24 5,451 5,059
Emergency Medicine Specialists, Inc.

6147 State Route 122

 $43.45 3,139 2,996
Sandeep Kapur

200 Medical Center Dr

 $50.50 572 237
Stacy Thomas

1 Medical Center Dr

 $48.47 400 388
Jacqueline Christine Huelsman

1 Medical Center Dr

 $56.23 259 251
Rajaratnam Pathmarajah

6730 Roosevelt Ave Ste 303

 $112.96 150 142
Motaz Hossein

6730 Roosevelt Ave Ste 303

 $91.09 117 105
Sreevani Gollamudi

1 Medical Center Dr

 $128.59 68 59
Hema Kumari Tamiri

6730 Roosevelt Ave Ste 303

 $143.69 38 36
Chirag Ashvin Shah

6730 Roosevelt Ave Ste 303

 $138.18 29 28
Kelsey Kies

1 Medical Center Dr Fl 3

 $46.26 17 17
Richard Brian Boster

1 Medical Center Dr

 $76.07 15 12
Pavani Dantala

1 Medical Center Dr

 $83.48 14 13
Sulabha R. Dange

74 N Breiel Blvd

 $169.42 12 12
Kenneth Kecheng Jiang

1 Medical Center Dr

 $113.45 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 Middletown, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Middletown, OH is $70.34 per claim, based on 19,447 claims from 16 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 Middletown, OH?

There are 16 Medicaid providers offering Emergency Room Visit related services in Middletown, OH according to public payment data.

What is the price range for Emergency Room Visit in Middletown, OH?

Medicaid reimbursement for Emergency Room Visit in Middletown, OH ranges from $43.45 to $169.42 per claim, with an average of $70.34. 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 Middletown, OH

Office Visit

Avg $51.46

490,917 claims

Psychiatric Evaluation

Avg $70.81

237,856 claims

Dental Cleaning & Exam

Avg $19.56

206,153 claims

Behavioral & Mental Health Therapy

Avg $64.75

165,798 claims

Substance Abuse Treatment

Avg $66.15

149,917 claims

Physical Therapy

Avg $14.68

93,124 claims

Vaccines & Immunizations

Avg $9.68

78,857 claims

Speech Therapy

Avg $26.42

73,939 claims