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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Mishawaka, IN: $111.42

Avg. Paid

$111.42

Range

$9.89 – $640.10

Total Claims

113,054

Providers

27

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 Mishawaka, IN

Provider Avg. Paid Claims Patients
Bruce D Harley

5215 Holy Cross Pkwy

 $103.66 13,914 12,155
Jason M Jaronik

5215 Holy Cross Pkwy

 $102.91 12,987 11,359
Stephen Conlon Eder

5215 Holy Cross Pkwy

 $104.58 11,292 9,880
Angela Marie Wright

810 Park Place

 $112.56 11,165 10,180
Kurtis Dejong

5215 Holy Cross Pkwy

 $92.38 10,866 9,454
Mark Lawrence Kricheff

5215 Holy Cross Pkwy

 $95.09 9,943 8,675
Jonathan Neil Shenk

5215 Holy Cross Pkwy

 $113.59 9,707 8,568
Christy Lynn Annis

5215 Holy Cross Pkwy

 $97.95 8,887 7,405
Saint Joseph Regional Medical Center-South Bend Campus, Inc.

5215 Holy Cross Pkwy

 $179.30 5,376 4,608
Amy M Brown

5314 Lincolnway E

 $119.84 5,367 4,820
Nicholas J Adams

5215 Holy Cross Pkwy # In46545

 $123.55 3,610 3,247
Colin Steiner

5215 Holy Cross Pkwy

 $131.74 3,576 3,145
Tyler Stephen Clutter

5215 Holy Cross Pkwy

 $105.54 2,936 2,638
Donald Robert Westerhausen

611 E Douglas Rd Ste 309

 $151.71 1,002 308
George R Drew

5215 Holy Cross Pkwy

 $640.10 495 482
Melissa Anne Douthit

3665 Park Pl W Ste 300

 $103.50 492 440
Karla Goulart Newbold

5215 Holy Cross Pkwy

 $49.10 410 322
Owais Mufti

4455 Edison Lakes Pkwy # 100

 $9.89 317 263
Heather Gordy

611 E Douglas Rd Ste 200

 $140.85 251 219
Mariah Smith

5215 Holy Cross Pkwy

 $115.26 174 165
Shauntel Nichole Marcin

221 Red Coach Dr Ste E

 $126.53 102 99
Shawn Phillip Naranjo

5215 Holy Cross Pkwy

 $88.14 75 69
Shaukat Ali Chaudhry

303 S Main St Ste 209

 $31.75 36 27
William Hanley

611 E Douglas Rd Ste 200

 $88.34 26 26
Julie Sauer

301 E Day Rd

 $29.43 19 13
Judith A. Weaver-Yoder

420 W 4Th St

 $43.59 16 13
Heather Ort

5215 Holy Cross Pkwy

 $50.99 13 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 Mishawaka, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mishawaka, IN is $111.42 per claim, based on 113,054 claims from 27 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 Mishawaka, IN?

There are 27 Medicaid providers offering Emergency Room Visit related services in Mishawaka, IN according to public payment data.

What is the price range for Emergency Room Visit in Mishawaka, IN?

Medicaid reimbursement for Emergency Room Visit in Mishawaka, IN ranges from $9.89 to $640.10 per claim, with an average of $111.42. 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 Mishawaka, IN

Office Visit

Avg $54.11

452,845 claims

Blood Work & Lab Tests

Avg $8.62

267,352 claims

X-Ray

Avg $12.03

188,989 claims

Psychiatric Evaluation

Avg $62.49

117,424 claims

Eye Exam

Avg $49.20

112,254 claims

Physical Therapy

Avg $27.36

78,745 claims

Speech Therapy

Avg $47.97

78,198 claims

CT Scan (Computed Tomography)

Avg $42.14

69,062 claims