Average Medicaid Emergency Room Visit Payments in Monroe, MI: $122.39
Avg. Paid
$122.39
Range
$47.30 – $193.72
Total Claims
179,511
Providers
33
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 Monroe, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Memorial Hospital Corporation
718 N Macomb St |
$156.18 | 88,899 | 82,656 |
|
Shawn Milner
718 N Macomb St |
$72.78 | 15,815 | 15,107 |
|
Joseph Houston Sherer
650 Stewart Rd |
$133.73 | 9,857 | 8,803 |
|
Robert Aaron Lifferth
718 N Macomb St |
$110.43 | 6,622 | 6,264 |
|
Michael Patrick Sugrue
718 N Macomb St |
$77.54 | 6,257 | 5,928 |
|
Justin Andes
718 N Macomb St |
$98.93 | 5,315 | 5,079 |
|
James Tyreill Walters
718 N Macomb St |
$75.67 | 4,796 | 4,470 |
|
Mark James Khoury
718 N Macomb St |
$78.32 | 4,682 | 3,870 |
|
Ashima Vohra
718 N Macomb St |
$74.62 | 4,492 | 4,240 |
|
Alyssa Sexton
718 N Macomb St |
$54.38 | 4,064 | 3,889 |
|
George Beniamin Socaciu
718 N Macomb St |
$77.70 | 3,819 | 3,615 |
|
Nathan Gonda
718 N Macomb St |
$52.24 | 3,712 | 3,454 |
|
Gia-Hau Nguyen
718 N Macomb St |
$80.98 | 3,342 | 2,994 |
|
Trent Anthony Roberts
718 N Macomb St |
$117.34 | 3,071 | 2,649 |
|
Joseph D Hoeksema
718 N Macomb St |
$134.11 | 2,065 | 1,821 |
|
Rebecca Allison Pearce
718 N Macomb St |
$79.83 | 2,013 | 1,967 |
|
Kaleb Bekele
718 N Macomb St |
$68.51 | 1,495 | 1,311 |
|
Michael C Tiller
650 Stewart Rd |
$71.71 | 1,323 | 1,182 |
|
Ryan Hartle
718 N Macomb St |
$62.15 | 1,210 | 1,149 |
|
Brett Anthony May
718 N Macomb St |
$193.72 | 1,143 | 937 |
|
Zenzile A Johnson-Mendoza
718 N Macomb St |
$93.31 | 972 | 933 |
|
Evan S Al-Bazi
718 N Macomb St |
$89.84 | 855 | 803 |
|
Apekchaya Pokharel
718 N Macomb St |
$169.20 | 838 | 772 |
|
Amanda Baker
718 N Macomb St |
$87.72 | 642 | 628 |
|
Carrie Campbell
1261 N Telegraph Rd |
$86.29 | 460 | 444 |
|
Samuel Ghencian
718 N Macomb St |
$61.20 | 434 | 395 |
|
Christine Bowman
718 N Macomb St |
$70.57 | 368 | 350 |
|
Jeffery A Trager
718 N Macomb St |
$78.60 | 287 | 270 |
|
Rachna A Patel
718 N Macomb St |
$69.94 | 198 | 197 |
|
David Kraus
718 N Macomb St |
$66.69 | 163 | 154 |
|
Michael Patrick Golden
718 N Macomb St |
$47.30 | 114 | 113 |
|
Zachary Koppelmann
718 N Macomb St |
$122.92 | 104 | 98 |
|
Jared Snoke
718 N Macomb St |
$148.78 | 84 | 73 |
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 Monroe, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Monroe, MI is $122.39 per claim, based on 179,511 claims from 33 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 Monroe, MI?
There are 33 Medicaid providers offering Emergency Room Visit related services in Monroe, MI according to public payment data.
What is the price range for Emergency Room Visit in Monroe, MI?
Medicaid reimbursement for Emergency Room Visit in Monroe, MI ranges from $47.30 to $193.72 per claim, with an average of $122.39. 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 Monroe, MI
Substance Abuse Treatment
Avg $34.19
401,284 claims
Office Visit
Avg $68.45
391,016 claims
Blood Work & Lab Tests
Avg $4.03
358,215 claims
Behavioral & Mental Health Therapy
Avg $73.35
275,059 claims
Case Management Services
Avg $199.65
93,654 claims
Psychiatric Evaluation
Avg $150.36
80,310 claims
Urinalysis & Urine Tests
Avg $0.93
69,035 claims
Vaccines & Immunizations
Avg $10.18
58,335 claims