Average Medicaid Emergency Room Visit Payments in Montgomery, OH: $71.03
Avg. Paid
$71.03
Range
$32.91 – $152.07
Total Claims
15,715
Providers
25
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 Montgomery, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Aaron Habib
10500 Montgomery Rd Ste 6345 |
$63.35 | 4,880 | 4,390 |
|
Jaclyn Harrington Jansen
10506 Montgomery Rd Ste 209 |
$84.10 | 2,814 | 2,634 |
|
Zachary David Heppner
10506 Montgomery Rd Ste 209 |
$73.00 | 2,648 | 2,420 |
|
Laura Elizabeth Frankenfeld
10506 Montgomery Rd Ste 209 |
$62.01 | 1,836 | 1,674 |
|
Vikram Balakumar
10500 Montgomery Rd |
$112.62 | 800 | 411 |
|
James R. Sutton
10506 Montgomery Rd Ste 200A |
$65.98 | 716 | 680 |
|
Dennis Emuron
10500 Montgomery Rd |
$46.77 | 492 | 165 |
|
Kristina Lynn Feder
9939 Montgomery Rd |
$64.02 | 443 | 418 |
|
Jennifer Teresa Sprague
10506 Montgomery Rd Ste 200A |
$67.67 | 167 | 156 |
|
Hannah Murrin
10506A Montgomery Road |
$45.06 | 167 | 165 |
|
Julian Macedo
10500 Montgomery Rd |
$99.89 | 117 | 38 |
|
Siddharth Kishor Mushrif
10500 Montgomery Rd |
$48.12 | 111 | 101 |
|
Hannah Marie Maynard
10506 Montgomery Rd Ste 301 |
$48.89 | 111 | 111 |
|
Stephanie Streit
10500 Montgomery Rd |
$152.07 | 64 | 26 |
|
Nicole Marie King
10500 Montgomery Rd |
$85.48 | 46 | 15 |
|
Andrew Schoenling
10500 Montgomery Rd |
$63.63 | 46 | 12 |
|
Daniel Thomas Bond
10500 Montgomery Rd |
$98.04 | 41 | 15 |
|
Andrew Alan Angus
10500 Montgomery Rd |
$51.21 | 35 | 12 |
|
Derek Gibbs
10500 Montgomery Rd |
$55.03 | 33 | 12 |
|
Syed Shad Mahmood
10500 Montgomery Rd |
$111.85 | 27 | 14 |
|
Brian Ashbrock
10500 Montgomery Rd |
$35.16 | 27 | 13 |
|
Andrew Berglund
10500 Montgomery Rd |
$70.86 | 27 | 25 |
|
Amy Elizabeth Murphy
10506 Montgomery Rd Ste 101 |
$47.22 | 26 | 12 |
|
James Heaton
10500 Montgomery Rd |
$32.91 | 22 | 17 |
|
Brandon Ellis Stewart
10600 Montgomery Rd Ste 300 |
$61.06 | 19 | 19 |
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 Montgomery, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Montgomery, OH is $71.03 per claim, based on 15,715 claims from 25 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 Montgomery, OH?
There are 25 Medicaid providers offering Emergency Room Visit related services in Montgomery, OH according to public payment data.
What is the price range for Emergency Room Visit in Montgomery, OH?
Medicaid reimbursement for Emergency Room Visit in Montgomery, OH ranges from $32.91 to $152.07 per claim, with an average of $71.03. 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 Montgomery, OH
Office Visit
Avg $55.64
116,416 claims
Nursing Facility Care
Avg $16.34
17,993 claims
Urinalysis & Urine Tests
Avg $3.92
17,475 claims
Blood Work & Lab Tests
Avg $26.30
14,238 claims
Substance Abuse Treatment
Avg $17.25
9,263 claims
EKG / ECG (Electrocardiogram)
Avg $6.77
5,958 claims
Upper Endoscopy (EGD)
Avg $192.39
4,989 claims
Colonoscopy
Avg $236.76
4,585 claims