Average Medicaid Emergency Room Visit Payments in Montrose, CO: $110.30
Avg. Paid
$110.30
Range
$39.38 – $1,321
Total Claims
65,162
Providers
19
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 Montrose, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Montrose Memorial Hospital, Inc
800 S 3Rd St |
$99.07 | 19,606 | 16,256 |
|
Daniel Carl Windels
800 S 3Rd St |
$106.56 | 8,562 | 7,778 |
|
Alexis N Garza
800 S 3Rd St |
$95.47 | 6,038 | 5,625 |
|
Matthew K Cotham
800 S 3Rd St |
$96.97 | 4,747 | 4,407 |
|
Kerstin May-Michelich
800 S 3Rd St |
$109.36 | 4,276 | 3,935 |
|
Avery Mackenzie
800 S 3Rd St |
$111.83 | 4,200 | 3,818 |
|
Andrew Yeowell
800 S 3Rd St |
$106.53 | 4,030 | 3,650 |
|
Douglas Borgo
800 S 3Rd St |
$101.02 | 3,944 | 3,629 |
|
Sterling B Walker
800 S 3Rd St |
$102.30 | 2,902 | 2,672 |
|
Kevin Mcallister
800 S 3Rd St |
$119.13 | 2,707 | 2,371 |
|
David A Dreitlein
87 Merchant Dr |
$93.08 | 1,415 | 1,355 |
|
Rebeccah L Fletcher
715 S 3Rd St |
$49.18 | 959 | 814 |
|
Cynthia L Lonneman
12870 6820 Rd |
$138.89 | 910 | 853 |
|
Kimberly Suzanne Maroney
1550 E Niagara Rd |
$1,321 | 432 | 223 |
|
Timothy Wayne Sullinger
154 Colorado Ave |
$64.86 | 120 | 108 |
|
Sabely Nichols
715 S 3Rd St |
$39.38 | 116 | 108 |
|
Karl August Kamm
1010 S Rio Grande Ave |
$84.14 | 102 | 97 |
|
Heather E Howe
904 S 4Th St |
$155.69 | 67 | 28 |
|
Michael V Brezinsky
3330 S Rio Grande Ave Ste 300 |
$145.21 | 29 | 25 |
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 Montrose, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Montrose, CO is $110.30 per claim, based on 65,162 claims from 19 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 Montrose, CO?
There are 19 Medicaid providers offering Emergency Room Visit related services in Montrose, CO according to public payment data.
What is the price range for Emergency Room Visit in Montrose, CO?
Medicaid reimbursement for Emergency Room Visit in Montrose, CO ranges from $39.38 to $1,321 per claim, with an average of $110.30. 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 Montrose, CO
Home Health Visit
Avg $23.64
326,990 claims
Office Visit
Avg $75.58
235,506 claims
Dental Cleaning & Exam
Avg $32.45
216,232 claims
Non-Emergency Medical Transportation
Avg $20.33
119,133 claims
Substance Abuse Treatment
Avg $81.04
105,998 claims
Personal Care Services
Avg $24.35
87,515 claims
Blood Work & Lab Tests
Avg $5.56
67,159 claims
Physical Therapy
Avg $20.27
59,829 claims