Average Medicaid Emergency Room Visit Payments in Mount Clemens, MI: $150.30
Avg. Paid
$150.30
Range
$55.18 – $263.25
Total Claims
286,845
Providers
23
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 Mount Clemens, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Macomb Emergency Physicians Pllc
1000 Harrington St |
$70.46 | 112,769 | 103,942 |
|
Mclaren Macomb
1000 Harrington St |
$263.25 | 111,165 | 103,217 |
|
Bradley Edward Heth
1000 Harrington St |
$82.89 | 12,576 | 11,893 |
|
Evan Toyooka
1000 Harrington St |
$123.09 | 9,815 | 8,397 |
|
Rebecca Marquis
1000 Harrington St |
$131.42 | 7,204 | 6,202 |
|
Megan Maureen Mcgreevy
1000 Harrington St |
$101.76 | 6,931 | 6,699 |
|
Aman Shah
1000 Harrington St |
$69.98 | 6,442 | 5,997 |
|
Eugene C Yen
1000 Harrington St |
$55.18 | 4,643 | 4,330 |
|
Jeffrey Tobolski
1000 Harrington St |
$57.35 | 3,602 | 3,420 |
|
Benjamin Popp
1000 Harrington St |
$75.57 | 3,311 | 2,717 |
|
Mclaren Macomb
1000 Harrington Blvd. |
$105.46 | 2,203 | 1,254 |
|
Gregory Wayne Smith
1000 Harrington St |
$80.14 | 1,916 | 1,762 |
|
Nawal Azhari Elbashir
1000 Harrington St |
$84.09 | 1,009 | 954 |
|
Cole William Hensley
1000 Harrington St |
$169.22 | 736 | 686 |
|
Michael Vantiem
1000 Harrington St |
$87.39 | 613 | 578 |
|
Matthew Irick
1000 Harrington St |
$107.01 | 607 | 549 |
|
Sonali Soral Kopke
1000 Harrington St |
$96.76 | 386 | 352 |
|
Cardiac Surgery Institute Pc
1030 Harrington St Ste 203 |
$125.91 | 363 | 82 |
|
Jaret M Copeman
1000 Harrington St |
$56.94 | 285 | 261 |
|
Patrick Michael Flaherty
1000 Harrington St |
$75.21 | 130 | 114 |
|
Advanced Critical Care Team Pllc
215 North Ave |
$113.51 | 83 | 53 |
|
Becky Ann Heth
1000 Harrington St |
$95.85 | 44 | 38 |
|
Regional Trauma Care Pc
1000 Harrington St |
$69.90 | 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 Mount Clemens, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mount Clemens, MI is $150.30 per claim, based on 286,845 claims from 23 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 Mount Clemens, MI?
There are 23 Medicaid providers offering Emergency Room Visit related services in Mount Clemens, MI according to public payment data.
What is the price range for Emergency Room Visit in Mount Clemens, MI?
Medicaid reimbursement for Emergency Room Visit in Mount Clemens, MI ranges from $55.18 to $263.25 per claim, with an average of $150.30. 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
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 Mount Clemens, MI
Blood Work & Lab Tests
Avg $3.62
480,308 claims
Office Visit
Avg $53.67
268,977 claims
Vaccines & Immunizations
Avg $7.74
228,794 claims
X-Ray
Avg $11.22
156,420 claims
EKG / ECG (Electrocardiogram)
Avg $5.48
105,386 claims
Psychiatric Evaluation
Avg $62.73
98,340 claims
CT Scan (Computed Tomography)
Avg $48.28
84,075 claims
Urinalysis & Urine Tests
Avg $1.68
80,267 claims