Average Medicaid Emergency Room Visit Payments in Mount Pleasant, SC: $70.62
Avg. Paid
$70.62
Range
$31.51 – $103.04
Total Claims
18,483
Providers
14
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 Pleasant, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sonny Yong Park
1988 Kings Gate Ln |
$77.82 | 7,828 | 6,450 |
|
Kimberly Ann Vanesko
2114 Highway 41 Ste 105 |
$65.32 | 4,159 | 3,956 |
|
Timothy Barton Osbon
1156 Bowman Rd Unit 103 |
$77.12 | 1,157 | 1,113 |
|
Joel Richard Moore
East Cooper Medical Center 2000 Hospital Drive |
$81.83 | 1,155 | 1,107 |
|
Glen Eric Beckner
1200 Johnnie Dodds Blvd |
$64.01 | 1,133 | 1,072 |
|
David K. Wright
1000 Johnnie Dodds Blvd |
$31.51 | 911 | 892 |
|
Madison Baker
631 Johnnie Dodds Blvd |
$66.42 | 814 | 765 |
|
Peter Scott Forrester
1101 Bowman Rd |
$57.66 | 804 | 771 |
|
Jana Upshaw
966 Houston Northcutt Blvd Ste E |
$80.52 | 285 | 280 |
|
Melanie Blohm
851 Leonard Fulghum Dr Ste 201 |
$62.55 | 158 | 145 |
|
Ashley Curtis Sundberg
2114 Highway 41 Ste 105 |
$63.07 | 28 | 28 |
|
East Cooper Medical Center Llc
2000 Hospital Dr |
$71.11 | 25 | 25 |
|
Anthony Robert Oddo
1041 Johnnie Dodds Blvd Ste 5A |
$102.24 | 13 | 13 |
|
Jeris Mckenzie Cox
1280 Hospital Dr Unit 300 |
$103.04 | 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 Mount Pleasant, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mount Pleasant, SC is $70.62 per claim, based on 18,483 claims from 14 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 Pleasant, SC?
There are 14 Medicaid providers offering Emergency Room Visit related services in Mount Pleasant, SC according to public payment data.
What is the price range for Emergency Room Visit in Mount Pleasant, SC?
Medicaid reimbursement for Emergency Room Visit in Mount Pleasant, SC ranges from $31.51 to $103.04 per claim, with an average of $70.62. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Mount Pleasant, SC
Office Visit
Avg $59.42
68,334 claims
X-Ray
Avg $6.10
67,177 claims
Physical Therapy
Avg $73.16
50,803 claims
Dental Cleaning & Exam
Avg $37.38
30,029 claims
Case Management Services
Avg $46.16
28,191 claims
Speech Therapy
Avg $80.53
26,583 claims
Tooth Extraction
Avg $147.18
19,111 claims
CT Scan (Computed Tomography)
Avg $36.72
18,533 claims