Average Medicaid Emergency Room Visit Payments in Mount Vernon, IL: $51.17
Avg. Paid
$51.17
Range
$21.11 – $117.17
Total Claims
20,337
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 Vernon, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christie Foster
1104 S 42Nd St |
$51.81 | 7,949 | 7,183 |
|
Douglas Elner Frankel
605 N 12Th St |
$29.53 | 4,133 | 3,820 |
|
James E. Probst
8 Doctors Park Rd |
$60.61 | 2,805 | 2,523 |
|
Chelsea Nichole Webb
2920 Veterans Memorial Dr |
$26.95 | 1,333 | 1,254 |
|
Nicholas Antonio Burke
1 Good Samaritan Way |
$88.17 | 1,271 | 1,167 |
|
Naga Srinivas Sirikonda
2 Good Samaritan Way Ste 420 |
$67.94 | 694 | 282 |
|
Abdulmonam Ahmad Abulgasem Ali
4106 S Water Tower Pl |
$117.17 | 600 | 196 |
|
Roxanna Elise Stevens
1 Good Samaritan Way |
$51.75 | 545 | 439 |
|
Daniel S Doolittle
8 Doctors Park Rd |
$49.07 | 418 | 413 |
|
Amber Dawn Willis
1 Good Samaritan Way |
$42.40 | 239 | 221 |
|
Nicole Marie Lewis
602 S 42Nd St |
$39.19 | 197 | 181 |
|
Victoria Koch
602 S 42Nd St |
$25.68 | 105 | 101 |
|
Leslie L Simonton-Smith
8 Cusumano Professional Plaza Dr |
$54.83 | 34 | 28 |
|
Brian Scott Hughes
605 N 12Th St |
$21.11 | 14 | 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 Vernon, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mount Vernon, IL is $51.17 per claim, based on 20,337 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 Vernon, IL?
There are 14 Medicaid providers offering Emergency Room Visit related services in Mount Vernon, IL according to public payment data.
What is the price range for Emergency Room Visit in Mount Vernon, IL?
Medicaid reimbursement for Emergency Room Visit in Mount Vernon, IL ranges from $21.11 to $117.17 per claim, with an average of $51.17. 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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Avg $203.26
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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 Vernon, IL
Office Visit
Avg $34.63
201,538 claims
X-Ray
Avg $6.56
55,119 claims
Ambulance Transport
Avg $136.08
35,654 claims
Speech Therapy
Avg $24.83
30,341 claims
Home Health Visit
Avg $80.98
26,407 claims
CT Scan (Computed Tomography)
Avg $45.93
25,578 claims
Substance Abuse Treatment
Avg $97.84
25,479 claims
EKG / ECG (Electrocardiogram)
Avg $7.49
24,060 claims