Average Medicaid Emergency Room Visit Payments in Mount Vernon, OH: $86.82
Avg. Paid
$86.82
Range
$46.30 – $131.52
Total Claims
64,145
Providers
12
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, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Knox Community Hospital
1330 Coshocton Ave |
$131.52 | 14,807 | 12,546 |
|
Robert J Richter
1330 Coshocton Ave |
$72.78 | 12,095 | 11,606 |
|
James F Neuenschwander
1330 Coshocton Rd |
$91.94 | 10,052 | 9,602 |
|
Salita Bhandari Kaistha
1330 Coshocton Ave |
$82.13 | 9,816 | 9,283 |
|
Teresa Anne Schneider
1330 Coshocton Ave |
$46.30 | 5,290 | 5,115 |
|
Alwin Arendse
1330 Coshocton Ave |
$77.25 | 4,270 | 4,098 |
|
Nathaniel Stultz
1330 Coshocton Ave |
$49.59 | 3,550 | 3,385 |
|
Stephanie Lynn Strausbaugh
1 N Main St |
$49.42 | 2,122 | 2,064 |
|
David J Mccann
1330 Coshocton Ave |
$81.70 | 894 | 872 |
|
Steven E Clutter
1330 Coshocton Ave |
$82.19 | 579 | 534 |
|
Randy L Orsborn
1490 Coshocton Ave |
$46.42 | 529 | 510 |
|
Piyush Gupta
1330 Coshocton Ave |
$72.77 | 141 | 57 |
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, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Mount Vernon, OH is $86.82 per claim, based on 64,145 claims from 12 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, OH?
There are 12 Medicaid providers offering Emergency Room Visit related services in Mount Vernon, OH according to public payment data.
What is the price range for Emergency Room Visit in Mount Vernon, OH?
Medicaid reimbursement for Emergency Room Visit in Mount Vernon, OH ranges from $46.30 to $131.52 per claim, with an average of $86.82. 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 Vernon, OH
Office Visit
Avg $50.32
381,559 claims
Substance Abuse Treatment
Avg $60.20
197,438 claims
Blood Work & Lab Tests
Avg $7.91
133,770 claims
Psychiatric Evaluation
Avg $63.78
96,150 claims
Behavioral & Mental Health Therapy
Avg $91.43
61,037 claims
Vaccines & Immunizations
Avg $9.12
55,778 claims
Physical Therapy
Avg $36.08
46,780 claims
Home Health Visit
Avg $41.59
36,971 claims