Average Medicaid Emergency Room Visit Payments in Muskegon, MI: $105.47
Avg. Paid
$105.47
Range
$29.67 – $170.02
Total Claims
535,424
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 Muskegon, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake Michigan Emergency Specialists, Pllc
1700 Clinton St |
$60.21 | 276,015 | 252,379 |
|
Mercy Health Partners
1500 E Sherman Blvd |
$170.02 | 206,969 | 191,462 |
|
Kolten S Stemen
1700 Clinton St |
$74.54 | 7,495 | 7,059 |
|
Kyle Markel
1700 Clinton St |
$102.83 | 6,048 | 5,643 |
|
Tanner Davis
1675 Leahy St Ste 315A |
$108.65 | 5,660 | 5,373 |
|
Thomas K Vu
1700 Clinton St |
$67.63 | 5,385 | 5,303 |
|
Jay A Biessel
1700 Clinton St |
$66.42 | 4,549 | 4,449 |
|
Mercy Specialty Services
1150 E Sherman Blvd Ste 2400 |
$114.93 | 4,012 | 1,720 |
|
Mercy Health Partners Sub-Specialty Services
1560 E Sherman Blvd Ste 250 |
$115.10 | 3,513 | 744 |
|
Scott Arnold Bentz
1700 Clinton St |
$165.72 | 2,856 | 2,755 |
|
Trevor C Armstrong
1700 Clinton St |
$67.45 | 2,599 | 2,033 |
|
Veronica J Wilson
1700 Clinton St |
$62.29 | 2,470 | 1,909 |
|
Peter G. Kamhout
1700 Clinton St |
$54.03 | 2,358 | 2,101 |
|
Mercy Health Partners - Physician Specialist
1675 Leahy St Ste 324B |
$38.56 | 1,658 | 1,522 |
|
Joseph M Skopek
1700 Clinton St |
$95.57 | 1,603 | 1,313 |
|
Thomas J Zyniewicz
1500 E Sherman Blvd |
$65.42 | 1,051 | 993 |
|
Justin A Kreuze
1700 Clinton St |
$128.71 | 765 | 719 |
|
Mercy Health Partners-Obstetrics And Gynecology Specialist
1675 Leahy St Ste 428B |
$43.32 | 233 | 219 |
|
Uzair Mohammad Raja
1700 Clinton St |
$69.27 | 96 | 96 |
|
Kyle Robert Ulrich
1500 E Sherman Blvd |
$43.45 | 36 | 27 |
|
Christopher Jonathan Hummel
1500 E Sherman Blvd |
$29.67 | 26 | 26 |
|
Mercy Women'S Health Services
1675 Leahy St Ste 201A |
$42.96 | 15 | 14 |
|
Patrick Dean Smith
1500 E Sherman Blvd |
$46.24 | 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 Muskegon, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Muskegon, MI is $105.47 per claim, based on 535,424 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 Muskegon, MI?
There are 23 Medicaid providers offering Emergency Room Visit related services in Muskegon, MI according to public payment data.
What is the price range for Emergency Room Visit in Muskegon, MI?
Medicaid reimbursement for Emergency Room Visit in Muskegon, MI ranges from $29.67 to $170.02 per claim, with an average of $105.47. 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 Muskegon, MI
Office Visit
Avg $36.29
923,796 claims
Blood Work & Lab Tests
Avg $3.16
716,187 claims
Substance Abuse Treatment
Avg $27.59
413,832 claims
Home Health Visit
Avg $151.87
363,136 claims
X-Ray
Avg $13.74
334,565 claims
Psychiatric Evaluation
Avg $60.09
253,085 claims
Vaccines & Immunizations
Avg $5.56
249,932 claims
Case Management Services
Avg $301.27
220,637 claims