Average Medicaid Emergency Room Visit Payments in Nogales, AZ: $251.21
Avg. Paid
$251.21
Range
$24.80 – $394.28
Total Claims
103,283
Providers
15
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 Nogales, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hch Tucson Holdings Llc
1171 W Target Range Rd |
$327.57 | 69,549 | 62,926 |
|
Francisco Sandoval
1852 N Mastick Way |
$64.02 | 8,026 | 7,467 |
|
Landon Matthew Pratt
1171 W Target Range Rd |
$78.51 | 6,492 | 5,943 |
|
Simran Shashi Kapur
1171 W Target Range Rd |
$94.43 | 6,444 | 5,934 |
|
Miriam E Downey
1209 W Target Range Rd |
$80.59 | 3,562 | 3,308 |
|
James Butler
1171 W Target Range Rd |
$172.69 | 3,045 | 2,880 |
|
Kendra M Smith
1171 W Target Range Rd |
$88.23 | 2,175 | 2,120 |
|
Sound Physicians Emergency Medicine Of Arizona, Inc.
1171 W Target Range Rd |
$24.80 | 851 | 584 |
|
Dana L Houghton
1171 W Target Range Rd |
$113.91 | 760 | 700 |
|
David Lyle
1171 W Target Range Rd |
$192.51 | 681 | 611 |
|
Patrick Hugh Mullett
1171 W Target Range Rd |
$105.02 | 601 | 537 |
|
Hch Tucson Holdings Llc
1171 W Target Range Rd |
$394.28 | 451 | 429 |
|
Tyler Matthew Hoelscher
1171 W Target Range Rd |
$109.23 | 297 | 296 |
|
Bradley R Register
298 W Mariposa Rd Ste 1 |
$35.69 | 283 | 193 |
|
Guadalupe Ortega
1500 W La Quinta Rd |
$76.92 | 66 | 64 |
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 Nogales, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Nogales, AZ is $251.21 per claim, based on 103,283 claims from 15 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 Nogales, AZ?
There are 15 Medicaid providers offering Emergency Room Visit related services in Nogales, AZ according to public payment data.
What is the price range for Emergency Room Visit in Nogales, AZ?
Medicaid reimbursement for Emergency Room Visit in Nogales, AZ ranges from $24.80 to $394.28 per claim, with an average of $251.21. 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 Nogales, AZ
Personal Care Services
Avg $100.02
336,289 claims
Office Visit
Avg $20.46
295,331 claims
Blood Work & Lab Tests
Avg $0.64
203,258 claims
Case Management Services
Avg $43.40
133,363 claims
Vaccines & Immunizations
Avg $4.23
102,550 claims
Substance Abuse Treatment
Avg $74.19
95,342 claims
Dental Cleaning & Exam
Avg $23.62
78,910 claims
Urinalysis & Urine Tests
Avg $0.48
72,959 claims