Average Medicaid Emergency Room Visit Payments in Normal, IL: $76.66
Avg. Paid
$76.66
Range
$28.62 – $126.07
Total Claims
69,820
Providers
28
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 Normal, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kerline Ductan
1300 Franklin Ave Ste 380 |
$109.29 | 16 | 14 |
|
Ahadi Hakki
1302 Franklin Ave Ste 4500 |
$28.62 | 18 | 16 |
|
Alicia Layton
1304 Franklin Ave Ste 380 |
$42.53 | 24 | 24 |
|
Adam Joseph Mckillip
1304 Franklin Ave |
$70.98 | 61 | 61 |
|
Chae Chu
1302 Franklin Ave |
$55.94 | 96 | 12 |
|
Deborah Trimble
1304 Franklin Ave Ste 380 |
$70.96 | 200 | 194 |
|
Alberto L. Delgado
1200 Franklin Ave |
$43.01 | 789 | 658 |
|
Colleen Elliott-Mccandless
1304 Franklin Ave Ste 380 |
$64.51 | 906 | 839 |
|
Jordan Ancell Rosenberg
1304 Franklin Ave Ste 380 |
$77.33 | 1,178 | 1,141 |
|
Joseph V Piller
1300 Franklin Ave Ste 210 |
$74.09 | 1,180 | 1,124 |
|
Aaron K. Frailey
1304 Franklin Ave Ste 380 |
$58.90 | 1,234 | 1,107 |
|
Brooke Davis
1302 Franklin Ave |
$48.47 | 1,290 | 1,093 |
|
Nathaniel John Craig
1304 Franklin Ave Ste 380 |
$61.05 | 1,377 | 1,150 |
|
Ross David Percell
1304 Franklin Ave Ste 380 |
$65.56 | 1,926 | 1,787 |
|
Nicholas Gurganious
1304 Franklin Ave |
$84.81 | 1,945 | 1,578 |
|
Joel Nilles
Virginia & Franklin Streets |
$51.64 | 2,225 | 2,093 |
|
Tomasz Przednowek
1304 Franklin Ave |
$73.59 | 2,312 | 2,206 |
|
Kevin Regis
1304 Franklin Ave |
$67.39 | 2,338 | 2,244 |
|
Jennifer Alice Berkley
2200 Fort Jesse Rd |
$51.53 | 2,562 | 2,308 |
|
Benjamin Riegle
1304 Franklin Ave Ste 380 |
$68.73 | 2,712 | 2,538 |
|
Michelle Caroline Kronmiller
1302 Franklin Ave |
$57.99 | 2,834 | 2,429 |
|
Nicole M. Warmac
1304 Franklin Ave |
$41.97 | 2,903 | 2,625 |
|
Sam Gaines
Virginia & Franklin Streets |
$55.61 | 3,565 | 3,181 |
|
Stephan V Walchuk
1304 Franklin Ave |
$58.39 | 3,643 | 3,323 |
|
Stephanie Sullivan
1304 Franklin Ave |
$56.27 | 3,891 | 3,601 |
|
Julie Lewis
1304 Franklin Ave |
$61.52 | 5,192 | 4,849 |
|
Brittany B Price
1304 Franklin Ave Ste 380 |
$126.07 | 11,312 | 10,850 |
|
Karen Gaber-Patel
1304 Franklin Ave |
$92.74 | 12,091 | 11,567 |
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 Normal, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Normal, IL is $76.66 per claim, based on 69,820 claims from 28 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 Normal, IL?
There are 28 Medicaid providers offering Emergency Room Visit related services in Normal, IL according to public payment data.
What is the price range for Emergency Room Visit in Normal, IL?
Medicaid reimbursement for Emergency Room Visit in Normal, IL ranges from $28.62 to $126.07 per claim, with an average of $76.66. 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 Normal, IL
Blood Work & Lab Tests
Avg $4.63
229,076 claims
Office Visit
Avg $50.87
167,445 claims
Speech Therapy
Avg $14.61
93,122 claims
Urinalysis & Urine Tests
Avg $2.21
57,029 claims
X-Ray
Avg $6.34
55,102 claims
EKG / ECG (Electrocardiogram)
Avg $8.84
39,129 claims
Dental Cleaning & Exam
Avg $31.88
38,322 claims
Substance Abuse Treatment
Avg $93.11
27,719 claims