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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in O Fallon, IL: $80.52

Avg. Paid

$80.52

Range

$17.54 – $210.53

Total Claims

109,477

Providers

29

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 O Fallon, IL

Provider Avg. Paid Claims Patients
Victor Sun

103 N Oak St

 $100.40 15,668 14,735
Maria Galanos

103 N Oak St

 $68.17 12,561 11,569
Candace Esther Nall

320 E Highway 50

 $132.62 12,032 11,410
Scott R. Roustio

8422 Braeswood Estates Dr

 $55.56 11,259 10,448
Faron Fox

103 N Oak St

 $67.10 9,963 9,126
Jacob C. Marshall

103 N Oak St

 $53.94 8,178 7,197
Kevin Corrigan

103 N Oak St

 $138.30 7,525 6,610
Brian Litland

103 N Oak St

 $58.36 5,765 5,201
Vicky Hwang

320 E Highway 50

 $65.31 5,306 5,064
Dale E Long

103 N Oak St

 $49.62 4,702 4,258
Jason Jerome

1 Saint Elizabeth Blvd

 $83.74 3,251 3,058
Deborah E Treacy

103 N Oak St

 $65.26 2,684 2,384
Michael Vanantwerp

320 E Highway 50

 $73.93 2,622 2,518
Gladys Schmees

408 Wolfpass Dr

 $63.27 2,367 2,136
Miranda Francis Pogue

320 E Highway 50

 $53.29 1,980 1,887
James Robert Lundy

320 E Highway 50

 $40.42 670 648
Jennifer Christine Smith

1 Saint Elizabeth Blvd

 $91.01 636 590
Gregory G Lawson

103 N Oak St

 $52.28 632 581
Richard Gerhard Knight

320 E Highway 50

 $30.88 473 468
Tara Topper

1512 N Green Mount Rd

 $32.31 307 297
Derek Pechacek

320 E Highway 50

 $33.77 200 173
Bena Lyn Weeks

320 E Highway 50

 $32.38 177 175
Armand G Miranda

103 N Oak St

 $31.78 135 132
Christina H Dothager

787 Sunset Blvd Ste 200

 $34.82 89 85
Maurice Deon Dale

1 Saint Elizabeth Blvd

 $92.14 89 86
Lindsay Marie Tolksdorf

3 Saint Elizabeth Blvd Ste 4000

 $179.44 82 81
Chiagoziem Jane Ndulue

3 Saint Elizabeth Blvd Ste 4000

 $210.53 72 50
Crystal S Jesenick

922 Talon Dr

 $36.06 27 27
Bethany Varel

320 E Highway 50

 $17.54 25 25

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 O Fallon, IL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in O Fallon, IL is $80.52 per claim, based on 109,477 claims from 29 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 O Fallon, IL?

There are 29 Medicaid providers offering Emergency Room Visit related services in O Fallon, IL according to public payment data.

What is the price range for Emergency Room Visit in O Fallon, IL?

Medicaid reimbursement for Emergency Room Visit in O Fallon, IL ranges from $17.54 to $210.53 per claim, with an average of $80.52. 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 O Fallon, IL

Office Visit

Avg $32.51

144,742 claims

Eye Exam

Avg $30.64

43,999 claims

Speech Therapy

Avg $16.96

40,952 claims

EKG / ECG (Electrocardiogram)

Avg $10.31

34,153 claims

Blood Work & Lab Tests

Avg $7.91

28,655 claims

Physical Therapy

Avg $52.22

16,738 claims

Dental Cleaning & Exam

Avg $52.49

13,618 claims

Ambulance Transport

Avg $195.13

10,353 claims