Average Medicaid Emergency Room Visit Payments in O Fallon, MO: $116.94
Avg. Paid
$116.94
Range
$53.01 – $315.97
Total Claims
14,995
Providers
20
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, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Randi Hasselfeld Becker
2 Progress Point Pkwy |
$125.02 | 4,254 | 4,087 |
|
Victor Beau Bailey
2 Progress Point Pkwy |
$115.07 | 1,563 | 1,487 |
|
Christine M Lovellette
2 Progress Point Pkwy |
$91.17 | 1,446 | 1,381 |
|
Katherine E Clancy
2630 Highway K |
$116.07 | 1,398 | 1,371 |
|
Brandon Michael Wubben
2 Progress Point Pkwy |
$103.88 | 1,385 | 1,317 |
|
Nuzhat Nisar
2954 Highway K |
$97.08 | 1,032 | 1,014 |
|
Allyse Marie Ortega
844 Waterbury Falls Dr Ste B |
$119.55 | 665 | 625 |
|
Christopher William Perry
2 Progress Point Pkwy |
$137.94 | 634 | 613 |
|
Leah Suzanne Jones
2 Progress Point Pkwy |
$178.59 | 578 | 539 |
|
Kristen Lynn Mueller
1275 Summer Lynne Dr |
$112.71 | 463 | 446 |
|
Jade Alexandria Holman
2 Progress Point Pkwy |
$94.36 | 404 | 389 |
|
Alyssa Ann Fairchild
300 Winding Woods Dr Ste 120 |
$142.80 | 356 | 351 |
|
Lauren Katherine Gahimer
2991 Highway K |
$53.01 | 270 | 251 |
|
Betty Rachel Varghese
2 Progress Point Ct |
$129.92 | 223 | 213 |
|
Heidi Kathleen Jacobs
11 Delegate Cir |
$177.77 | 107 | 105 |
|
Jacob William Vohsen
2 Progress Point Pkwy |
$141.38 | 101 | 94 |
|
Leo Hsu
2 Progress Point Ct |
$114.16 | 79 | 74 |
|
Dawn Spell
1101 Highway K |
$315.97 | 13 | 13 |
|
Nancy Jane Niemann Royer
2 Progress Point Parkway |
$95.67 | 12 | 12 |
|
Andrea Lynn Gagliano
2 Progress Point Pkwy |
$127.07 | 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 O Fallon, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in O Fallon, MO is $116.94 per claim, based on 14,995 claims from 20 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, MO?
There are 20 Medicaid providers offering Emergency Room Visit related services in O Fallon, MO according to public payment data.
What is the price range for Emergency Room Visit in O Fallon, MO?
Medicaid reimbursement for Emergency Room Visit in O Fallon, MO ranges from $53.01 to $315.97 per claim, with an average of $116.94. 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, MO
Office Visit
Avg $64.45
80,507 claims
Eye Exam
Avg $30.85
18,837 claims
Vaccines & Immunizations
Avg $15.05
16,212 claims
Blood Work & Lab Tests
Avg $41.67
9,495 claims
Speech Therapy
Avg $14.79
8,904 claims
Physical Therapy
Avg $33.48
8,439 claims
Dental Cleaning & Exam
Avg $28.03
4,302 claims
Podiatry (Foot Care)
Avg $6.52
3,954 claims