Average Medicaid Emergency Room Visit Payments in Opelika, AL: $46.71
Avg. Paid
$46.71
Range
$2.11 – $90.41
Total Claims
80,800
Providers
39
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 Opelika, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy P Hill
2000 Pepperell Pkwy |
$38.76 | 9,238 | 8,770 |
|
William Forrest Bonner
2000 Pepperell Pkwy |
$43.82 | 5,411 | 5,234 |
|
John H Mcfarland
2000 Pepperell Pkwy |
$44.87 | 4,468 | 3,989 |
|
Ryan David Steff
2000 Pepperell Pkwy |
$37.32 | 4,282 | 4,110 |
|
Nicolette Peters
2000 Pepperell Pkwy |
$38.46 | 3,880 | 3,777 |
|
Darlene Wilson
2000 Pepperell Pkwy |
$46.89 | 3,848 | 3,735 |
|
Monty D Ledbetter
2000 Pepperell Pkwy |
$46.58 | 3,677 | 3,578 |
|
James D Crosby
2000 Pepperell Pkwy |
$39.25 | 3,662 | 3,060 |
|
Kim J Williams
2000 Pepperell Pkwy |
$55.90 | 3,574 | 3,444 |
|
Stephanie Chappell
2000 Pepperell Pkwy |
$41.92 | 3,422 | 3,332 |
|
Nancy L Murner
2000 Pepperell Pkwy |
$43.26 | 3,406 | 3,283 |
|
Austin Matthew Reece
2000 Pepperell Pkwy Ste 100 |
$53.14 | 3,343 | 3,217 |
|
Joseph P Monley
2000 Pepperell Pkwy |
$48.64 | 3,342 | 3,211 |
|
Alexander Medeiros
2000 Pepperell Pkwy |
$42.65 | 2,790 | 2,647 |
|
Robert N Leach
2000 Pepperell Pkwy |
$57.17 | 2,627 | 2,507 |
|
Eamc Er Physicians
2000 Pepperell Pkwy |
$76.55 | 2,260 | 2,100 |
|
Brea Sade Humphrey-Williams
2000 Pepperell Pkwy |
$42.51 | 2,214 | 2,106 |
|
Phillip M Heidepriem
2000 Pepperell Pkwy |
$58.29 | 2,000 | 1,918 |
|
Peter Martin
2000 Pepperell Pkwy |
$46.06 | 1,900 | 1,841 |
|
Ricky L Ledkins
2000 Pepperell Pkwy |
$50.99 | 1,723 | 1,506 |
|
Jeffrey Weeks
2000 Pepperell Pkwy |
$56.99 | 1,560 | 1,505 |
|
Zachary Smith
2000 Pepperell Pkwy |
$59.21 | 1,521 | 1,461 |
|
Mark Bryant Burroughs
2000 Pepperell Pkwy |
$55.53 | 1,318 | 1,254 |
|
Sarah Faison
2000 Pepperell Pkwy |
$36.30 | 1,294 | 1,248 |
|
Derek Vandervelde
2000 Pepperell Pkwy |
$90.00 | 962 | 826 |
|
Alan L Moore
2000 Pepperell Pkwy |
$51.54 | 623 | 591 |
|
Brittany Rollo
2000 Pepperell Pkwy |
$45.17 | 555 | 525 |
|
Laura Jones
2000 Pepperell Pkwy |
$33.64 | 348 | 332 |
|
Melissa Rogers Wheeles
3320 Skyway Dr |
$35.87 | 260 | 258 |
|
Julia S Stutts
2000 Pepperell Pkwy |
$19.44 | 239 | 143 |
|
Avery Berlin Lisenbe
2000 Pepperell Pkwy |
$55.89 | 198 | 184 |
|
Gaeton Don Lorino
2412 Village Professional Dr S |
$31.82 | 194 | 64 |
|
Stephanie D Huff
2000 Pepperell Pkwy |
$34.09 | 141 | 137 |
|
Kristin Hardy
121 N 20Th St Ste 6 |
$42.44 | 139 | 137 |
|
Martin G Roach
7667 Al Highway 51 Ste B |
$62.18 | 114 | 79 |
|
The East Alabama Health Care Authority
2000 Pepperell Pkwy |
$21.41 | 112 | 109 |
|
Taylor David Wachs
2000 Pepperell Pkwy |
$90.41 | 79 | 70 |
|
Brandi P Fetner
2000 Pepperell Pkwy |
$36.63 | 51 | 51 |
|
Travis Woodley
3021 Frederick Rd |
$2.11 | 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 Opelika, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Opelika, AL is $46.71 per claim, based on 80,800 claims from 39 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 Opelika, AL?
There are 39 Medicaid providers offering Emergency Room Visit related services in Opelika, AL according to public payment data.
What is the price range for Emergency Room Visit in Opelika, AL?
Medicaid reimbursement for Emergency Room Visit in Opelika, AL ranges from $2.11 to $90.41 per claim, with an average of $46.71. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Avg $135.52
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Other Procedures in Opelika, AL
Office Visit
Avg $61.25
372,287 claims
Behavioral & Mental Health Therapy
Avg $70.49
344,786 claims
Psychiatric Evaluation
Avg $77.27
176,145 claims
Vaccines & Immunizations
Avg $25.32
153,927 claims
Case Management Services
Avg $65.21
153,762 claims
Non-Emergency Medical Transportation
Avg $16.32
81,342 claims
Blood Work & Lab Tests
Avg $9.29
70,723 claims
Hearing Test (Audiometry)
Avg $7.84
50,567 claims