Average Medicaid Emergency Room Visit Payments in Orofino, ID: $59.38
Avg. Paid
$59.38
Range
$32.65 – $271.33
Total Claims
7,004
Providers
11
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 Orofino, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shelly Frances Frayser
301 Cedar St |
$85.24 | 2,186 | 1,958 |
|
Mark Frederick Ackerman
1055 Riverside Ave |
$32.65 | 1,818 | 1,579 |
|
Joshua Jacob Morris
10620 Highway 12 |
$52.24 | 1,539 | 1,509 |
|
Kraig Arthur White
301 Cedar St |
$46.22 | 827 | 806 |
|
Brett T Mumford
301 Cedar St |
$77.67 | 439 | 298 |
|
Vanessa Kimberly Brown
301 Cedar St |
$88.90 | 106 | 97 |
|
Thomas Wonderlich
301 Cedar St |
$52.88 | 38 | 34 |
|
Clearwater Valley Hospital & Clinics Inc
301 Cedar St |
$271.33 | 14 | 12 |
|
Phillip H Petersen
301 Cedar St |
$60.23 | 13 | 13 |
|
John Seth Lukens
301 Cedar St |
$45.95 | 12 | 12 |
|
Rebecca Susan Katzman
301 Cedar St |
$77.38 | 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 Orofino, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Orofino, ID is $59.38 per claim, based on 7,004 claims from 11 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 Orofino, ID?
There are 11 Medicaid providers offering Emergency Room Visit related services in Orofino, ID according to public payment data.
What is the price range for Emergency Room Visit in Orofino, ID?
Medicaid reimbursement for Emergency Room Visit in Orofino, ID ranges from $32.65 to $271.33 per claim, with an average of $59.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $203.26
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Avg $130.02
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Avg $130.10
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Other Procedures in Orofino, ID
Office Visit
Avg $29.74
19,194 claims
Blood Work & Lab Tests
Avg $6.14
11,973 claims
Substance Abuse Treatment
Avg $101.20
8,151 claims
Speech Therapy
Avg $19.48
7,183 claims
Psychiatric Evaluation
Avg $58.16
4,645 claims
Physical Therapy
Avg $47.61
4,585 claims
Behavioral & Mental Health Therapy
Avg $63.10
2,472 claims
Urinalysis & Urine Tests
Avg $4.87
2,381 claims