Average Medicaid Emergency Room Visit Payments in Pagosa Springs, CO: $105.46
Avg. Paid
$105.46
Range
$38.19 – $183.24
Total Claims
22,168
Providers
14
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 Pagosa Springs, CO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Anne Liverett
95 S Pagosa Blvd |
$135.94 | 14 | 14 |
|
Robert Farrington Brown
95 S Pagosa Blvd |
$123.01 | 16 | 14 |
|
Michael L Kloep
95 S Pagosa Blvd |
$171.22 | 39 | 39 |
|
Robert A Lambert
95 S Pagosa Blvd |
$76.22 | 78 | 74 |
|
Michelle Flemmings
95 S Pagosa Blvd |
$68.27 | 99 | 86 |
|
Anthony Eli Velasquez
95 S Pagosa Blvd |
$116.73 | 252 | 232 |
|
Joy Aileen Norris
95 S Pagosa Blvd |
$135.56 | 404 | 382 |
|
Ralph Battels
95 S Pagosa Blvd |
$87.36 | 427 | 372 |
|
Kerri Renee Voigts
95 S Pagosa Blvd |
$99.71 | 1,341 | 1,236 |
|
Robert Gruver
95 S Pagosa Blvd |
$38.19 | 2,032 | 1,990 |
|
Nicholas Thomas Reynolds
95 S Pagosa Blvd |
$95.02 | 2,526 | 2,290 |
|
Upper San Juan Health Service District
95 S Pagosa Blvd |
$183.24 | 3,438 | 3,114 |
|
Robert Jared Halterman
95 S Pagosa Blvd |
$102.65 | 4,590 | 4,084 |
|
Daniel Matthew Renner
95 S Pagosa Blvd |
$92.68 | 6,912 | 6,257 |
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 Pagosa Springs, CO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pagosa Springs, CO is $105.46 per claim, based on 22,168 claims from 14 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 Pagosa Springs, CO?
There are 14 Medicaid providers offering Emergency Room Visit related services in Pagosa Springs, CO according to public payment data.
What is the price range for Emergency Room Visit in Pagosa Springs, CO?
Medicaid reimbursement for Emergency Room Visit in Pagosa Springs, CO ranges from $38.19 to $183.24 per claim, with an average of $105.46. 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
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Pagosa Springs, CO
Office Visit
Avg $113.15
47,657 claims
Blood Work & Lab Tests
Avg $10.37
15,481 claims
Physical Therapy
Avg $30.68
12,937 claims
Psychiatric Evaluation
Avg $81.37
12,119 claims
Dental Cleaning & Exam
Avg $33.05
6,141 claims
EKG / ECG (Electrocardiogram)
Avg $8.81
3,993 claims
Echocardiogram
Avg $56.27
2,158 claims
Eye Exam
Avg $56.30
2,053 claims