Average Medicaid Emergency Room Visit Payments in Paintsville, KY: $128.08
Avg. Paid
$128.08
Range
$51.33 – $163.50
Total Claims
109,164
Providers
9
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 Paintsville, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary A. Lowther
625 James S. Trimble Blvd. |
$143.15 | 161 | 157 |
|
Hassan Helwani
625 James S Trimble Blvd |
$51.33 | 1,394 | 1,264 |
|
Lisa C Cain
625 James S Trimble Blvd |
$65.64 | 1,831 | 1,721 |
|
Willard C. Arnold
625 James S Trimble Blvd |
$61.21 | 4,881 | 4,399 |
|
Joseph A. Isaac
625 James S. Trimble Blvd. |
$53.71 | 7,499 | 6,966 |
|
Jason Scott Short
503 Depot Road |
$54.02 | 9,481 | 8,864 |
|
Thomas B. Styer
625 James S. Trimble Blvd. |
$64.66 | 11,691 | 10,535 |
|
Arh Tug Valley Health Services, Inc.
625 James S. Trimble Blvd |
$163.10 | 27,842 | 17,940 |
|
Paintsville Hospital Company, Llc
625 James Trimble Blvd |
$163.50 | 44,384 | 32,828 |
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 Paintsville, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Paintsville, KY is $128.08 per claim, based on 109,164 claims from 9 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 Paintsville, KY?
There are 9 Medicaid providers offering Emergency Room Visit related services in Paintsville, KY according to public payment data.
What is the price range for Emergency Room Visit in Paintsville, KY?
Medicaid reimbursement for Emergency Room Visit in Paintsville, KY ranges from $51.33 to $163.50 per claim, with an average of $128.08. 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 Paintsville, KY
Blood Work & Lab Tests
Avg $8.53
277,806 claims
Office Visit
Avg $34.84
255,105 claims
Eye Exam
Avg $60.67
61,407 claims
Physical Therapy
Avg $21.19
48,648 claims
X-Ray
Avg $36.22
34,513 claims
Urinalysis & Urine Tests
Avg $2.66
31,380 claims
CT Scan (Computed Tomography)
Avg $153.08
27,271 claims
EKG / ECG (Electrocardiogram)
Avg $13.90
25,694 claims