Average Medicaid Emergency Room Visit Payments in Paoli, IN: $95.82
Avg. Paid
$95.82
Range
$9.30 – $122.39
Total Claims
26,053
Providers
12
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 Paoli, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marlene F Greenberg
642 W Hospital Rd |
$99.62 | 9,378 | 8,454 |
|
Robert T Adams
560 W Longest St |
$114.88 | 9,270 | 8,278 |
|
David L Beachy
642 W Hospital Rd |
$77.22 | 2,354 | 2,184 |
|
Christopher M Scipione
642 W Hospital Rd |
$59.34 | 1,781 | 1,574 |
|
Michael Daggy
642 W Hospital Rd |
$59.46 | 1,436 | 1,293 |
|
Merlin W Friesen
202 Cherry St |
$72.74 | 702 | 593 |
|
Sarah Jones Whiteman
560 W Longest Street |
$52.64 | 663 | 573 |
|
Jill Christine Evans
420 W Longest St |
$84.68 | 297 | 275 |
|
Ashley M. Mccurry
420 W Longest St |
$64.95 | 73 | 68 |
|
Wayne L Farley
642 W Hospital Rd |
$122.39 | 46 | 45 |
|
Rudolph Carlo King
642 W Hospital Rd |
$91.42 | 31 | 29 |
|
Yolanda Joy Yoder
420 W Longest St |
$9.30 | 22 | 13 |
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 Paoli, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Paoli, IN is $95.82 per claim, based on 26,053 claims from 12 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 Paoli, IN?
There are 12 Medicaid providers offering Emergency Room Visit related services in Paoli, IN according to public payment data.
What is the price range for Emergency Room Visit in Paoli, IN?
Medicaid reimbursement for Emergency Room Visit in Paoli, IN ranges from $9.30 to $122.39 per claim, with an average of $95.82. 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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Philadelphia, PA
Avg $135.52
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Other Procedures in Paoli, IN
Office Visit
Avg $53.77
41,180 claims
Durable Medical Equipment (DME)
Avg $23.57
30,829 claims
Blood Work & Lab Tests
Avg $5.48
21,809 claims
Chiropractic Care
Avg $22.18
16,477 claims
Psychiatric Evaluation
Avg $35.59
12,369 claims
Speech Therapy
Avg $23.78
12,115 claims
Eye Exam
Avg $43.53
11,950 claims
Non-Emergency Medical Transportation
Avg $20.81
10,651 claims