Average Medicaid Emergency Room Visit Payments in Phoenix, AZ: $203.26
Avg. Paid
$203.26
Range
$0.00 – $1,044
Total Claims
4,304,161
Providers
851
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Phoenix Children'S Hospital
1919 E Thomas Rd |
$516.85 | 427,062 | 409,871 |
|
Maricopa County Special Health Care District
2601 E Roosevelt St |
$358.37 | 335,651 | 315,722 |
|
Banner Estrella Medical Center
9201 W Thomas Rd |
$236.58 | 253,743 | 234,242 |
|
Dignity Health
350 W Thomas Rd |
$260.33 | 222,504 | 202,521 |
|
Banner - University Medical Center Phoenix
1111 E Mcdowell Rd |
$301.31 | 208,497 | 190,503 |
|
Vhs Of Phoenix Inc
2000 W Bethany Home Rd |
$198.22 | 169,640 | 156,280 |
|
Honorhealth
19829 N 27Th Ave |
$247.65 | 148,988 | 137,681 |
|
Honorhealth
250 E Dunlap Ave |
$268.36 | 134,572 | 122,735 |
|
Vhs Acquisition Subsidiary Number 1 Inc
3929 E Bell Rd |
$204.86 | 76,626 | 70,627 |
|
Mayo Clinic Arizona
5777 E Mayo Blvd |
$316.03 | 26,837 | 24,020 |
|
Honorhealth
33400 N 32Nd Ave |
$213.29 | 25,448 | 23,421 |
|
Laurence David Turner
2026 N. Dayton St. |
$77.72 | 24,995 | 24,411 |
|
Nachman Ullman
2601 E Roosevelt St |
$93.49 | 21,250 | 20,305 |
|
Marc D Edwards
5102 W Campbell Ave |
$79.18 | 21,074 | 20,552 |
|
St Lukes Medical Center Lp
1800 E Van Buren St |
$153.35 | 19,537 | 17,632 |
|
Vhs Of Arrowhead, Inc.
1930 E Thomas Rd |
$223.26 | 17,774 | 16,560 |
|
Justin W. Sales
1919 E Thomas Rd |
$140.44 | 17,759 | 17,048 |
|
Brent J. Gear
5045 N 12Th St Ste A |
$121.19 | 17,109 | 16,150 |
|
Muhammad Raza
9200 N Central Ave Ste 2 |
$115.91 | 16,985 | 3,341 |
|
Amit Srivastava
1919 E Thomas Rd |
$154.13 | 16,268 | 15,165 |
|
Nana N Dwomoh
1201 S 7Th Ave |
$75.92 | 16,252 | 15,875 |
|
Jason B Daniels
5102 W Campbell Ave |
$78.71 | 15,908 | 15,555 |
|
Carrie Ann Hayek
2232 E Mercer Ln |
$95.44 | 15,161 | 14,666 |
|
Brian Kummet
4117 N 17Th St |
$81.12 | 15,130 | 14,674 |
|
Derek Stewart
250 E Dunlap Ave |
$130.04 | 14,597 | 13,436 |
|
David E Bank
1919 E Thomas Rd |
$97.87 | 14,488 | 14,107 |
|
Babak Yekta
2601 E Roosevelt St |
$36.05 | 14,160 | 13,951 |
|
Katrina Marie Rousher
1919 E Thomas Rd |
$57.41 | 13,671 | 13,495 |
|
Karen Gray
1919 E Thomas Rd |
$55.77 | 13,167 | 13,006 |
|
Lisa Diane Moore-Brandon
2000 W Bethany Home Rd |
$81.60 | 12,880 | 12,629 |
|
Susan L Gin-Shaw
19829 N 27Th Ave |
$73.72 | 12,755 | 12,496 |
|
Kunal K. Shah
1919 E Thomas Rd |
$88.81 | 12,537 | 12,229 |
|
Tara Elizabeth Estrada
1919 E Thomas Rd |
$55.31 | 12,502 | 12,364 |
|
Allen Walker
1919 E Thomas Rd |
$48.21 | 12,268 | 12,155 |
|
Zola Trotter
2601 E Roosevelt St |
$96.89 | 12,111 | 11,693 |
|
Ashley Holtz
350 W Thomas Rd |
$91.40 | 12,102 | 11,809 |
|
Michael David Beck
2000 W Bethany Home Rd |
$85.04 | 12,094 | 11,048 |
|
David Paul Ruby
1119 E Le Marche Ave |
$84.30 | 11,950 | 11,628 |
|
Michelle Mcdowell
1919 E Thomas Rd |
$54.08 | 11,585 | 11,466 |
|
Michael Andrew Treiman
2601 E Roosevelt St |
$88.86 | 11,510 | 10,807 |
|
Anthony Joseph Bennett
222 W Thomas Rd |
$91.04 | 11,347 | 11,059 |
|
Charles Melvin Smith
2000 W Bethany Home Rd |
$93.24 | 11,271 | 10,858 |
|
Christina Marie Conrad
1919 E Thomas Rd |
$77.47 | 11,050 | 10,911 |
|
Robert L Rodrigues
2000 W Bethany Home Rd |
$63.86 | 10,812 | 10,281 |
|
Carol M Thrall
1919 E Thomas Rd |
$51.26 | 10,695 | 10,594 |
|
Timothy Scott Davie
2601 E Roosevelt St |
$88.41 | 10,668 | 10,391 |
|
Scottsdale Healthcare Hospitals
33423 N 32Nd Ave |
$190.25 | 10,546 | 9,879 |
|
Sean Thomas Kline
1919 E Thomas Rd |
$50.56 | 10,536 | 10,381 |
|
Gregory D Basye
2000 W Bethany Home Rd |
$75.07 | 10,515 | 10,155 |
|
Alexander Toledo
1919 E Thomas Rd |
$75.04 | 10,385 | 10,099 |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Phoenix, AZ is $203.26 per claim, based on 4,304,161 claims from 851 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 Phoenix, AZ?
There are 851 Medicaid providers offering Emergency Room Visit related services in Phoenix, AZ according to public payment data.
What is the price range for Emergency Room Visit in Phoenix, AZ?
Medicaid reimbursement for Emergency Room Visit in Phoenix, AZ ranges from $0.00 to $1,044 per claim, with an average of $203.26. 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
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
Cleveland, OH
Avg $98.94
3,436,346 claims · 878 providers
Other Procedures in Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims