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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Pikeville, KY: $104.28

Avg. Paid

$104.28

Range

$37.16 – $163.88

Total Claims

349,778

Providers

56

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 Pikeville, KY

Provider Avg. Paid Claims Patients
Pikeville Medical Center Inc

911 Bypass Rd

 $163.88 147,613 120,130
James Derek Sword

911 Bypass Road

 $62.14 16,098 14,853
Chad E Carroll

184 S Mayo Trl

 $62.23 14,177 12,810
John S Colston

184 S Mayo Trl

 $95.33 14,027 12,664
Michael Joe Asher

911 Bypass Rd Bldg A

 $41.78 11,666 10,933
Thomas Kevin Morey

911 Bypass Rd Bldg A

 $40.76 11,250 10,556
William B Webb

911 Bypass Rd Bldg A

 $59.85 10,119 9,423
Tariq Mirza

119 Coal Hollow Road

 $63.47 10,040 9,113
Christopher Cody Reynolds

911 Bypass Rd Bldg A

 $58.28 8,885 8,258
Anant Pal Singh Chandel

164 E Chloe Ridge Dr

 $60.31 8,292 7,623
John M Fleming

911 Bypass Rd Bldg A

 $56.46 7,868 7,311
Brett E Jarrell

911 Bypass Rd Bldg A

 $56.74 6,956 6,464
Brittney R. Judhan

911 Bypass Rd Bldg A

 $42.40 6,886 6,442
Melissa A. Morey

911 Bypass Rd Bldg A

 $40.42 6,808 6,415
Damian Lee Cole

147 Sycamore St

 $62.19 5,551 4,933
Stephen Michael Miley

911 Bypass Rd

 $48.07 5,302 4,900
Esther Lee Greco

911 Bypass Road

 $65.42 4,901 4,391
Christina Mechelle Howard

140 Adams Ln Ste 300

 $49.14 4,397 4,208
William Ray Hedrick

911 Bypass Rd Bldg A

 $51.65 4,180 3,843
Jodelle Lynne Yount

911 Bypass Rd

 $58.22 4,079 3,625
Rebekah Hall

911 Bypass Rd

 $52.58 3,966 3,728
Danny Brent Newsome

911 Bypass Rd Bldg A

 $53.49 3,947 3,675
Michael Crum

911 Bypass Rd Bldg A

 $59.34 3,450 3,178
Elizabeth Dupre

911 Bypass Rd Bldg A

 $153.45 3,235 2,961
Pikeville Medical Center Inc.

911 Bypass Rd Bldg A

 $64.32 2,990 2,442
Nisrine Bou Malhab

911 Bypass Rd Bldg A

 $82.89 2,956 980
David Farler

255 Church St Ste 101

 $39.95 2,884 2,572
Ashlee Whitt

911 Bypass Rd Bldg A

 $37.16 2,689 2,535
Abdallah Kernaf

911 Bypass Rd Bldg A

 $84.42 2,167 705
Worawute Supaongprapa

911 Bypass Rd Bldg A

 $78.45 1,773 672
Haitem Mezughi

911 Bypass Rd Bldg A

 $89.15 1,176 353
Michelle Renee Scearse

911 Bypass Rd

 $43.24 742 685
Abdel Rahman Lataifeh

911 Bypass Rd

 $83.45 714 513
Anthony Francis Dempsey

911 Bypass Rd

 $90.69 698 507
Gloria Hoskins

911 Bypass Rd

 $48.33 677 638
Matthew Sexton

911 Bypass Rd Bldg A

 $87.27 675 169
Speros G Livieratos

908 Bypass Rd

 $81.89 652 459
Amanda Nicole Laferty

911 Bypass Rd Bldg A

 $39.31 580 552
Rasiah A Narendrakumar

911 Bypass Rd

 $54.33 570 473
Julie R. Clemons

231 Hibbard St

 $43.54 521 477
Ahsen Ali Butt

238 Cassidy Blvd

 $135.10 517 455
Brietta Rose Estep

115 Lee Ave Ste 101

 $58.97 436 372
Michael Christian Whittier

911 Bypass Rd Bldg A

 $48.04 434 403
William Albert Ison

911 Bypass Rd Bldg A

 $54.18 363 119
Katie Johnson

911 Bypass Rd Bldg A

 $80.18 330 321
Shadi Falah Obeidat

911 Bypass Rd Bldg A

 $109.15 228 111
Tonya M May

911 Bypass Rd Bldg A

 $50.47 224 208
Daniel James Gavin

911 Bypass Rd

 $40.48 184 67
Rachel Elizabeth Mullins

911 Bypass Rd Bldg A

 $93.59 183 86
Vikram V. Oke

911 Bypass Rd

 $134.78 173 74

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 Pikeville, KY?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pikeville, KY is $104.28 per claim, based on 349,778 claims from 56 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 Pikeville, KY?

There are 56 Medicaid providers offering Emergency Room Visit related services in Pikeville, KY according to public payment data.

What is the price range for Emergency Room Visit in Pikeville, KY?

Medicaid reimbursement for Emergency Room Visit in Pikeville, KY ranges from $37.16 to $163.88 per claim, with an average of $104.28. 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 Pikeville, KY

Office Visit

Avg $34.50

1,279,513 claims

Blood Work & Lab Tests

Avg $13.27

1,226,959 claims

Psychiatric Evaluation

Avg $55.70

290,250 claims

X-Ray

Avg $36.48

249,058 claims

Substance Abuse Treatment

Avg $43.54

225,767 claims

Urinalysis & Urine Tests

Avg $4.44

169,795 claims

Physical Therapy

Avg $23.66

158,566 claims

EKG / ECG (Electrocardiogram)

Avg $24.30

133,378 claims