Average Medicaid Emergency Room Visit Payments in Pinehurst, NC: $63.27
Avg. Paid
$63.27
Range
$0.00 – $162.85
Total Claims
305,300
Providers
47
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 Pinehurst, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Firsthealth Of The Carolinas, Inc.
155 Memorial Dr |
$46.90 | 101,027 | 89,031 |
|
Julie Verchick
155 Memorial Dr |
$72.08 | 18,810 | 16,509 |
|
Jonathan Brower
155 Memorial Dr |
$75.58 | 18,538 | 16,454 |
|
Katherine Newell
155 Memorial Dr |
$75.45 | 15,281 | 13,528 |
|
James Lewis
155 Memorial Dr |
$64.99 | 13,460 | 11,772 |
|
John Bridgman
155 Memorial Dr |
$69.53 | 13,388 | 11,827 |
|
Amanda Korzep Watts
155 Memorial Dr |
$75.99 | 12,356 | 11,055 |
|
Peter A Tucich
108 Sakonnet Trl |
$70.13 | 11,621 | 10,248 |
|
Carlin Corsino
155 Memorial Dr |
$82.00 | 11,360 | 10,015 |
|
Mary Peterson-Suri
155 Memorial Dr |
$70.33 | 11,212 | 9,688 |
|
Christopher James Lundberg
155 Memorial Dr |
$82.30 | 11,200 | 9,814 |
|
Don Robert Bahner
155 Memorial Dr |
$67.71 | 8,917 | 7,915 |
|
Matthew John Vreeland
155 Memorial Dr |
$56.46 | 6,279 | 5,536 |
|
Brian S Hough
155 Memorial Dr |
$69.57 | 5,556 | 4,817 |
|
Aemonn Barnes
205 Page Rd |
$61.90 | 5,539 | 4,045 |
|
Mcpc-12, Llc
145 Applecross Rd |
$55.44 | 4,685 | 4,255 |
|
Ian Stack
35 Memorial Dr |
$70.56 | 4,553 | 4,020 |
|
Matthew Harmody
155 Memorial Dr |
$54.58 | 4,200 | 3,747 |
|
Alicia Cox
155 Memorial Dr |
$76.89 | 3,362 | 2,833 |
|
Jonathan Christopher Kearns
120 Applecross Rd |
$66.07 | 3,191 | 2,681 |
|
Linda Jingle
155 Memorial Dr |
$59.28 | 2,444 | 2,256 |
|
Jeffery Alexander Gross
155 Memorial Dr |
$137.65 | 2,359 | 2,211 |
|
Ashraf Kobeissi
150 Ivey Ln Ste A |
$56.73 | 2,313 | 2,110 |
|
Ronald Milewski
155 Memorial Dr |
$54.27 | 2,203 | 1,966 |
|
Darrell Simpkins
155 Memorial Dr |
$56.79 | 2,114 | 1,916 |
|
Joseph Cain
125 Fox Hollow Rd |
$65.90 | 1,952 | 1,743 |
|
Julia Lynne Mabe
155 Memorial Dr |
$68.32 | 1,819 | 1,556 |
|
Alexandra Whitney Carlton
120 Applecross Rd |
$74.18 | 1,608 | 1,443 |
|
Franky Lee Stooksbury
120 Applecross Rd Ste 2 |
$74.67 | 1,292 | 1,194 |
|
Bertha Laura Santos
5 Beryl Ln |
$67.57 | 723 | 637 |
|
Jayson Jaquish
120 Applecross Rd Ste 8 |
$51.86 | 388 | 270 |
|
Daniel Jay Feinstein
155 Memorial Drive |
$98.48 | 232 | 117 |
|
Pallavi Sindhu
155 Memorial Dr |
$68.77 | 228 | 186 |
|
Elizabeth Univa Woodley
Po Box 3000 |
$133.71 | 207 | 192 |
|
Abigail R Peterson
15 Regional Dr |
$41.85 | 144 | 123 |
|
Alaina Geiss
155 Memorial Dr |
$0.00 | 142 | 112 |
|
Laura Jean Kaufman
15 Regional Dr |
$41.72 | 99 | 72 |
|
Olufunsho Adamolekun
5 Firstvillage Drive |
$73.46 | 85 | 79 |
|
Judith James
155 Memorial Dr |
$79.10 | 73 | 67 |
|
Adam Richard Belanger
205 Page Rd |
$153.38 | 63 | 14 |
|
Eric Scot Bishop
155 Memorial Dr |
$73.42 | 53 | 41 |
|
Evelyn Gabuya Metz
155 Memorial Dr |
$72.06 | 50 | 39 |
|
Garon Strong
155 Memorial Dr |
$50.55 | 49 | 48 |
|
Bradley Len Icard
205 Page Rd |
$162.85 | 44 | 28 |
|
Philip G Mondi
15 Regional Dr |
$121.19 | 27 | 24 |
|
Steven J Filby
155 Memorial Dr |
$53.93 | 27 | 12 |
|
Steven David Owens
155 Memorial Dr |
$74.44 | 27 | 25 |
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 Pinehurst, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pinehurst, NC is $63.27 per claim, based on 305,300 claims from 47 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 Pinehurst, NC?
There are 47 Medicaid providers offering Emergency Room Visit related services in Pinehurst, NC according to public payment data.
What is the price range for Emergency Room Visit in Pinehurst, NC?
Medicaid reimbursement for Emergency Room Visit in Pinehurst, NC ranges from $0.00 to $162.85 per claim, with an average of $63.27. 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
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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 Pinehurst, NC
Blood Work & Lab Tests
Avg $11.86
397,455 claims
Office Visit
Avg $43.51
311,769 claims
Substance Abuse Treatment
Avg $23.95
305,476 claims
Case Management Services
Avg $57.69
202,094 claims
X-Ray
Avg $23.62
122,786 claims
Ambulance Transport
Avg $27.07
111,530 claims
Urinalysis & Urine Tests
Avg $4.42
106,592 claims
EKG / ECG (Electrocardiogram)
Avg $8.22
83,965 claims