Average Medicaid Emergency Room Visit Payments in Polson, MT: $58.08
Avg. Paid
$58.08
Range
$11.36 – $160.11
Total Claims
41,370
Providers
15
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 Polson, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paul D Gochis
107 Ridgewater Dr |
$119.62 | 12 | 12 |
|
Isaac Billings
107 Ridgewater Dr Ste A |
$60.40 | 13 | 13 |
|
Tyler Jay Thorson
104 Rufus Ln |
$69.83 | 14 | 14 |
|
Naomi Onaka
6 13Th Ave E |
$101.47 | 307 | 298 |
|
Amy M. Johnson
#5 4Th Ave. E. |
$74.30 | 347 | 340 |
|
Kenneth L. Galewyrick
6 13Th Ave E |
$82.78 | 504 | 447 |
|
Aron Haire
6 13Th Ave E |
$102.12 | 1,031 | 1,005 |
|
Bruce Speicher
6 13Th Ave E |
$68.91 | 1,516 | 1,242 |
|
Darren Brockie
6 13Th Ave E |
$96.07 | 2,096 | 1,999 |
|
Joseph Allen Howard
6 13Th Ave E |
$96.99 | 2,122 | 2,066 |
|
Timothy W. Thornton
6 13Th Ave E |
$99.45 | 2,301 | 2,230 |
|
Corey Gaul
6 13Th Ave E |
$141.85 | 2,549 | 2,432 |
|
Tyler Lee Dickey
6 13Th Ave E |
$84.80 | 2,861 | 2,441 |
|
Joseph Smith
6 13Th Ave E |
$160.11 | 3,759 | 3,687 |
|
Providence St Joseph Medical Center
6 13Th Ave E |
$11.36 | 21,938 | 17,690 |
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 Polson, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Polson, MT is $58.08 per claim, based on 41,370 claims from 15 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 Polson, MT?
There are 15 Medicaid providers offering Emergency Room Visit related services in Polson, MT according to public payment data.
What is the price range for Emergency Room Visit in Polson, MT?
Medicaid reimbursement for Emergency Room Visit in Polson, MT ranges from $11.36 to $160.11 per claim, with an average of $58.08. 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
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Polson, MT
Office Visit
Avg $12.60
108,416 claims
Blood Work & Lab Tests
Avg $0.76
75,615 claims
Dental Cleaning & Exam
Avg $34.34
43,585 claims
Psychiatric Evaluation
Avg $78.85
36,401 claims
Physical Therapy
Avg $23.05
34,244 claims
Behavioral & Mental Health Therapy
Avg $59.19
19,165 claims
Urinalysis & Urine Tests
Avg $0.53
18,428 claims
Vaccines & Immunizations
Avg $3.20
14,431 claims