Average Medicaid Emergency Room Visit Payments in Pontiac, MI: $154.55
Avg. Paid
$154.55
Range
$43.89 – $182.10
Total Claims
376,602
Providers
31
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 Pontiac, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Joseph Mercy Hospital-Smhc
44405 Woodward Ave |
$182.10 | 150,135 | 140,467 |
|
Mclaren Oakland
50 N Perry St |
$160.86 | 147,368 | 136,481 |
|
Monish Sharma
50 N Perry St |
$81.17 | 14,316 | 13,485 |
|
Kelly William Welsh
50 N Perry St |
$67.14 | 7,587 | 6,588 |
|
Shalako M. Bradley
50 N Perry St |
$118.30 | 6,468 | 6,310 |
|
Roy Solano
44405 Woodward Ave |
$115.83 | 5,292 | 5,036 |
|
Elisha Botnick
50 N Perry St |
$66.59 | 4,964 | 4,801 |
|
R Steven Hemby
50 N Perry St |
$61.85 | 4,549 | 4,142 |
|
Tamara M Bowers
50 N Perry St |
$103.51 | 4,282 | 3,928 |
|
Mclaren Oakland
50 N Perry St |
$59.65 | 4,103 | 3,812 |
|
Sara Daphne Daniel
50 N Perry St |
$94.21 | 3,326 | 2,948 |
|
Catherine Rachel Mank
50 N Perry St |
$70.99 | 3,053 | 2,958 |
|
Sarah Katie Ornazian
50 N Perry St |
$140.71 | 2,786 | 2,650 |
|
Sjmh Medical Practice-Smhc
44405 Woodward Ave |
$59.82 | 2,507 | 2,021 |
|
Neeraja Tennoor Murali
50 N Perry St |
$134.95 | 2,464 | 2,350 |
|
Mclaren Oakland
50 N Perry St |
$158.46 | 2,278 | 2,171 |
|
Brad A Blaker
50 N Perry St |
$151.30 | 1,973 | 1,769 |
|
Frank Tarn
44405 Woodward Ave |
$53.55 | 1,915 | 1,896 |
|
Omar El Kateeb
50 N Perry St |
$72.63 | 1,510 | 1,231 |
|
Susana Santos
50 N Perry St |
$119.24 | 1,302 | 1,276 |
|
Robert James Brown
50 N Perry St |
$148.20 | 1,292 | 1,242 |
|
Zachary J Jarou
44405 Woodward Ave |
$43.89 | 1,132 | 1,101 |
|
Patrick Grant Hughes
50 N Perry St |
$71.88 | 997 | 844 |
|
Chandra Kumar Krishna
44405 Woodward Ave |
$51.64 | 396 | 321 |
|
Zainab Fatima Farooqui
50 N Perry St |
$61.17 | 158 | 154 |
|
Mohamad Yser Orabi
44555 Woodward Ave |
$65.11 | 147 | 27 |
|
Manjinder Pannu
44405 Woodward Ave |
$94.82 | 133 | 108 |
|
Tayla May Sarna
50 N Perry St |
$77.48 | 65 | 64 |
|
Theresa M Whalen
44405 Woodward |
$47.92 | 38 | 37 |
|
Faisal Majeed
44405 Woodward Ave |
$131.27 | 34 | 26 |
|
Anantha Devineni
44405 Woodward Ave |
$124.84 | 32 | 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 Pontiac, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Pontiac, MI is $154.55 per claim, based on 376,602 claims from 31 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 Pontiac, MI?
There are 31 Medicaid providers offering Emergency Room Visit related services in Pontiac, MI according to public payment data.
What is the price range for Emergency Room Visit in Pontiac, MI?
Medicaid reimbursement for Emergency Room Visit in Pontiac, MI ranges from $43.89 to $182.10 per claim, with an average of $154.55. 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 Pontiac, MI
Blood Work & Lab Tests
Avg $4.56
810,652 claims
Office Visit
Avg $38.84
654,326 claims
Vaccines & Immunizations
Avg $7.39
267,864 claims
Urinalysis & Urine Tests
Avg $0.97
193,997 claims
Substance Abuse Treatment
Avg $43.30
130,217 claims
X-Ray
Avg $16.77
124,181 claims
Ambulance Transport
Avg $101.68
121,474 claims
Dental Cleaning & Exam
Avg $41.67
113,888 claims