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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Provo, UT: $63.83

Avg. Paid

$63.83

Range

$32.58 – $144.00

Total Claims

133,845

Providers

48

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 Provo, UT

Provider Avg. Paid Claims Patients
Ihc Health Services, Inc.

1034 N 500 W

 $32.58 56,309 48,521
Utah Valley Emergency Physicians Inc

1034 North 500 West

 $81.69 29,529 26,718
Christopher Nathan Johnson

1034 N 500 W

 $79.92 6,554 5,963
Gary R Sanderson

1034 N 500 W

 $83.44 4,821 4,680
Tyson Jay Higgins

1034 N 500 W

 $103.75 3,904 3,536
Sydney Ryan

1034 N 500 W # N500W

 $108.07 3,417 3,353
Taylor James Kallas

1034 N 500 W

 $99.44 2,670 2,531
Chad Leblanc

1034 North 500 West

 $85.56 1,543 1,464
Cory L Bringhurst

1034 North 500 West

 $86.35 1,486 1,385
Reece Baker

1134 N 500 W

 $92.26 1,418 1,324
Ryley Enz

1034 N 500 W

 $87.39 1,281 1,201
Jay Calvin Simmons

1034 N 500 W

 $86.76 1,239 1,149
Ihc Health Services Inc

395 W Cougar Blvd Ste 504

 $135.81 1,149 430
Timothy Yazzie

1134 N 500 W

 $81.32 1,149 1,119
Adam R Krommenhoek

1034 N 500 W

 $87.43 1,130 1,065
Melissa Christine Walker

1034 N 500 W

 $91.24 1,119 1,053
Matthew Wayne Smith

1157 N 300 W Ste 201

 $55.65 1,088 1,027
Craig P Patten

1034 North 500 West

 $80.32 1,034 933
Steven Nelson

1134 N 500 W

 $87.76 1,018 961
Brian Hyer

1034 North 500 West

 $78.99 978 895
Ryan L Davis

1034 N 500 W

 $80.69 946 893
Ronald Orie Browne

979 W 1700 N

 $79.70 881 580
Robert D Christensen

1034 N 500 W

 $90.26 791 746
Douglas C Murdock

280 West Riverpark Dr

 $77.39 738 698
Christopher Irel Eppich

1034 N 500 W

 $96.25 700 670
Michael F Osborn

1034 N 500 W

 $83.99 671 636
Richard Clead Herlevi

1034 N 500 W

 $85.94 625 580
Vaughn Thad Johnson

3650 N University Ave Ste 200

 $93.16 621 571
Andrew Pressman

1034 N 500 W

 $75.21 560 528
David Rubin Sandweiss

1034 N 500 W

 $96.52 544 528
Juliet Jane-Ashley Evans

1034 N 500 W

 $68.05 490 463
Cameron Royall

1034 N 500 W

 $99.18 464 448
Audrey Bergeson

1034 N 500 W

 $92.83 420 409
Robert Chad Swanson

1034 N 500 W

 $77.50 335 316
Tanner Lee Frey

1034 N 500 W

 $75.07 317 313
Cameron A Symonds

1034 North 500 West

 $83.06 295 270
Scott Walker

1300 E Center St

 $63.44 293 251
Diane Walsh

1034 N 500 W

 $122.13 284 275
Kyle Earl Nielsen

2292 N 1430 E

 $131.22 180 173
Matthew Black Sperry

1055 N 300 W

 $144.00 166 67
Samer Abdelwahab Saleh

395 W Cougar Blvd Fl 5

 $106.86 158 50
Braden Tucker

1034 N 500 W

 $99.28 148 146
Penny J Mader

1055 N 500 W

 $78.90 147 144
Scott Ruel Curtis

475 W 940 N

 $39.52 81 78
Nicole Dory Bigot

1034 N 500 W

 $105.36 75 73
Shyrlan Beck

1055 N 500 W Ste 112

 $106.33 42 41
Pace Romney

1055 N 300 W Ste 210

 $71.90 23 12
Blake Taylor

475 W 940 N

 $40.85 14 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 Provo, UT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Provo, UT is $63.83 per claim, based on 133,845 claims from 48 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 Provo, UT?

There are 48 Medicaid providers offering Emergency Room Visit related services in Provo, UT according to public payment data.

What is the price range for Emergency Room Visit in Provo, UT?

Medicaid reimbursement for Emergency Room Visit in Provo, UT ranges from $32.58 to $144.00 per claim, with an average of $63.83. 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 Provo, UT

Psychiatric Evaluation

Avg $107.81

594,211 claims

Office Visit

Avg $69.85

507,964 claims

Behavioral & Mental Health Therapy

Avg $86.86

305,453 claims

Case Management Services

Avg $66.10

270,369 claims

Blood Work & Lab Tests

Avg $17.40

270,145 claims

Vaccines & Immunizations

Avg $5.67

194,312 claims

X-Ray

Avg $11.10

129,607 claims

Dental Cleaning & Exam

Avg $50.83

97,982 claims