Average Medicaid Emergency Room Visit Payments in Raleigh, NC: $139.82
Avg. Paid
$139.82
Range
$0.00 – $508.66
Total Claims
911,865
Providers
230
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 Raleigh, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott Vincent Connelly
3000 New Bern Ave |
$146.75 | 47,087 | 41,310 |
|
Samy R Saad
3000 New Bern Ave |
$148.87 | 47,059 | 40,956 |
|
Chinenye Uchendu
123 Sunnybrook Road, Suite 140 |
$118.54 | 42,739 | 37,089 |
|
Christopher Occhino
4513 Pitt St |
$58.80 | 41,757 | 35,767 |
|
Wakemed
3000 New Bern Ave |
$214.07 | 31,284 | 28,468 |
|
Andrew Jakubowicz
3000 New Bern Ave |
$151.02 | 24,968 | 21,093 |
|
Craig R Frater
3000 New Bern Ave |
$144.02 | 24,745 | 21,741 |
|
Olly C Duckett
3000 New Bern Ave |
$146.73 | 23,934 | 20,011 |
|
Courtney H Mann
3000 New Bern Ave |
$149.87 | 22,441 | 19,496 |
|
Scott Wesley Brown
3400 Wake Forest Rd |
$105.72 | 19,858 | 17,590 |
|
David Lindsay Leader
3000 New Bern Ave |
$153.13 | 18,626 | 16,408 |
|
Erik A Manring
3000 New Bern Ave |
$148.07 | 17,644 | 15,092 |
|
Amy Weigand Griffin
3000 New Bern Ave |
$150.72 | 16,929 | 15,032 |
|
Eduardo Piqueras
3000 New Bern Ave |
$153.52 | 16,396 | 14,217 |
|
Aimee R Andrews
3000 New Bern Ave |
$144.46 | 16,139 | 14,183 |
|
Shannon Marie Matthews
3000 New Bern Ave |
$164.11 | 15,331 | 13,185 |
|
Gregory J Cannon
3000 New Bern Ave |
$145.56 | 15,034 | 13,103 |
|
John Christopher Summers
3400 Wake Forest Rd |
$113.63 | 14,313 | 12,295 |
|
Johanna Elisabeth Bischof
8344 Applebrook Ter |
$158.22 | 14,150 | 12,734 |
|
Jonathan A Malin
3000 New Bern Ave |
$153.00 | 13,922 | 12,389 |
|
Seth Bleier
3000 New Bern Ave |
$151.43 | 13,553 | 11,918 |
|
Miha S Lucas
3000 New Bern Ave |
$159.72 | 12,483 | 10,936 |
|
Hany Clark Ibrahim
3000 New Bern Ave |
$96.37 | 12,372 | 10,820 |
|
Heather Katherine Lewis
3000 New Bern Ave |
$156.29 | 11,415 | 9,586 |
|
Robert B Bell
3000 New Bern Ave |
$68.08 | 11,071 | 9,799 |
|
Penny J0 Hamilton-Gaertner
3000 New Bern Ave |
$160.56 | 10,962 | 9,316 |
|
Philip B Johnson
3000 New Bern Ave |
$154.02 | 10,054 | 8,641 |
|
David Henri Rosenbaum
3000 New Bern Ave |
$164.33 | 9,864 | 8,526 |
|
William Adam Carter
3400 Wake Forest Rd Dept |
$119.68 | 9,314 | 8,261 |
|
Rajiv Sanat Parikh
3400 Wake Forest Rd |
$109.27 | 9,045 | 8,241 |
|
Herbert L Myles
3000 New Bern Ave |
$164.63 | 8,881 | 7,673 |
|
Jill L Benson
3000 New Bern Ave |
$166.51 | 8,868 | 7,369 |
|
Benjamin T German
3000 New Bern Ave |
$165.52 | 8,859 | 7,623 |
|
Jeffrey John Cook
3000 New Bern Ave |
$157.61 | 8,239 | 7,242 |
|
Robert S Park
3000 New Bern Ave |
$173.68 | 8,221 | 7,034 |
|
Jonas Mcalarney
3400 Wake Forest Rd |
$160.42 | 7,850 | 6,848 |
|
Kimberly R Singletary
3000 New Bern Ave |
$153.79 | 7,777 | 6,725 |
|
Matthew M Young
3000 New Bern Ave |
$153.25 | 7,485 | 6,435 |
|
Douglas R Trocinski
3000 New Bern Ave |
$169.84 | 7,262 | 6,465 |
|
Rufus Delro Williams
4420 Lake Boone Trl |
$77.74 | 6,784 | 6,010 |
|
Joseph G Wiater
3000 New Bern Ave |
$173.75 | 6,490 | 5,729 |
|
Craig T Lauder
3000 New Bern Ave |
$192.92 | 6,183 | 5,384 |
|
Brendan C Berry
3000 New Bern Ave |
$138.58 | 6,031 | 5,187 |
|
Brian S. Quigley
14501 New Falls Of The Neuse Road |
$150.42 | 5,975 | 5,406 |
|
Shelby Kaplan Pushchak
3000 New Bern Ave |
$172.60 | 5,830 | 5,121 |
|
Paul Anthony Mattera
6021 Poyner Village Pkwy Ste 101 |
$63.20 | 5,809 | 5,334 |
|
Carrie H Vice
3000 New Bern Ave |
$175.04 | 5,543 | 4,729 |
|
Ryan Philip Lamb
4420 Lake Boone Trl |
$172.00 | 5,459 | 4,720 |
|
Joshua Daniel Mckinney
3400 Wake Forest Rd |
$122.80 | 5,175 | 4,683 |
|
Mark Reginald Hill
3400 Wake Forest Rd |
$117.39 | 5,160 | 4,722 |
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 Raleigh, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Raleigh, NC is $139.82 per claim, based on 911,865 claims from 230 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 Raleigh, NC?
There are 230 Medicaid providers offering Emergency Room Visit related services in Raleigh, NC according to public payment data.
What is the price range for Emergency Room Visit in Raleigh, NC?
Medicaid reimbursement for Emergency Room Visit in Raleigh, NC ranges from $0.00 to $508.66 per claim, with an average of $139.82. 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 Raleigh, NC
Blood Work & Lab Tests
Avg $14.74
2,273,950 claims
Office Visit
Avg $59.24
1,603,097 claims
Dental Cleaning & Exam
Avg $29.35
889,864 claims
Psychiatric Evaluation
Avg $74.92
754,370 claims
Substance Abuse Treatment
Avg $63.03
671,403 claims
Vaccines & Immunizations
Avg $16.76
580,140 claims
Speech Therapy
Avg $62.41
512,881 claims
X-Ray
Avg $8.62
444,429 claims