Skip to content
Based on public Medicaid payment data.

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

Other Procedures in Raleigh, NC