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 |
|---|---|---|---|
|
Lindsey Ellzey Williams
3024 New Bern Ave |
$51.82 | 12 | 12 |
|
Julie Ann Stembridge
3024 New Bern Ave |
$95.96 | 13 | 13 |
|
Jessica Ann Harner
3000 New Bern Ave |
$77.23 | 14 | 14 |
|
Sascha Frey
3000 New Bern Ave |
$304.29 | 14 | 12 |
|
Gary J Wilson
3000 New Bern Ave |
$96.67 | 14 | 12 |
|
Daniel Adolfo Paredes
3000 New Bern Ave |
$336.96 | 15 | 13 |
|
Rushi Kamlesh Nayak
3700 Barrett Dr Ste 200 |
$174.53 | 15 | 12 |
|
Chudaratna Bhargava
3000 New Bern Ave |
$327.66 | 15 | 12 |
|
Seth Andrew Bernstein
3000 New Bern Ave |
$347.58 | 16 | 12 |
|
Alaina Brooke Eisenhooth
3000 New Bern Ave |
$131.62 | 16 | 12 |
|
Ulugbek Buriev
3000 New Bern Ave |
$144.27 | 17 | 14 |
|
Divyesh Mehta
3000 New Bern Ave |
$123.48 | 18 | 12 |
|
Rayleen Cassidy Jones
3400 Wake Forest Rd |
$109.50 | 18 | 12 |
|
Amanda Arthur Kent
4420 Lake Boone Trl |
$112.15 | 20 | 14 |
|
Arilus Dawan Gunter
4414 Lake Boone Trl Ste 402 |
$102.57 | 20 | 20 |
|
Tayyabah Rayyast
3000 New Bern Ave |
$153.58 | 21 | 12 |
|
Terence Joseph Makoid
3000 New Bern Ave |
$75.03 | 21 | 14 |
|
Joanna Marie Coger
3000 New Bern Ave |
$86.51 | 22 | 12 |
|
Cornelia Su-Heng Hahn
3000 New Bern Ave |
$131.74 | 22 | 12 |
|
David Michael Snyder
4420 Lake Boone Trl |
$169.75 | 24 | 15 |
|
Adam Creech
3000 New Bern Ave |
$266.69 | 24 | 15 |
|
Ryan Matthew Jones
3000 New Bern Ave |
$75.92 | 27 | 27 |
|
Connor Dugan
3320 Executive Dr Ste 111 |
$20.01 | 28 | 14 |
|
Mohit Datta
4420 Lake Boone Trl |
$143.92 | 28 | 13 |
|
Katherine Sheppard Schroeder
3000 New Bern Ave |
$172.44 | 28 | 27 |
|
Bridget Donell
3024 New Bern Ave |
$183.86 | 29 | 13 |
|
Elissa Henderson
3000 New Bern Ave |
$174.74 | 29 | 12 |
|
Ayokunle Osho
3949 Browning Pl |
$51.88 | 30 | 29 |
|
Ioana Antonescu
3404 Wake Forest Rd Ste 202 |
$104.70 | 31 | 12 |
|
Matthew Louis Zerden
10000 Falls Of Neuse Rd |
$57.90 | 32 | 29 |
|
Diya Theresa Jost
3000 New Bern Ave |
$492.66 | 32 | 26 |
|
Nan Wang
901 Ridgefield Dr |
$55.81 | 32 | 26 |
|
Christopher Dunatov
3024 New Bern Ave |
$89.39 | 33 | 13 |
|
Bassam Husam Rimawi
23 Sunnybrook Rd Ste 316 |
$31.68 | 34 | 32 |
|
Benjamin J Atkinson
3480 Wake Forest Rd Ste 414 |
$117.47 | 36 | 12 |
|
Hussein Alshammari
4420 Lake Boone Trl |
$152.64 | 36 | 14 |
|
Travis Clarke Honeycutt
3024 New Bern Ave |
$249.34 | 36 | 25 |
|
Stephenie Takahashi Manns
3000 New Bern Ave |
$114.87 | 38 | 15 |
|
Shonna Olivia Mclean
3024 New Bern Ave |
$103.24 | 39 | 39 |
|
Alison Brancato
4420 Lake Boone Trl |
$115.70 | 40 | 12 |
|
Amit Sharma
8851 Ellstree Ln Ste 201 |
$102.73 | 45 | 42 |
|
Alexis Boyce Jubic
3024 New Bern Ave |
$97.35 | 46 | 14 |
|
Daniel Zachariah Reuther
4530 Fayetteville Rd |
$11.58 | 52 | 28 |
|
Andrea Haas
4420 Lake Boone Trl |
$80.09 | 53 | 51 |
|
Edmund J Rutherford
3024 New Bern Ave |
$154.13 | 55 | 29 |
|
Cindy Huyen Vu
10000 Falls Of Neuse Rd |
$189.94 | 56 | 54 |
|
Jun He
8300 Health Park |
$86.57 | 57 | 27 |
|
Jihad Omer Arteh
3000 New Bern Ave |
$242.16 | 58 | 56 |
|
Krista Ramey Guerreiro
3024 New Bern Ave Ste G03 |
$43.44 | 60 | 56 |
|
Sari Nicole Fandel
4420 Lake Boone Trl |
$99.77 | 63 | 40 |
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