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
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

Other Procedures in Raleigh, NC