Average Medicaid Emergency Room Visit Payments in Raton, NM: $222.19
Avg. Paid
$222.19
Range
$0.93 – $262.42
Total Claims
17,067
Providers
7
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 Raton, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Miners Colfax Medical Center
203 Hospital Dr |
$262.42 | 12,278 | 10,804 |
|
Loretta A Conder
203 Hospital Dr |
$116.61 | 2,082 | 1,824 |
|
Laurel Escano Laurel
203 Hospital Dr |
$136.01 | 1,441 | 1,418 |
|
David W Fairbanks
203 Hospital Dr |
$167.37 | 761 | 662 |
|
Erin Pearcy
203 Hospital Dr |
$0.93 | 474 | 401 |
|
Misbah Darweesh Zmily
190 Hospital Dr |
$102.72 | 16 | 12 |
|
Donald Primer
203 Hospital Dr |
$132.68 | 15 | 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 Raton, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Raton, NM is $222.19 per claim, based on 17,067 claims from 7 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 Raton, NM?
There are 7 Medicaid providers offering Emergency Room Visit related services in Raton, NM according to public payment data.
What is the price range for Emergency Room Visit in Raton, NM?
Medicaid reimbursement for Emergency Room Visit in Raton, NM ranges from $0.93 to $262.42 per claim, with an average of $222.19. 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
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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 Raton, NM
Blood Work & Lab Tests
Avg $11.51
49,993 claims
Office Visit
Avg $59.83
42,330 claims
Physical Therapy
Avg $39.56
39,306 claims
Speech Therapy
Avg $41.62
12,929 claims
Vaccines & Immunizations
Avg $42.29
10,165 claims
Dental Cleaning & Exam
Avg $29.16
8,964 claims
Substance Abuse Treatment
Avg $128.28
8,402 claims
Psychiatric Evaluation
Avg $87.48
7,170 claims