Average Medicaid Emergency Room Visit Payments in Rincon, GA: $77.22
Avg. Paid
$77.22
Range
$18.68 – $160.45
Total Claims
17,254
Providers
11
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 Rincon, GA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kyle Bedenbaugh
5629 Hwy 21 S |
$18.68 | 12 | 12 |
|
Carlene Williams
5629 Highway 21 S |
$116.51 | 30 | 30 |
|
Brittany James Ford
131 Silverwood Ct Ste 100 |
$50.10 | 78 | 69 |
|
Spencer Jacob Johnson
5629 Hwy 21 S |
$81.69 | 453 | 441 |
|
Maria Wolf
5629 Hwy 21 South |
$68.75 | 1,116 | 1,051 |
|
Joshua J. Barker
5629 Hwy 21 S |
$47.64 | 1,119 | 913 |
|
Hunter A. Faircloth
5629 Hwy 21 South |
$73.14 | 1,131 | 1,019 |
|
Matt J Perala
5629 Hwy 21 S |
$160.45 | 1,175 | 1,071 |
|
Andrew R Tee
5629 Hwy 21 South |
$96.51 | 2,766 | 2,516 |
|
Thomas Reagan Wolf
5629 Hwy 21 S |
$74.67 | 3,411 | 3,205 |
|
Georgia Emergency Associates
5629 Hwy. 21 South |
$61.19 | 5,963 | 5,416 |
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 Rincon, GA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rincon, GA is $77.22 per claim, based on 17,254 claims from 11 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 Rincon, GA?
There are 11 Medicaid providers offering Emergency Room Visit related services in Rincon, GA according to public payment data.
What is the price range for Emergency Room Visit in Rincon, GA?
Medicaid reimbursement for Emergency Room Visit in Rincon, GA ranges from $18.68 to $160.45 per claim, with an average of $77.22. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Avg $84.83
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Avg $203.26
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Avg $116.65
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New York, NY
Avg $130.02
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Avg $98.63
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Brooklyn, NY
Avg $130.10
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Avg $135.52
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Other Procedures in Rincon, GA
Office Visit
Avg $50.94
15,925 claims
Eye Exam
Avg $23.91
3,106 claims
EKG / ECG (Electrocardiogram)
Avg $11.51
3,079 claims
Blood Work & Lab Tests
Avg $11.61
2,501 claims
Urinalysis & Urine Tests
Avg $3.19
1,174 claims
Vaccines & Immunizations
Avg $15.19
1,063 claims
Speech Therapy
Avg $38.61
970 claims
Psychiatric Evaluation
Avg $82.66
758 claims