Average Medicaid Emergency Room Visit Payments in Rocky Mount, NC: $114.71
Avg. Paid
$114.71
Range
$0.20 – $252.29
Total Claims
100,682
Providers
29
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 Rocky Mount, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth Moore
2460 Curtis Ellis Dr |
$138.42 | 17,037 | 14,672 |
|
Scott Morelli
2460 Curtis Ellis Dr |
$75.69 | 15,037 | 12,793 |
|
Timothy Daniel Wetzel
2460 Curtis Ellis Dr |
$145.68 | 10,229 | 8,416 |
|
Jefferson Dulin Phillips
2460 Curtis Ellis Dr |
$142.60 | 9,279 | 7,570 |
|
Mark Bernat
117 Warrington Ct |
$96.69 | 8,379 | 7,646 |
|
Joseph Jacob Hummel
2460 Curtis Ellis Dr |
$95.12 | 7,849 | 7,062 |
|
Tracy Oghenerukewe Arusuraire
2460 Curtis Ellis Dr |
$152.97 | 7,080 | 5,952 |
|
James C Wright
2460 Curtis Ellis Dr |
$62.37 | 6,905 | 5,667 |
|
Arun Manikumar
2460 Curtis Ellis Dr |
$150.46 | 4,658 | 4,107 |
|
Sarah Colley-Mangano
2460 Curtis Ellis Dr |
$106.08 | 3,427 | 3,204 |
|
Jennifer Fernandez Pensado
2460 Curtis Ellis Dr |
$114.49 | 3,298 | 2,537 |
|
Priyank Desai
901 N Winstead Ave |
$109.91 | 2,762 | 686 |
|
Steven William Garzone
2460 Curtis Ellis Dr |
$56.98 | 1,370 | 1,222 |
|
Nash Hospitals Inc
2460 Curtis Ellis Dr |
$222.29 | 1,007 | 871 |
|
Brent Wilson
2460 Curtis Ellis Dr |
$53.31 | 675 | 598 |
|
Janet Elizabeth Intini
200 Nash Medical Arts Mall |
$43.22 | 606 | 519 |
|
Temple Mills Walker
2460 Curtis Ellis Dr |
$56.11 | 422 | 385 |
|
Karen Johnson
200 Nash Medical Arts Mall |
$44.67 | 175 | 157 |
|
Wake Emergency Physicians Pa
2460 Curtis Ellis Dr |
$0.20 | 150 | 84 |
|
Phebe Ann Dagrosa
2460 Curtis Ellis Dr |
$101.47 | 108 | 94 |
|
Candice Sherese Stallworth
2301 Medpark Dr |
$36.85 | 54 | 46 |
|
Sourabh Bidhan
2460 Curtis Ellis Dr |
$252.29 | 33 | 26 |
|
Larry Witt
550 N Winstead Ave |
$21.47 | 26 | 16 |
|
Kerry Camden Bullerdick
200 Nash Medical Arts Mall |
$50.64 | 26 | 25 |
|
Heidi Forte Bishop
1041 Noell Ln |
$49.97 | 24 | 13 |
|
Dennis J Van Zant
200 Nash Medical Arts Mall |
$30.53 | 20 | 18 |
|
Margaret D. Mabie
505 Sunset Ave |
$86.11 | 19 | 14 |
|
Kelly Hoffmann
901 N Winstead Ave |
$67.26 | 14 | 13 |
|
Matthew Till Collins
200 Nash Medical Arts Mall |
$32.14 | 13 | 12 |
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 Rocky Mount, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Rocky Mount, NC is $114.71 per claim, based on 100,682 claims from 29 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 Rocky Mount, NC?
There are 29 Medicaid providers offering Emergency Room Visit related services in Rocky Mount, NC according to public payment data.
What is the price range for Emergency Room Visit in Rocky Mount, NC?
Medicaid reimbursement for Emergency Room Visit in Rocky Mount, NC ranges from $0.20 to $252.29 per claim, with an average of $114.71. 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 Rocky Mount, NC
Office Visit
Avg $53.06
549,209 claims
Blood Work & Lab Tests
Avg $9.98
235,912 claims
Dental Cleaning & Exam
Avg $30.40
138,905 claims
Substance Abuse Treatment
Avg $35.29
134,569 claims
Vaccines & Immunizations
Avg $14.01
129,482 claims
Prescription Medications
Avg $3.03
79,261 claims
Case Management Services
Avg $61.65
76,047 claims
Urinalysis & Urine Tests
Avg $3.53
69,373 claims