Average Medicaid Emergency Room Visit Payments in Saint Cloud, MN: $115.22
Avg. Paid
$115.22
Range
$49.34 – $387.58
Total Claims
24,453
Providers
15
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 Saint Cloud, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rachel Ashmun
1406 6Th Ave N |
$127.69 | 6,216 | 5,970 |
|
Michael Kevin Butts
1406 6Th Ave N |
$115.63 | 5,226 | 4,966 |
|
Gary Prebeck
1200 6Th Ave N |
$116.31 | 3,740 | 3,584 |
|
Elizabeth Backhaus
1900 Centracare Cir |
$135.88 | 3,260 | 3,151 |
|
Chunyen Liu
1406 6Th Ave N |
$49.34 | 3,240 | 2,827 |
|
Jack G Stinogel
1406 6Th Ave N |
$133.06 | 1,289 | 1,235 |
|
Daniel J. Gerwing
1900 Centracare Cir |
$176.67 | 284 | 185 |
|
St. Cloud Hospital
1406 6Th Ave North |
$194.62 | 265 | 247 |
|
Adam Forrest Ruggle
1406 6Th Ave N |
$74.11 | 204 | 169 |
|
Angie Lynn Paschke
1406 6Th Ave N |
$167.91 | 192 | 171 |
|
Kenneth Legan
251 County Road 120 |
$57.61 | 185 | 175 |
|
Liaqat Ali Sabir
251 County Rd 120 |
$151.40 | 148 | 120 |
|
Rebecca White
1400 W Saint Germain St |
$112.31 | 120 | 104 |
|
Sandeep S Jain
1200 6Th Ave N |
$133.09 | 71 | 38 |
|
Claire Drom
1406 6Th Ave N |
$387.58 | 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 Saint Cloud, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Saint Cloud, MN is $115.22 per claim, based on 24,453 claims from 15 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 Saint Cloud, MN?
There are 15 Medicaid providers offering Emergency Room Visit related services in Saint Cloud, MN according to public payment data.
What is the price range for Emergency Room Visit in Saint Cloud, MN?
Medicaid reimbursement for Emergency Room Visit in Saint Cloud, MN ranges from $49.34 to $387.58 per claim, with an average of $115.22. 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 Saint Cloud, MN
Non-Emergency Medical Transportation
Avg $23.58
266,404 claims
Blood Work & Lab Tests
Avg $9.33
240,731 claims
Office Visit
Avg $68.26
197,504 claims
Substance Abuse Treatment
Avg $106.39
186,372 claims
Home Health Visit
Avg $79.27
154,223 claims
Behavioral & Mental Health Therapy
Avg $164.30
135,988 claims
Physical Therapy
Avg $42.98
83,123 claims
Psychiatric Evaluation
Avg $94.67
80,569 claims