Average Medicaid Emergency Room Visit Payments in Sandusky, OH: $84.02
Avg. Paid
$84.02
Range
$52.87 – $194.50
Total Claims
175,771
Providers
31
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 Sandusky, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jackie Rae Ruttino
5420 Milan Rd |
$145.85 | 12 | 12 |
|
Jennifer Susan West
420 Superior St |
$110.49 | 15 | 14 |
|
Roberto Gonzales
420 Superior St |
$82.63 | 15 | 15 |
|
Matthew J Meyer
1111 Hayes Avenue |
$154.05 | 18 | 18 |
|
Yuhann Kenneth Lim Lopez
703 Tyler St Ste 251 |
$57.37 | 30 | 12 |
|
Ahmad Firas Sabbagh
1221 Hayes Ave |
$93.09 | 68 | 59 |
|
Er-Doc Inc
1111 Hayes Ave |
$55.96 | 137 | 123 |
|
Ashley Rosemae Russell
419 E. Perkins Avenue |
$63.72 | 158 | 153 |
|
Susie Wyse
1101 Decatur St |
$63.29 | 206 | 192 |
|
Thomas Lang
1111 Hayes Ave |
$194.50 | 365 | 352 |
|
Melina Frances Alexander
1111 Hayes Ave |
$52.87 | 606 | 578 |
|
Devon Miller
1111 Hayes Ave |
$55.81 | 956 | 918 |
|
Troy S Reeves
1111 Hayes Avenue |
$87.65 | 1,210 | 1,161 |
|
Matthew Marion Mccarthy
1111 Hayes Ave |
$105.96 | 1,519 | 1,469 |
|
Timothy R Halstead
703 Tyler St. Suite 252 |
$70.50 | 2,830 | 1,711 |
|
Scotty Fulton
1111 Hayes Ave |
$97.04 | 3,086 | 2,939 |
|
Jenna Lizzi
2500 W Strub Rd |
$102.45 | 3,111 | 2,988 |
|
Edward Radatz
1101 Decatur St |
$67.65 | 5,358 | 5,045 |
|
Timothy D Amidon
1101 Decatur St |
$69.66 | 5,951 | 5,640 |
|
Ginger E Bullimore
1111 Hayes Ave |
$83.94 | 7,330 | 6,992 |
|
Stephen Reineck
1101 Decatur St |
$73.76 | 7,400 | 7,053 |
|
Mark Smith
420 Superior St |
$81.20 | 7,643 | 7,292 |
|
Catherine Taylor
2203 Eagles Nest Cir |
$74.32 | 8,205 | 7,721 |
|
Christopher M Mohler
1111 Hayes Ave |
$66.17 | 8,414 | 7,870 |
|
Jared Michael Lizzi
1111 Hayes Ave |
$81.71 | 10,085 | 9,573 |
|
Melissa Todd
1111 Hayes Ave |
$79.74 | 11,283 | 10,604 |
|
Margaret Maria Poznalska
1111 Hayes Avenue |
$75.57 | 11,504 | 10,566 |
|
Alexander A Keister
1111 Hayes Ave |
$79.23 | 12,359 | 11,799 |
|
Scott Campbell
1101 Decatur St |
$60.15 | 15,703 | 14,793 |
|
John Smith
1101 Decatur St |
$75.00 | 17,082 | 16,184 |
|
Firelands Regional Medical Center
1111 Hayes Ave |
$119.54 | 33,112 | 26,052 |
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 Sandusky, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sandusky, OH is $84.02 per claim, based on 175,771 claims from 31 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 Sandusky, OH?
There are 31 Medicaid providers offering Emergency Room Visit related services in Sandusky, OH according to public payment data.
What is the price range for Emergency Room Visit in Sandusky, OH?
Medicaid reimbursement for Emergency Room Visit in Sandusky, OH ranges from $52.87 to $194.50 per claim, with an average of $84.02. 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 Sandusky, OH
Office Visit
Avg $42.41
466,031 claims
Home Health Visit
Avg $43.27
438,677 claims
Blood Work & Lab Tests
Avg $5.88
227,097 claims
Psychiatric Evaluation
Avg $78.08
130,688 claims
Vaccines & Immunizations
Avg $6.81
94,659 claims
Dental Cleaning & Exam
Avg $20.10
94,171 claims
Physical Therapy
Avg $26.02
94,042 claims
Behavioral & Mental Health Therapy
Avg $66.12
81,638 claims