Average Medicaid Emergency Room Visit Payments in Sanford, FL: $70.00
Avg. Paid
$70.00
Range
$34.57 – $123.37
Total Claims
27,308
Providers
13
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 Sanford, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gary A Goodman
1401 W Seminole Blvd |
$72.00 | 6,246 | 5,337 |
|
David S. Lambie
1401 W Seminole Blvd |
$74.24 | 6,096 | 5,253 |
|
Michael Leon Coussa
1401 W Seminole Blvd |
$70.21 | 5,479 | 4,722 |
|
Sarmed Al-Haddad
4525 International Pkwy |
$82.44 | 3,352 | 2,870 |
|
Daniel C. Lavene
1401 West Seminole Blvd. |
$64.90 | 1,977 | 1,720 |
|
Kimberly Thornton Blake
1401 W Seminole Blvd |
$44.14 | 1,154 | 865 |
|
Keith I Yattaw
1401 W Seminole Blvd |
$43.52 | 1,081 | 804 |
|
Kristen Marie Grider
1621 W 1St St |
$35.02 | 762 | 518 |
|
Boundary Peak Emergency Physicians Llc
1401 W Seminole Blvd |
$81.41 | 582 | 545 |
|
Felix Scott Fraustro
2400 State Road 415 |
$123.37 | 306 | 283 |
|
Radharani Woods Vizcaino
1401 W Seminole Blvd |
$36.83 | 152 | 99 |
|
Seth Winterton
2209 S French Ave |
$38.55 | 102 | 99 |
|
Allison Poimboeuf Ferrara
305 N Mangoustine Ave Ste 200 |
$34.57 | 19 | 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 Sanford, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sanford, FL is $70.00 per claim, based on 27,308 claims from 13 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 Sanford, FL?
There are 13 Medicaid providers offering Emergency Room Visit related services in Sanford, FL according to public payment data.
What is the price range for Emergency Room Visit in Sanford, FL?
Medicaid reimbursement for Emergency Room Visit in Sanford, FL ranges from $34.57 to $123.37 per claim, with an average of $70.00. 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
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
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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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 Sanford, FL
Office Visit
Avg $87.40
360,160 claims
Speech Therapy
Avg $11.35
168,066 claims
Ambulance Transport
Avg $54.41
83,946 claims
Personal Care Services
Avg $46.59
53,747 claims
Physical Therapy
Avg $34.03
48,521 claims
Vaccines & Immunizations
Avg $8.43
45,735 claims
Dental Cleaning & Exam
Avg $29.29
41,332 claims
Behavioral & Mental Health Therapy
Avg $45.87
40,538 claims