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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Sanford, NC: $111.03

Avg. Paid

$111.03

Range

$43.22 – $234.22

Total Claims

97,101

Providers

25

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, NC

Provider Avg. Paid Claims Patients
Gregory Charles Miller

110 Dennis Dr

$73.63 12 12
Roger Cordial

724 S Horner Blvd

$46.40 14 14
Dlp Central Carolina Medical Center Llc

1135 Carthage St

$234.22 128 119
Eileen Shannon Courtleigh

724 S Horner Blvd

$53.72 171 143
Jacob Adam Thomas

1140 Carthage St

$76.57 261 195
Uma Sunny Darji

2412 Wilkins Dr

$81.47 494 472
Rachel Robinson Hahn

1135 Carthage St

$56.59 496 364
Jessica Rakes Heyse

1135 Carthage St

$75.79 636 572
Kirsten Elizabeth Ruth

555 Carthage St

$43.22 666 377
Joshua Pawela

1135 Carthage St

$72.30 683 606
Chase Pennel

1135 Carthage St

$69.22 771 637
Sarah Britt Foley

1140 Carthage St

$94.29 1,101 905
Emily Grace Gamble

1135 Carthage St

$79.52 1,133 923
Erin L Chambers

1135 Carthage St

$70.69 1,736 1,312
Erica Katherine Shartle

1135 Carthage St

$82.94 1,814 1,395
Jonathan Britt Goldston

1135 Carthage St

$74.22 1,938 1,756
Mark Benning

1135 Carthage St

$76.45 2,724 2,120
David Schaffer

95 Northview Dr

$56.72 2,981 2,608
Russell Harrell

1135 Carthage St

$93.32 4,052 3,476
Ronald Jones Powell

3072 S Horner Blvd

$114.16 5,197 4,528
Franklin Hargett

3072 S Horner Blvd

$110.00 6,610 5,815
Samantha Gordon

1811 Phillips Dr

$202.57 6,933 6,484
Jeja Bushra Syeda

1135 Carthage St

$121.86 13,887 11,791
Yousif Alkadhi

1135 Carthage St

$104.69 19,839 16,788
Akef S. Rahman

1135 Carthage St

$114.43 22,824 19,542

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, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sanford, NC is $111.03 per claim, based on 97,101 claims from 25 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, NC?

There are 25 Medicaid providers offering Emergency Room Visit related services in Sanford, NC according to public payment data.

What is the price range for Emergency Room Visit in Sanford, NC?

Medicaid reimbursement for Emergency Room Visit in Sanford, NC ranges from $43.22 to $234.22 per claim, with an average of $111.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Emergency Room Visit in Other Cities

Other Procedures in Sanford, NC