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

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
Akef S. Rahman 1135 Carthage St	$114.43	22,824	19,542
Yousif Alkadhi 1135 Carthage St	$104.69	19,839	16,788
Jeja Bushra Syeda 1135 Carthage St	$121.86	13,887	11,791
Samantha Gordon 1811 Phillips Dr	$202.57	6,933	6,484
Franklin Hargett 3072 S Horner Blvd	$110.00	6,610	5,815
Ronald Jones Powell 3072 S Horner Blvd	$114.16	5,197	4,528
Russell Harrell 1135 Carthage St	$93.32	4,052	3,476
David Schaffer 95 Northview Dr	$56.72	2,981	2,608
Mark Benning 1135 Carthage St	$76.45	2,724	2,120
Jonathan Britt Goldston 1135 Carthage St	$74.22	1,938	1,756
Erica Katherine Shartle 1135 Carthage St	$82.94	1,814	1,395
Erin L Chambers 1135 Carthage St	$70.69	1,736	1,312
Emily Grace Gamble 1135 Carthage St	$79.52	1,133	923
Sarah Britt Foley 1140 Carthage St	$94.29	1,101	905
Chase Pennel 1135 Carthage St	$69.22	771	637
Joshua Pawela 1135 Carthage St	$72.30	683	606
Kirsten Elizabeth Ruth 555 Carthage St	$43.22	666	377
Jessica Rakes Heyse 1135 Carthage St	$75.79	636	572
Rachel Robinson Hahn 1135 Carthage St	$56.59	496	364
Uma Sunny Darji 2412 Wilkins Dr	$81.47	494	472
Jacob Adam Thomas 1140 Carthage St	$76.57	261	195
Eileen Shannon Courtleigh 724 S Horner Blvd	$53.72	171	143
Dlp Central Carolina Medical Center Llc 1135 Carthage St	$234.22	128	119
Roger Cordial 724 S Horner Blvd	$46.40	14	14
Gregory Charles Miller 110 Dennis Dr	$73.63	12	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, 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.

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

Providers Offering Emergency Room Visit in Sanford, NC

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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