Average Medicaid Emergency Room Visit Payments in Seneca, SC: $37.18
Avg. Paid
$37.18
Range
$17.00 – $83.74
Total Claims
92,374
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 Seneca, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessica Taylor Melton
10630 Clemson Blvd Ste 100 |
$39.97 | 16 | 15 |
|
David Theron Sauls
109 Carter Park Dr Ste 3A |
$35.41 | 16 | 15 |
|
Christina Deluca Schwering
103 Carter Park Dr Ste A |
$45.81 | 27 | 24 |
|
Randall Mac Royal
103 Carter Park Dr |
$52.83 | 396 | 346 |
|
Greenville Health System
298 Memorial Dr |
$17.00 | 583 | 519 |
|
Brian K Mccormick
298 Memorial Dr |
$42.59 | 754 | 745 |
|
Michael T Wechter
298 Memorial Dr |
$46.20 | 846 | 818 |
|
Michael D Scott
298 Memorial Dr |
$68.98 | 906 | 894 |
|
Miles D Mcguff
298 Memorial Dr |
$80.43 | 1,145 | 1,123 |
|
Joshua Padgett
298 Memorial Dr |
$47.57 | 1,245 | 1,222 |
|
Harley E Chapman
10110 Clemson Blvd |
$47.25 | 1,395 | 1,377 |
|
Joseph Donald Spennetta
298 Memorial Dr |
$83.74 | 1,482 | 1,356 |
|
David E Heape
298 Memoral Drive |
$79.65 | 1,877 | 1,834 |
|
Bill R Chiles
298 Memorial Dr |
$64.38 | 4,025 | 3,968 |
|
Prisma Health-Upstate
298 Memorial Dr |
$32.42 | 77,661 | 71,548 |
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 Seneca, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Seneca, SC is $37.18 per claim, based on 92,374 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 Seneca, SC?
There are 15 Medicaid providers offering Emergency Room Visit related services in Seneca, SC according to public payment data.
What is the price range for Emergency Room Visit in Seneca, SC?
Medicaid reimbursement for Emergency Room Visit in Seneca, SC ranges from $17.00 to $83.74 per claim, with an average of $37.18. 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
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Chicago, IL
Avg $84.83
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Avg $203.26
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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
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Philadelphia, PA
Avg $135.52
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Other Procedures in Seneca, SC
Office Visit
Avg $62.95
222,843 claims
Blood Work & Lab Tests
Avg $29.37
213,493 claims
Dental Cleaning & Exam
Avg $33.61
103,725 claims
Urinalysis & Urine Tests
Avg $13.57
69,575 claims
Vaccines & Immunizations
Avg $12.96
65,155 claims
X-Ray
Avg $19.03
44,746 claims
Durable Medical Equipment (DME)
Avg $21.68
31,632 claims
Physical Therapy
Avg $56.01
29,948 claims