Average Medicaid Emergency Room Visit Payments in Seymour, IN: $93.73
Avg. Paid
$93.73
Range
$24.02 – $159.18
Total Claims
65,023
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 Seymour, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Frank J Pangallo
411 W Tipton St |
$94.58 | 28,324 | 24,024 |
|
Raphael A. Carter
7830 Persimmon Lake Dr |
$95.51 | 17,416 | 14,927 |
|
Charles Kalsted
411 W Tipton St |
$105.06 | 6,203 | 5,769 |
|
Cedric Wesley Yvon Lawrenz
411 W Tipton St |
$126.82 | 4,433 | 3,861 |
|
Jennifer Lynn Snow
225 S Pine St Ste 120 |
$57.40 | 2,806 | 2,529 |
|
Victoria Louise Rudolph
411 W Tipton St |
$69.56 | 2,197 | 2,026 |
|
Rachel Elaine Hoevener
225 S Pine St, Jmb, 2Nd Floor |
$48.73 | 1,883 | 1,778 |
|
Jeffrey A Giese
411 W Tipton St |
$72.82 | 1,152 | 950 |
|
Kenneth Carter Schaab
411 W Tipton St |
$84.91 | 401 | 355 |
|
Joseph Edward Lamb
411 W Tipton St |
$64.04 | 51 | 42 |
|
David Ryan Stone
411 West Tipton Street |
$43.87 | 40 | 27 |
|
Debra Schroer
113 N Chestnut St |
$49.90 | 33 | 30 |
|
Jackson County Schneck Memorial Hospital
411 W Tipton St |
$159.18 | 29 | 29 |
|
Marion Huff
411 W Tipton St |
$24.02 | 28 | 25 |
|
Jonathan Andrew Light
411 W Tipton St |
$97.66 | 27 | 24 |
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 Seymour, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Seymour, IN is $93.73 per claim, based on 65,023 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 Seymour, IN?
There are 15 Medicaid providers offering Emergency Room Visit related services in Seymour, IN according to public payment data.
What is the price range for Emergency Room Visit in Seymour, IN?
Medicaid reimbursement for Emergency Room Visit in Seymour, IN ranges from $24.02 to $159.18 per claim, with an average of $93.73. 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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Phoenix, AZ
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 Seymour, IN
Office Visit
Avg $52.10
310,780 claims
Blood Work & Lab Tests
Avg $10.99
112,038 claims
Psychiatric Evaluation
Avg $42.74
80,326 claims
Vaccines & Immunizations
Avg $9.55
56,347 claims
Ambulance Transport
Avg $60.34
53,488 claims
Physical Therapy
Avg $33.70
38,084 claims
Eye Exam
Avg $37.68
29,359 claims
Non-Emergency Medical Transportation
Avg $18.52
27,496 claims