Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Shelby, NC: $133.41

Avg. Paid

$133.41

Range

$31.57 – $181.52

Total Claims

262,166

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 Shelby, NC

Provider	Avg. Paid	Claims	Patients
Richard K Hughlett 201 E Grover St	$144.11	23,504	21,111
James Watkins Lowry 201 E Grover St	$159.94	22,396	19,928
Paul Munoz 201 E Grover St	$162.37	21,698	18,995
Lindsay Gould Crenshaw 201 E Grover St	$160.93	20,242	17,563
Paul M Peindl 201 E Grover St	$162.49	19,279	16,930
Matthew Edwin Dean 201 E Grover St	$157.22	17,567	15,781
Victor Zuniga 216 N Morgan St	$174.45	17,462	15,473
Ivan Orlando Sanchez 201 E Grover St	$172.80	16,258	14,250
Ryan Christopher Matley 201 E Grover St	$86.27	12,604	11,858
Michael L Adix 419 Earl Road	$95.19	10,991	9,228
The Charlotte-Mecklenburg Hospital Authority 201 E Grover St	$116.79	10,503	9,524
Mitchell Warren 201 E Grover St	$181.52	9,626	8,117
Jonathan Leake 201 E Grover St	$138.78	9,363	8,508
Ashley Jones Williams 111 W Grover St	$54.26	5,925	5,286
Chad T Hensley 201 E Grover St	$53.35	5,459	4,870
Deborah A Spada 201 E Grover St	$56.45	5,163	4,552
Tamara Waters Rape 201 E Grover St	$55.94	5,065	4,509
Andrew Lee Harrill 201 E Grover St	$56.88	4,508	4,046
Katlyn Olivia Mauney 711 N Dekalb St	$52.53	4,411	3,657
Matthew Troy Goodwin 419 Earl Rd	$68.92	3,864	3,502
Carla Annette Gibson-Detering 201 E Grover St	$55.87	2,824	2,644
Shelby Wolfe Hixson 201 E Grover St	$57.00	2,053	1,688
Joseph P Mullen 201 E Grover St	$98.71	2,030	1,878
Alana Goldberg Nethercutt 1010 E Dixon Blvd	$64.19	1,498	1,425
Elizabeth Weaver Newton 951 Wendover Height Dr	$60.29	1,210	997
Danielle Paula Howell 201 E Grover St	$46.38	931	771
Tiffany Joy Zumbahlen 201 E Grover St	$61.44	919	805
David James Salter 1010 E Dixon Blvd	$74.42	653	611
Justen Daniel Wright 201 E Grover St	$62.04	608	543
Marie Darlene Lawson 335A W College Ave	$44.43	508	493
Swachetan Singh Bajwa 201 E Grover St	$112.62	484	422
Gina Michelle Merritt 1010 E Dixon Blvd	$123.72	447	134
Krishna Kirti Patel 201 E Grover St	$62.27	404	358
Michael C. Dearment 1010 E Dixon Blvd	$97.03	363	141
Lauren Marie Klepper 101 Delta Park Dr	$78.73	243	232
Jessica Reba Littleton 201 E Grover St	$54.29	209	185
Jeffrey Charles Sabolovic 110 W Grover St	$31.57	193	175
Jessica Bivins Smith 111 W Grover St	$88.17	184	168
Stephen Folger Grinton 1010 E Dixon Blvd	$108.72	148	67
Robert John Bentley Mcloughlin 201 E Grover St	$120.88	123	68
Brittany Amber Leigh Engman 201 E Grover St	$36.40	83	66
Marcel Ikwuoma Akuneme 201 E Grover St	$152.30	59	51
Rabindra Sagunarthy 201 E Grover St	$75.24	41	38
Ashley Nichols 111 W Grover St	$39.98	37	36
Hirenkumar Italia 201 E Grover St	$107.50	26	19

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 Shelby, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Shelby, NC is $133.41 per claim, based on 262,166 claims from 45 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 Shelby, NC?

There are 45 Medicaid providers offering Emergency Room Visit related services in Shelby, NC according to public payment data.

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

Medicaid reimbursement for Emergency Room Visit in Shelby, NC ranges from $31.57 to $181.52 per claim, with an average of $133.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Shelby, NC: $133.41

Providers Offering Emergency Room Visit in Shelby, NC

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Shelby, NC

Office Visit

Blood Work & Lab Tests

Non-Emergency Medical Transportation

Vaccines & Immunizations

Substance Abuse Treatment

Personal Care Services

Dental Cleaning & Exam

Urinalysis & Urine Tests