Average Medicaid Emergency Room Visit Payments in Shelbyville, IN: $57.70
Avg. Paid
$57.70
Range
$7.06 – $92.93
Total Claims
36,000
Providers
17
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 Shelbyville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lauren Kathryn Kaiser
150 W Washington St |
$59.01 | 7,457 | 6,240 |
|
Molly Kathleen Cremons
2451 Intelliplex Dr |
$39.98 | 5,660 | 3,391 |
|
Chris L Loman
2451 Intelliplex Dr Ste 260 |
$92.10 | 5,658 | 4,605 |
|
Lauren Marie Searles
150 W Washington St |
$43.48 | 3,961 | 2,768 |
|
Danielle Elizabeth Flowers
150 W Washington St |
$29.52 | 3,296 | 1,876 |
|
Leann Michelle Toliver
2455 Intelliplex Dr |
$54.96 | 2,431 | 1,894 |
|
Alyssa Marie Delpriore
2451 Intelliplex Dr |
$62.41 | 1,948 | 1,674 |
|
Anthony Joseph Damore
2451 Intelliplex Dr Ste 240 |
$57.67 | 1,420 | 1,308 |
|
Amanda Rae Savell
2451 Intelliplex Dr |
$65.78 | 1,137 | 1,021 |
|
Gloria Eun-Sun Chun
2451 Intelliplex Dr |
$69.38 | 987 | 869 |
|
Kaleb Kramer
2451 Intelliplex Dr |
$92.93 | 798 | 617 |
|
Michael Pauszek
2451 Intelliplex Dr |
$39.99 | 702 | 542 |
|
Katherine Greene
2451 Intelliplex Dr |
$83.13 | 398 | 361 |
|
Samantha Ann Stegman
2451 Intelliplex Dr |
$58.05 | 54 | 35 |
|
Loren Robert Schubert
2451 Intelliplex Dr |
$23.97 | 37 | 25 |
|
Christian Ballast
2158 Intelliplex Dr |
$7.06 | 29 | 13 |
|
Cary Zietlow
2451 Intelliplex Dr |
$10.11 | 27 | 14 |
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 Shelbyville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Shelbyville, IN is $57.70 per claim, based on 36,000 claims from 17 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 Shelbyville, IN?
There are 17 Medicaid providers offering Emergency Room Visit related services in Shelbyville, IN according to public payment data.
What is the price range for Emergency Room Visit in Shelbyville, IN?
Medicaid reimbursement for Emergency Room Visit in Shelbyville, IN ranges from $7.06 to $92.93 per claim, with an average of $57.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Shelbyville, IN
Office Visit
Avg $61.18
218,831 claims
Blood Work & Lab Tests
Avg $5.12
110,268 claims
Durable Medical Equipment (DME)
Avg $38.22
69,964 claims
X-Ray
Avg $8.51
47,824 claims
Vaccines & Immunizations
Avg $11.01
43,796 claims
Physical Therapy
Avg $41.34
33,327 claims
Psychiatric Evaluation
Avg $52.19
29,844 claims
Speech Therapy
Avg $52.15
26,363 claims