Average Medicaid Emergency Room Visit Payments in Shiprock, NM: $108.78
Avg. Paid
$108.78
Range
$7.67 – $177.96
Total Claims
2,941
Providers
12
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 Shiprock, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Andrew Leamon
Us Hwy 491 N |
$138.77 | 718 | 653 |
|
Jeanie K Ringelberg
Us Hwy 491 North |
$116.14 | 644 | 581 |
|
Kristina Sycamore
Hwy 491 North |
$77.31 | 571 | 528 |
|
Marc A Cassone
Us Hwy 491 North |
$89.56 | 569 | 558 |
|
Brandon Ross Hill
Us Hwy 491 North |
$150.72 | 137 | 134 |
|
Dhhs, Phs, Naihs, Shiprock Hospital
Us Highway 491 North |
$177.96 | 123 | 120 |
|
Adekunle Gbadegesin Kuku
Us Hwy 491 North |
$86.59 | 41 | 38 |
|
Douglas Accountius
Northern Navajo Medical Center |
$7.67 | 41 | 40 |
|
Asha E Atwell
Us Hwy 491 North |
$83.81 | 33 | 33 |
|
April Racquel Nabahe
Us Hwy 491 North |
$12.00 | 25 | 25 |
|
Margaret E Thoma
Us Hwy 491 N |
$32.06 | 24 | 24 |
|
Tracy L. Kurek
Us Hwy 491 North |
$9.49 | 15 | 15 |
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 Shiprock, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Shiprock, NM is $108.78 per claim, based on 2,941 claims from 12 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 Shiprock, NM?
There are 12 Medicaid providers offering Emergency Room Visit related services in Shiprock, NM according to public payment data.
What is the price range for Emergency Room Visit in Shiprock, NM?
Medicaid reimbursement for Emergency Room Visit in Shiprock, NM ranges from $7.67 to $177.96 per claim, with an average of $108.78. 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 Shiprock, NM
Office Visit
Avg $429.35
369,750 claims
Prescription Medications
Avg $3.12
26,755 claims
Dental Cleaning & Exam
Avg $53.97
16,283 claims
Speech Therapy
Avg $17.24
11,309 claims
X-Ray
Avg $7.18
7,439 claims
Tooth Extraction
Avg $140.71
7,231 claims
Physical Therapy
Avg $33.52
6,902 claims
Psychiatric Evaluation
Avg $106.88
6,323 claims