Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Sioux Falls, SD: $92.67

Avg. Paid

$92.67

Range

$6.60 – $270.10

Total Claims

213,799

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 Sioux Falls, SD

Provider	Avg. Paid	Claims	Patients
Sanford Medical Center 1420 W 22Ndst Ste 104	$95.89	62,465	51,759
Avera Mckennan 1325 S Cliff Ave	$74.02	51,035	44,156
Stephen William Grove 1305 W 18Th St	$117.10	12,366	11,654
Donald T Ellis 1305 W 18Th St	$134.48	8,975	8,278
Megan Sampson 1305 W 18Th St	$126.71	6,593	6,343
John W Belk 800 E 21St St	$183.11	6,454	5,348
Nalini Jagram-Payer 1115 E 20Th St	$92.36	4,701	4,419
Anthony James Pfeiffer 1305 W 18Th St	$89.71	4,434	3,707
Samantha Woehl 1305 W 18Th St	$101.86	3,462	3,314
John Jerstad 4500 W 69Th St	$49.80	2,964	2,618
Hilary Fay Schmitt 1305 W 18Th St	$109.14	2,771	2,461
Benjamin Litman 1305 W 18Th St	$68.95	2,390	2,261
Richard P. Burruss 401 E 8Th St # 214-1974	$62.16	2,140	2,111
Obinna Emmanuel Nwadibia 1305 W 18Th St	$130.41	2,129	1,829
Leighton J Singh 1305 W 18Th St	$49.82	1,871	1,656
Mason Ray Ruthford 1305 W 18Th St	$83.93	1,748	1,704
Debbie Anne Chiu Qua 1205 S Grange Ave	$99.51	1,612	783
Nicole Marie Kress 1325 S Cliff Ave	$67.37	1,505	1,404
Kelly Heidepriem 1325 S Cliff Ave	$104.55	1,423	1,262
Saher Iftikhar 1305 W 18Th St	$59.51	1,381	1,241
Alex Qader 6110 S Minnesota Ave	$68.10	1,333	1,220
Lily Xingyuan Yu 1305 W 18Th St	$72.43	1,230	1,199
Lisa Marie Forbeck 1305 W 18Th St	$52.17	1,200	1,153
Avera Mckennan 1325 S Cliff Ave	$25.41	1,200	486
Abigail Lin Polzin 1305 W 18Th St	$69.16	1,198	1,145
Lucas Paul Mailander 1325 S Cliff Ave	$191.44	1,187	1,076
Sanford Medical Center 1305 W 18Th St	$21.69	1,110	321
Emily Ann Vander Schaaf 1305 W 18Th St	$113.41	1,061	922
Michael Dennis Quinlivan 1210 W 18Th St Ste G01	$74.92	1,055	1,016
Jacqueline Stone 1305 W 18Th St	$88.50	1,032	992
Ryan Austin 1305 W 18Th St	$66.22	981	899
Nicholas Dowling 1305 W 18Th St	$57.48	945	898
Beth E Lapka 1305 W 18Th St	$54.51	853	811
Holli Charbonneau 1305 W 18Th St	$71.59	835	769
Lucas Scott Van Oeveren 1325 S Cliff Ave	$68.71	743	680
Collin Vaughn 323 S Phillips Ave Apt 1	$79.22	724	628
Brooklyn Bertels 1305 W 18Th St	$73.39	637	598
Matthew P Finke 1305 W 18Th St	$122.87	603	546
Daniel A Chargo 1305 W 18Th St	$57.95	598	574
Marc S Mcsherry 1305 W 18Th St	$78.92	576	554
Dawn Theresa Corriere 5019 S Western Ave Ste 200	$105.34	574	545
Jon Christensen 1305 W 18Th St	$63.54	561	535
Darren Manthey 1305 W 18Th St	$80.26	553	510
Kenji Hamanaka 1305 W 18Th St	$76.45	545	523
Garrett R Taylor 1325 S Cliff Ave	$71.48	531	469
Justin L Espland 1305 W 18Th St	$47.30	520	474
David Thomas Porembka 1325 S Cliff Ave	$172.79	510	398
Ye Jung Ho Ferrabolli-Smith 1305 W 18Th St	$54.69	492	466
Arleigh Trainor 1305 W 18Th St	$55.88	483	453
Ryan Mark Sivertson 1305 W 18Th St	$42.95	448	434

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 Sioux Falls, SD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sioux Falls, SD is $92.67 per claim, based on 213,799 claims from 99 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 Sioux Falls, SD?

There are 99 Medicaid providers offering Emergency Room Visit related services in Sioux Falls, SD according to public payment data.

What is the price range for Emergency Room Visit in Sioux Falls, SD?

Medicaid reimbursement for Emergency Room Visit in Sioux Falls, SD ranges from $6.60 to $270.10 per claim, with an average of $92.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Emergency Room Visit Payments in Sioux Falls, SD: $92.67

Providers Offering Emergency Room Visit in Sioux Falls, SD

What to Expect: Emergency Room Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Sioux Falls, SD

Office Visit

Blood Work & Lab Tests

Vaccines & Immunizations

Psychiatric Evaluation

X-Ray

Personal Care Services

Speech Therapy

Home Health Visit