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
David Kapperman 2601 S Ellis Rd	$39.17	12	12
Tyler Lee Faber 1115 E 20Th St	$59.12	12	12
Marc H Ellwein 2100 S Marion Rd	$6.60	13	13
Amanda Glanzer 7701 W 65Th St	$170.99	13	12
Abigail Grace Piazza 1305 W 18Th St	$50.52	14	14
Nivedita Mohari 1417 S Cliff Ave Ste 201	$227.92	15	14
Anoop Jose Thoppil 1305 W 18Th St	$270.10	17	14
Sean P Mcgrann 1325 S Cliff Ave	$120.98	18	12
Daniel Wynn Christensen 1305 W 18Th St	$104.07	25	24
Timothy A. Nydam 900 E 54Th St N Ste 200	$29.27	25	25
Wade Robert Sendelbach 1508 W 22Nd St Ste 101	$17.93	28	25
Scott J Hiltunen 1200 S 7Th Ave	$67.07	29	29
David D Axtman 1400 S Glendale Ave	$81.19	33	26
Micah Luke 1305 W 18Th St	$13.12	35	35
Laura C Koel 2501 W 22Nd St	$123.72	42	41
Jason Domagalski 2501 W 22Nd St	$84.67	57	55
Darcie Schmidt 1325 S Cliff Ave	$88.42	58	58
Jared A Friedman 1325 S Cliff Ave	$29.75	59	49
Joevasanth Mariasingam Devasahayam 1301 S Cliff Ave Ste 601	$59.80	61	25
Robert William Harms 1305 W 18Th St	$96.67	73	65
Avera Mckennan 4500 W 69Th St	$45.14	78	68
Tara Lee 1310 W 22Nd St	$39.22	78	70
Chirag Chadrakant Patel 1205 S Grange Ave Ste 407	$107.01	94	37
Jacob Thomas Ricke 1305 W 18Th St	$51.52	113	106
Matthew R Nipe 1325 S Cliff Ave	$70.09	122	118
Christopher Ryan Newey 1305 West 18Th Street	$39.62	144	65
Casey Green 1325 S Cliff Ave	$66.54	150	141
Richard Gandee 1205 S Grange Ave Ste 201	$61.49	150	71
Avera Mckennan 1325 S Cliff Ave	$114.35	155	113
Brian Steven Skow 800 E 21St St	$43.56	168	154
John Michael Travnicek 1325 S Cliff Ave	$101.64	177	166
Joseph Alex 1305 W 18Th St	$48.28	181	174
Elizabeth Dimitrievich 625 W 18Th St	$159.85	185	146
Andrea Jo Pham 1325 S Cliff Ave	$63.56	213	197
Godfrey Oduor Wabwire 1305 W 18Th St	$207.89	214	185
Nicole L Stethem 1325 S Cliff Ave	$109.69	215	193
Charlie Joe Matteson 6110 S Minnesota Ave	$40.06	239	217
Scott Gregory Vankeulen 1305 W 18Th St	$93.21	248	228
Tyler John Koedam 1325 S Cliff Ave	$78.18	251	235
Heeyoung P. Wang 1325 S Cliff Ave	$88.09	257	233
Shola Aluko 1417 S Cliff Ave Ste 610	$86.40	259	68
Benjamin J Shives 1325 S Cliff Ave	$68.83	264	237
Michael David Whisler 1205 S Grange Ave Ste 401	$156.46	291	268
Hilary R. Rockwell 1305 W 18Th St	$67.07	305	283
Michelle Biehl 1205 S Grange Ave Ste 407	$47.56	312	161
Jessica Rae Tonsager 1325 S Cliff Ave	$68.29	348	324
Zachary W. Kendrick 1305 W 18Th St	$90.13	387	368
Nathan Scott Elg 1325 S Cliff Ave	$81.81	404	355
Alan James Sazama 1325 S Cliff Ave	$81.65	421	375
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