Average Medicaid Emergency Room Visit Payments in Sisseton, SD: $77.11
Avg. Paid
$77.11
Range
$17.10 – $201.28
Total Claims
18,231
Providers
14
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 Sisseton, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coteau Des Prairies Hospital
205 Orchard Dr |
$48.02 | 8,316 | 6,968 |
|
Jacqueline F Bartlett
205 Orchard Dr |
$64.82 | 2,067 | 1,908 |
|
Jim Lee Perez
100 Lake Traverse Dr |
$100.80 | 1,941 | 1,476 |
|
Chukwuemeka Ekeke
100 Lake Traverse Dr |
$112.81 | 1,835 | 1,796 |
|
Nathan Tiedeman
205 Orchard Dr |
$201.28 | 1,524 | 1,249 |
|
Jennifer Steiner
205 Orchard Dr |
$61.41 | 1,102 | 1,032 |
|
Coteau Des Prairies Hospital
205 Orchard Drive |
$27.48 | 508 | 42 |
|
Kerry Lynn Kuffenkam
100 Lake Traverse Dr |
$135.17 | 348 | 273 |
|
Stanley C Gallagher
205 Orchard Dr |
$59.37 | 192 | 180 |
|
Michael Paul Lowe
205 Orchard Dr |
$91.88 | 189 | 177 |
|
Judy C Beumer
205 Orchard Dr |
$17.10 | 134 | 122 |
|
Sherryl J. Tomboulian
205 Orchard Dr |
$31.43 | 32 | 30 |
|
Kenneth Ransom
100 Lake Traverse Dr |
$45.07 | 31 | 13 |
|
Gregory Mcgriff
100 Lake Traverse Dr |
$80.34 | 12 | 12 |
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 Sisseton, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sisseton, SD is $77.11 per claim, based on 18,231 claims from 14 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 Sisseton, SD?
There are 14 Medicaid providers offering Emergency Room Visit related services in Sisseton, SD according to public payment data.
What is the price range for Emergency Room Visit in Sisseton, SD?
Medicaid reimbursement for Emergency Room Visit in Sisseton, SD ranges from $17.10 to $201.28 per claim, with an average of $77.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
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Philadelphia, PA
Avg $135.52
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Other Procedures in Sisseton, SD
Office Visit
Avg $165.33
43,613 claims
Blood Work & Lab Tests
Avg $58.77
19,046 claims
Eye Exam
Avg $72.64
5,618 claims
Psychiatric Evaluation
Avg $158.16
5,339 claims
Vaccines & Immunizations
Avg $49.52
5,325 claims
Nursing Facility Care
Avg $104.91
3,824 claims
Non-Emergency Medical Transportation
Avg $36.06
3,186 claims
Urinalysis & Urine Tests
Avg $42.41
2,640 claims