Average Medicaid Emergency Room Visit Payments in Somerset, KY: $132.80
Avg. Paid
$132.80
Range
$36.19 – $183.05
Total Claims
221,462
Providers
26
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 Somerset, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake Cumberland Regional Hospital Llc
305 Langdon Street |
$183.05 | 131,113 | 111,128 |
|
Edward Allan Grimball
402 Bogle St |
$66.54 | 15,315 | 13,852 |
|
Sean M. Rogers
305 Langdon St |
$61.56 | 15,136 | 13,849 |
|
Charles Hatmaker
350 Hospital Way |
$50.38 | 9,306 | 8,490 |
|
Bernard Williams
305 Langdon St |
$55.16 | 8,913 | 8,305 |
|
Elizabeth Katherine Durham
350 Hospital Way |
$64.31 | 7,880 | 7,222 |
|
Gregory K Rodgers
305 Langdon St |
$56.63 | 7,396 | 6,503 |
|
Lori Duncan
305 Langdon St |
$50.81 | 7,358 | 6,845 |
|
Marvin Cuevas
305 Langdon St |
$62.15 | 4,184 | 3,768 |
|
Kate-Marie Bleecker Ebersole
305 Langdon St |
$53.69 | 3,705 | 3,442 |
|
Lyndsey King
305 Langdon St |
$69.42 | 3,413 | 3,234 |
|
Amanda Noelle Erskine
303 Langdon St |
$81.65 | 1,586 | 1,532 |
|
Curtis Anthony Williams
305 Langdon St |
$72.09 | 1,499 | 1,410 |
|
Sheena Danielle Mobley
3406 Woodhaven Dr |
$43.14 | 1,488 | 1,335 |
|
Kevin A Hinson
350 Hospital Way Ste 101 |
$70.59 | 650 | 609 |
|
Mateen Ahmed
110 Hardin Lane |
$67.40 | 649 | 186 |
|
Ashley Marie Harris
350 Hospital Way |
$68.27 | 507 | 473 |
|
Robina M Bokhari
110 Hardin Ln |
$56.44 | 356 | 280 |
|
Muhammad Junaid Alvi
305 Langdon St |
$77.46 | 334 | 84 |
|
Donald Brent Cherry
850 Hail Knob Rd |
$45.86 | 317 | 53 |
|
Nathan Kyle Bennett
349 Bogle St |
$41.49 | 220 | 204 |
|
Tommy Warren Shelton
350 Hospital Way |
$59.11 | 56 | 52 |
|
Rainer Allen Oliver
350 Hospital Way |
$43.79 | 27 | 24 |
|
Alecia Fields
333 Bogle Street |
$36.19 | 21 | 18 |
|
Michael Barton Baker
305 Langdon St |
$41.78 | 20 | 12 |
|
Sara Beth Pence
310 W Columbia St |
$67.59 | 13 | 13 |
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 Somerset, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Somerset, KY is $132.80 per claim, based on 221,462 claims from 26 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 Somerset, KY?
There are 26 Medicaid providers offering Emergency Room Visit related services in Somerset, KY according to public payment data.
What is the price range for Emergency Room Visit in Somerset, KY?
Medicaid reimbursement for Emergency Room Visit in Somerset, KY ranges from $36.19 to $183.05 per claim, with an average of $132.80. 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 Somerset, KY
Office Visit
Avg $36.93
986,284 claims
Psychiatric Evaluation
Avg $59.24
948,676 claims
Blood Work & Lab Tests
Avg $9.54
630,941 claims
Physical Therapy
Avg $97.34
524,540 claims
Substance Abuse Treatment
Avg $133.37
507,692 claims
Home Health Visit
Avg $177.24
473,664 claims
Case Management Services
Avg $300.90
265,532 claims
Dental Cleaning & Exam
Avg $37.41
229,101 claims