Average Medicaid Emergency Room Visit Payments in South Bend, IN: $95.59
Avg. Paid
$95.59
Range
$15.16 – $201.70
Total Claims
180,378
Providers
53
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 South Bend, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Philip Richard Kavanagh
615 N Michigan St |
$90.95 | 12,996 | 10,893 |
|
Patrick Marvin Webb
615 N Michigan St |
$92.85 | 12,242 | 10,280 |
|
Aoko Doris Crain
615 N Michigan St |
$95.13 | 11,680 | 9,690 |
|
Joseph Paul D'Haenens
615 N Michigan St |
$92.56 | 11,438 | 9,489 |
|
Algis J Baliunas
615 N Michigan St |
$83.55 | 11,248 | 9,423 |
|
Steven Paul Spilger
615 N Michigan St |
$89.89 | 9,356 | 7,700 |
|
Jennifer L. Lackman-Chuppe
615 N Michigan St |
$98.03 | 7,991 | 6,778 |
|
Patrick Lee Studtman
615 N. Michigan Street |
$93.85 | 7,857 | 6,701 |
|
Richard Harry Seall
615 N Michigan St |
$90.45 | 7,363 | 6,032 |
|
Peter Ray Martin
715 Park Ave |
$127.59 | 6,830 | 6,074 |
|
Nicole Davis Riordan
615 N Michigan St |
$87.99 | 6,662 | 5,522 |
|
Joseph C Lee
615 N Michigan St |
$86.40 | 6,047 | 5,092 |
|
Rajalakshmy Sundararajan
615 N Michigan St |
$95.21 | 5,817 | 4,867 |
|
Thomas Sweeney
615 N Michigan St |
$79.46 | 5,581 | 4,787 |
|
David Alan Halperin
615 N Michigan St |
$94.60 | 5,460 | 4,523 |
|
Memorial Hospital Of South Bend
615 N Michigan St |
$128.84 | 4,843 | 4,124 |
|
Gregory J Pettaway
615 N Michigan St |
$62.84 | 4,724 | 3,695 |
|
Jennifer Pierce Heaney
610 N Michigan St |
$96.19 | 4,475 | 3,944 |
|
South Bend Emergency Physicians, Inc
615 N Michigan St |
$68.66 | 4,176 | 3,954 |
|
Kyle J Wesley
615 N Michigan St |
$122.46 | 4,120 | 3,556 |
|
Catherine Robinson Pounds
615 N Michigan St |
$120.21 | 3,440 | 2,958 |
|
Mark M Walsh
801 E Lasalle |
$119.66 | 3,395 | 3,036 |
|
Kortney Bower
615 N Michigan St |
$108.90 | 2,858 | 2,394 |
|
Benjamin Glines
615 N Michigan St |
$116.07 | 2,825 | 2,375 |
|
Jaimee Michelle Kamp
1815 E Ireland Rd |
$81.69 | 2,391 | 2,032 |
|
Luke Alfred White
615 N Michigan St 1St Fl Hospitalist Ste |
$138.18 | 2,117 | 1,012 |
|
Macall Jeanne Cox
615 N Michigan St |
$114.92 | 1,817 | 1,498 |
|
William Russell Farrell
615 N Michigan St |
$45.50 | 1,674 | 1,093 |
|
Morgan Lynn Fean
615 N Michigan St |
$159.12 | 1,580 | 1,444 |
|
Sean Robert Horner
2102 E Inwood Rd |
$65.75 | 1,323 | 1,165 |
|
Paul N Zenker
615 N Michigan St 5Th Fl |
$127.31 | 1,166 | 1,113 |
|
Keith Hayden Sherry
615 N Michigan St |
$65.36 | 947 | 707 |
|
Sandra L Martin
100 Navarre Pl |
$61.43 | 879 | 778 |
|
Ismail Al-Ani
621 Memorial Dr Ste 512 |
$130.87 | 577 | 252 |
|
Matthew Francis Koscielski
621 Memorial Drive |
$126.41 | 562 | 199 |
|
Linda Sue Lee
615 N Michigan St |
$53.68 | 451 | 373 |
|
Robert Bruce King
615 N Michigan St |
$44.05 | 345 | 221 |
|
Wen Sun Lum
615 N Michigan St |
$92.94 | 179 | 136 |
|
Charbel F Maskiny
621 Memorial Drive |
$131.40 | 154 | 71 |
|
Rachel Ann Jennings
615 N Michigan St |
$184.42 | 149 | 142 |
|
Sheri A Wilson
1245 E Ireland Rd |
$90.30 | 111 | 108 |
|
Kaitlin Michelle Schopmeyer
615 N Michigan St |
$165.16 | 105 | 103 |
|
Haidong Bao
615 N Michigan St Fl 1 |
$26.02 | 97 | 64 |
|
Monika Niemiec
615 N Michigan St |
$105.60 | 95 | 74 |
|
Marion E. Mahone
714 N Michigan St |
$87.96 | 47 | 40 |
|
Hari Rasad Gourabathini
615 N Michigan St 5Th Fl |
$201.70 | 47 | 41 |
|
Jena Ruth Kern
615 N Michigan St 1St Fl Hospitalist Ste |
$116.63 | 44 | 37 |
|
Matthew Russell Reed
714 N Michigan St |
$28.53 | 19 | 13 |
|
Mathew Jose Kallookulangara
615 N Michigan St Fl 1 |
$41.98 | 19 | 12 |
|
Betsy Rossow
615 N Michigan St Fl 5 |
$155.59 | 19 | 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 South Bend, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in South Bend, IN is $95.59 per claim, based on 180,378 claims from 53 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 South Bend, IN?
There are 53 Medicaid providers offering Emergency Room Visit related services in South Bend, IN according to public payment data.
What is the price range for Emergency Room Visit in South Bend, IN?
Medicaid reimbursement for Emergency Room Visit in South Bend, IN ranges from $15.16 to $201.70 per claim, with an average of $95.59. 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 South Bend, IN
Office Visit
Avg $58.29
778,111 claims
Blood Work & Lab Tests
Avg $6.15
552,088 claims
Psychiatric Evaluation
Avg $67.17
188,449 claims
Physical Therapy
Avg $31.56
170,960 claims
Vaccines & Immunizations
Avg $10.10
170,623 claims
Durable Medical Equipment (DME)
Avg $34.07
143,514 claims
Speech Therapy
Avg $58.84
113,674 claims
Ambulance Transport
Avg $111.92
105,740 claims