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 |
|---|---|---|---|
|
Chad Walton Katona
621 Memorial Dr Ste 502 |
$51.46 | 12 | 12 |
|
Melanie Lillian Leveille
615 N Michigan St |
$159.18 | 13 | 13 |
|
Anton J Crepinsek
714 N Michigan St |
$15.16 | 15 | 12 |
|
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 |
|
Matthew Russell Reed
714 N Michigan St |
$28.53 | 19 | 13 |
|
Jena Ruth Kern
615 N Michigan St 1St Fl Hospitalist Ste |
$116.63 | 44 | 37 |
|
Marion E. Mahone
714 N Michigan St |
$87.96 | 47 | 40 |
|
Hari Rasad Gourabathini
615 N Michigan St 5Th Fl |
$201.70 | 47 | 41 |
|
Monika Niemiec
615 N Michigan St |
$105.60 | 95 | 74 |
|
Haidong Bao
615 N Michigan St Fl 1 |
$26.02 | 97 | 64 |
|
Kaitlin Michelle Schopmeyer
615 N Michigan St |
$165.16 | 105 | 103 |
|
Sheri A Wilson
1245 E Ireland Rd |
$90.30 | 111 | 108 |
|
Rachel Ann Jennings
615 N Michigan St |
$184.42 | 149 | 142 |
|
Charbel F Maskiny
621 Memorial Drive |
$131.40 | 154 | 71 |
|
Wen Sun Lum
615 N Michigan St |
$92.94 | 179 | 136 |
|
Robert Bruce King
615 N Michigan St |
$44.05 | 345 | 221 |
|
Linda Sue Lee
615 N Michigan St |
$53.68 | 451 | 373 |
|
Matthew Francis Koscielski
621 Memorial Drive |
$126.41 | 562 | 199 |
|
Ismail Al-Ani
621 Memorial Dr Ste 512 |
$130.87 | 577 | 252 |
|
Sandra L Martin
100 Navarre Pl |
$61.43 | 879 | 778 |
|
Keith Hayden Sherry
615 N Michigan St |
$65.36 | 947 | 707 |
|
Paul N Zenker
615 N Michigan St 5Th Fl |
$127.31 | 1,166 | 1,113 |
|
Sean Robert Horner
2102 E Inwood Rd |
$65.75 | 1,323 | 1,165 |
|
Morgan Lynn Fean
615 N Michigan St |
$159.12 | 1,580 | 1,444 |
|
William Russell Farrell
615 N Michigan St |
$45.50 | 1,674 | 1,093 |
|
Macall Jeanne Cox
615 N Michigan St |
$114.92 | 1,817 | 1,498 |
|
Luke Alfred White
615 N Michigan St 1St Fl Hospitalist Ste |
$138.18 | 2,117 | 1,012 |
|
Jaimee Michelle Kamp
1815 E Ireland Rd |
$81.69 | 2,391 | 2,032 |
|
Benjamin Glines
615 N Michigan St |
$116.07 | 2,825 | 2,375 |
|
Kortney Bower
615 N Michigan St |
$108.90 | 2,858 | 2,394 |
|
Mark M Walsh
801 E Lasalle |
$119.66 | 3,395 | 3,036 |
|
Catherine Robinson Pounds
615 N Michigan St |
$120.21 | 3,440 | 2,958 |
|
Kyle J Wesley
615 N Michigan St |
$122.46 | 4,120 | 3,556 |
|
South Bend Emergency Physicians, Inc
615 N Michigan St |
$68.66 | 4,176 | 3,954 |
|
Jennifer Pierce Heaney
610 N Michigan St |
$96.19 | 4,475 | 3,944 |
|
Gregory J Pettaway
615 N Michigan St |
$62.84 | 4,724 | 3,695 |
|
Memorial Hospital Of South Bend
615 N Michigan St |
$128.84 | 4,843 | 4,124 |
|
David Alan Halperin
615 N Michigan St |
$94.60 | 5,460 | 4,523 |
|
Thomas Sweeney
615 N Michigan St |
$79.46 | 5,581 | 4,787 |
|
Rajalakshmy Sundararajan
615 N Michigan St |
$95.21 | 5,817 | 4,867 |
|
Joseph C Lee
615 N Michigan St |
$86.40 | 6,047 | 5,092 |
|
Nicole Davis Riordan
615 N Michigan St |
$87.99 | 6,662 | 5,522 |
|
Peter Ray Martin
715 Park Ave |
$127.59 | 6,830 | 6,074 |
|
Richard Harry Seall
615 N Michigan St |
$90.45 | 7,363 | 6,032 |
|
Patrick Lee Studtman
615 N. Michigan Street |
$93.85 | 7,857 | 6,701 |
|
Jennifer L. Lackman-Chuppe
615 N Michigan St |
$98.03 | 7,991 | 6,778 |
|
Steven Paul Spilger
615 N Michigan St |
$89.89 | 9,356 | 7,700 |
|
Algis J Baliunas
615 N Michigan St |
$83.55 | 11,248 | 9,423 |
|
Joseph Paul D'Haenens
615 N Michigan St |
$92.56 | 11,438 | 9,489 |
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