Average Medicaid Emergency Room Visit Payments in Spartanburg, SC: $59.48
Avg. Paid
$59.48
Range
$28.59 – $177.14
Total Claims
484,153
Providers
108
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 Spartanburg, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Spartanburg Medical Center
101 E Wood St |
$44.40 | 236,353 | 209,031 |
|
John N Jewell
101 E Wood St |
$83.44 | 18,904 | 17,797 |
|
Bernard Augustus Corbett
151 Peachwood Centre Dr |
$90.06 | 14,175 | 12,436 |
|
Mary Black Health System Llc
1700 Skylyn Dr |
$42.96 | 14,006 | 12,717 |
|
David Conan Smith
101 E Wood St |
$90.23 | 13,522 | 12,436 |
|
Theresa Domers
172 W Woodglen Rd |
$76.41 | 10,946 | 10,320 |
|
Richard Brent Rody
101 E Wood St |
$88.77 | 7,209 | 6,227 |
|
Bradley Duane Davis
101 E Wood St |
$74.80 | 5,698 | 5,439 |
|
Lane Eric Fresh
101 E Wood St |
$72.96 | 5,116 | 4,922 |
|
Brandon Keith Wyss
101 E Wood St |
$72.74 | 4,575 | 4,412 |
|
Joseph Glen Sorber
101 E Wood St |
$75.68 | 4,571 | 4,377 |
|
Mark Andrew Ellis
101 E Wood St |
$71.65 | 4,508 | 4,355 |
|
Andrew Puciaty
101 E Wood St |
$73.55 | 4,455 | 4,211 |
|
Courtney Crawford Jones
101 E Wood St |
$73.96 | 4,450 | 4,218 |
|
Trevor Lee Slone
101 E Wood St |
$77.01 | 4,423 | 4,262 |
|
Emerson Juan
101 E Wood St |
$72.76 | 4,299 | 4,148 |
|
Ryan Boughton Smith
101 E Wood St |
$76.03 | 4,228 | 4,063 |
|
Justin Brian Davis
101 E Wood St |
$77.01 | 4,059 | 3,895 |
|
Micah Jordan Roy
101 E Wood St |
$77.45 | 4,047 | 3,855 |
|
Kenneth Wayne Vaughn
101 East Wood St |
$73.41 | 4,032 | 3,823 |
|
Brian Shane Frederick
101 E Wood St |
$74.35 | 3,843 | 3,672 |
|
Ryan Christopher Davis
101 E Wood St |
$70.54 | 3,826 | 3,687 |
|
Rosanna Patrice Couture
101 E Wood St |
$72.87 | 3,755 | 3,495 |
|
Benjamin David Theobald
101 E Wood St |
$71.12 | 3,689 | 3,503 |
|
Darlene Marie Myles
101 E Wood St |
$72.22 | 3,507 | 3,321 |
|
Ladia M Konz
101 E Wood St |
$72.27 | 3,468 | 3,323 |
|
Warren Chase Doyle
101 E Wood St |
$78.50 | 3,390 | 3,278 |
|
David Ronan
101 E Wood St |
$73.96 | 3,259 | 3,139 |
|
Scott W Schmeissing
101 E Wood St |
$84.23 | 3,256 | 3,109 |
|
Stephanie Anja Taft
218 E Blackstock Rd |
$82.20 | 3,138 | 2,990 |
|
Benjamin William Calton
101 E Wood St |
$73.41 | 3,135 | 2,990 |
|
Paulina Narendra Patel
101 E Wood St |
$83.03 | 3,110 | 2,958 |
|
Bruce A Bourdon
1700 Skylyn Dr |
$77.26 | 3,041 | 2,766 |
|
William Francis Finn
101 E Wood St |
$76.13 | 2,756 | 2,464 |
|
Daniel L Cranston
1700 Skylyn Dr |
$66.30 | 2,755 | 2,714 |
|
John Falcon
101 E Wood St |
$78.98 | 2,553 | 2,457 |
|
Joshua Goedel
101 E Wood St |
$43.99 | 2,493 | 2,409 |
|
Cathy Ann Messer
151 Peachwood Centre Dr |
$76.53 | 2,385 | 2,283 |
|
Erica Lynn Hudson
101 E Wood St |
$177.14 | 2,319 | 2,211 |
|
Dea Fallin
101 E Wood St |
$45.44 | 2,301 | 2,190 |
|
Joshua Ladd Linebaugh
101 E Wood St |
$82.24 | 2,217 | 2,057 |
|
Kristin Demosthenes Rowland
101 E Wood St |
$72.27 | 2,183 | 2,090 |
|
Katherine Jane Langley
101 E Wood St |
$83.52 | 2,032 | 1,952 |
|
Paul Andrews Sansbury
101 E Wood St |
$68.99 | 2,025 | 1,962 |
|
Christopher Politi
101 E Wood St |
$44.72 | 1,864 | 1,792 |
|
Douglas Neal Benecke
101 E Wood St |
$45.26 | 1,770 | 1,701 |
|
Joshua James Moore
1075 Boiling Springs Rd |
$49.78 | 1,677 | 1,612 |
|
John Ghrigsby
101 E Wood St |
$47.42 | 1,605 | 1,525 |
|
Boyd Seth Smith
3021 Reidville Rd |
$46.97 | 1,504 | 1,428 |
|
Zachary Mayne Cooper
101 E Wood St |
$96.17 | 1,476 | 1,378 |
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 Spartanburg, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Spartanburg, SC is $59.48 per claim, based on 484,153 claims from 108 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 Spartanburg, SC?
There are 108 Medicaid providers offering Emergency Room Visit related services in Spartanburg, SC according to public payment data.
What is the price range for Emergency Room Visit in Spartanburg, SC?
Medicaid reimbursement for Emergency Room Visit in Spartanburg, SC ranges from $28.59 to $177.14 per claim, with an average of $59.48. 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 Spartanburg, SC
Office Visit
Avg $67.79
1,272,684 claims
Home Health Visit
Avg $110.96
900,744 claims
Blood Work & Lab Tests
Avg $41.53
739,249 claims
Physical Therapy
Avg $53.48
466,461 claims
Dental Cleaning & Exam
Avg $33.50
402,164 claims
Speech Therapy
Avg $56.78
349,032 claims
Urinalysis & Urine Tests
Avg $39.70
306,811 claims
Psychiatric Evaluation
Avg $129.73
269,505 claims