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 |
|---|---|---|---|
|
Stephanie Layne Sims
101 E Wood St |
$77.96 | 12 | 12 |
|
Grayson Bingham
101 E Wood St |
$41.18 | 13 | 13 |
|
Matthew Bruce Baird
333 S Pine St |
$73.72 | 25 | 25 |
|
Michael Patrick Riordan
101 E Wood St |
$89.64 | 27 | 25 |
|
Martha Ann Raines
100 E Wood St |
$95.76 | 28 | 24 |
|
Bethany Mckinney Wilson
301 E Wood St |
$38.11 | 43 | 43 |
|
Richard Andrew Rosebrock
101 E Wood St |
$90.55 | 45 | 37 |
|
Ruth J Stanton
853 N Church St |
$34.11 | 52 | 48 |
|
Atul Sofat
101 E Wood St |
$28.59 | 53 | 37 |
|
M Jane Mccall
101 East Wood St |
$70.53 | 55 | 53 |
|
Lani Garland
101 E Wood St |
$48.17 | 56 | 53 |
|
David Specia
101 E Wood St |
$49.97 | 68 | 63 |
|
Brian Caldwell Thurston
853 North Church Street |
$140.39 | 74 | 28 |
|
Joseph Charles Byouk
101 E Wood St |
$158.34 | 86 | 84 |
|
Jason Matthew Fuller
101 E Wood St |
$78.12 | 87 | 86 |
|
Christopher M Lombardozzi
101 E Wood St |
$67.39 | 117 | 113 |
|
Gary D. Rauch
1200 E Main St Ste 12 |
$61.01 | 144 | 138 |
|
Ryan Matthew Edelbrock
101 E Wood St |
$71.12 | 172 | 166 |
|
Michael G Mount
853 N Church St Ste 500 |
$97.49 | 215 | 79 |
|
Farhan Siddiqui
151 Harold Fleming Ct |
$105.93 | 224 | 111 |
|
Earl Nicholas Mullis
101 E Wood St |
$52.91 | 261 | 244 |
|
Stuart Frederick Reynolds
101 E Wood St |
$111.32 | 302 | 120 |
|
Austin Howell
101 E Wood St |
$42.58 | 313 | 303 |
|
Lisa Ann Swann
151 Peachwood Centre Dr |
$74.44 | 357 | 340 |
|
Alex Holsonback
101 E Wood St |
$38.03 | 383 | 359 |
|
Elizabeth Leanne Welling
101 E Wood St |
$53.07 | 396 | 321 |
|
Rebecca Ulrich
100 E Wood St |
$61.19 | 402 | 397 |
|
Brooke Ellison Crocker
101 E Wood St |
$46.09 | 424 | 391 |
|
Jamaeka Nicole Reid
853 N Church St Ste 510 |
$51.11 | 431 | 392 |
|
Kendall Syms
1650 Skylyn Dr |
$63.16 | 450 | 418 |
|
Harrison Carnes
101 E Wood St |
$52.95 | 472 | 466 |
|
Donna Burton
100 E Wood St |
$47.23 | 479 | 462 |
|
Erin Lang Palms
101 E Wood St |
$44.79 | 554 | 524 |
|
Michael Roland Watkins
853 N Church St |
$57.50 | 585 | 554 |
|
Kristine Dee Boyd
853 N Church St Ste 700 |
$86.81 | 615 | 554 |
|
Ryan Paul Lapointe
101 E Wood St |
$120.58 | 653 | 323 |
|
Jessica Forry Lebrun
101 E Wood St |
$62.85 | 663 | 649 |
|
Mallory Flowers
101 E Wood St |
$56.94 | 691 | 653 |
|
Raegan Denae Champ
101 E Wood St |
$50.67 | 738 | 691 |
|
Lynn Ann Campbell
101 E Wood St |
$85.23 | 758 | 726 |
|
Crystal M Bishop
1330 Boiling Springs Rd Ste 1600 |
$41.32 | 758 | 740 |
|
Erin Parker Leroy
101 E Wood St |
$44.70 | 764 | 742 |
|
Laudan Audrey Nahavandi
101 E Wood St |
$48.98 | 785 | 751 |
|
Jessica Marie Hemsoth
853 N Church St Ste 700 |
$57.22 | 816 | 765 |
|
David Tyler Cunningham
101 E Wood St |
$51.06 | 823 | 813 |
|
Elise Marie Prayson
101 E Wood St |
$46.63 | 938 | 906 |
|
Ryan Andrew Langdon
101 E Wood St |
$45.85 | 973 | 916 |
|
Kelly Katherine Grant
101 E Wood St |
$75.28 | 998 | 949 |
|
Phillip A Leonard
101 E Wood St |
$49.14 | 1,018 | 965 |
|
Thomas Madison Boyd
101 E Wood St |
$68.25 | 1,077 | 1,032 |
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