Average Medicaid Emergency Room Visit Payments in Spirit Lake, IA: $78.33
Avg. Paid
$78.33
Range
$46.41 – $89.55
Total Claims
8,956
Providers
6
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 Spirit Lake, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy J Taylor
2700 23Rd St |
$73.59 | 4,247 | 3,980 |
|
Steven L Baskerville
2700 23Rd St |
$76.35 | 1,935 | 1,848 |
|
James A Gamache
Highway 71 South |
$89.55 | 1,481 | 979 |
|
Laith Mohamed Mahdi
2301 Highway 71 |
$85.58 | 1,174 | 1,121 |
|
William Jackson Knoer
2301 Highway 71 |
$71.55 | 106 | 101 |
|
Brett Joel Olson
2700 23Rd St |
$46.41 | 13 | 12 |
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 Spirit Lake, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Spirit Lake, IA is $78.33 per claim, based on 8,956 claims from 6 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 Spirit Lake, IA?
There are 6 Medicaid providers offering Emergency Room Visit related services in Spirit Lake, IA according to public payment data.
What is the price range for Emergency Room Visit in Spirit Lake, IA?
Medicaid reimbursement for Emergency Room Visit in Spirit Lake, IA ranges from $46.41 to $89.55 per claim, with an average of $78.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
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Other Procedures in Spirit Lake, IA
Office Visit
Avg $32.93
30,616 claims
Chiropractic Care
Avg $20.19
11,165 claims
Psychiatric Evaluation
Avg $72.44
9,507 claims
Blood Work & Lab Tests
Avg $11.30
9,271 claims
Personal Care Services
Avg $52.02
6,417 claims
Eye Exam
Avg $57.66
5,457 claims
Vaccines & Immunizations
Avg $9.57
3,817 claims
Home Health Visit
Avg $87.93
1,173 claims