Average Medicaid Emergency Room Visit Payments in Springfield, MO: $135.19
Avg. Paid
$135.19
Range
$9.43 – $707.57
Total Claims
508,754
Providers
223
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 Springfield, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mark Brady
1423 N Jefferson Ave |
$132.64 | 19,173 | 18,775 |
|
Joseph Craigmyle
1423 N Jefferson Ave |
$117.75 | 12,350 | 12,152 |
|
Joseph Cooper
1423 N Jefferson Ave |
$136.84 | 11,191 | 10,999 |
|
Anna Grimes
1235 E Cherokee St |
$107.83 | 9,211 | 8,933 |
|
Timothy Anthony Fursa
1423 N. Jefferson |
$159.93 | 8,436 | 7,745 |
|
Michael Eastman
3801 S National Ave |
$110.43 | 8,122 | 7,883 |
|
Lisa Kay Reno
1000 E Primrose St |
$48.90 | 7,930 | 7,163 |
|
Camala Porter
1423 N Jefferson Ave |
$136.20 | 7,747 | 7,600 |
|
Adam Stuppy
3801 S National Ave |
$144.03 | 7,619 | 7,455 |
|
Patrick Gilbreth
1423 N Jefferson Ave |
$143.91 | 7,492 | 7,369 |
|
Jennifer Wren Kimbrell
3801 S National Ave |
$153.83 | 7,432 | 7,312 |
|
Keith Butvilas
1235 E Cherokee St |
$120.82 | 7,409 | 7,009 |
|
Martin Jones
1423 N Jefferson Ave |
$68.97 | 7,194 | 6,951 |
|
Elizabeth Ann Lambird
1200 E Woodhurst Dr Ste K200 |
$128.79 | 7,048 | 5,254 |
|
Lindsey Michelle Krawczuk
3801 S. National Ave. |
$154.01 | 6,868 | 6,756 |
|
Jeremy O'Shea
3801 S National Ave |
$73.54 | 6,843 | 5,831 |
|
David Lee Matlock
1235 E Cherokee St |
$103.42 | 6,632 | 6,419 |
|
Matthew Brandt
1423 N Jefferson Ave |
$145.41 | 6,455 | 6,345 |
|
Jonathan Kirk Vashaw
3801 S National Ave |
$173.80 | 6,324 | 6,211 |
|
James Alexander Hunter
3801 S National Ave |
$131.71 | 6,265 | 6,167 |
|
Christopher Wallace Morrison
3801 S National Ave |
$154.39 | 6,099 | 6,010 |
|
James Schmitt
3801 S National Ave |
$147.62 | 5,833 | 5,738 |
|
Eric Funk
3801 S National Ave |
$155.74 | 5,815 | 5,699 |
|
Ross Keesling
3801 S National Ave |
$153.04 | 5,785 | 5,698 |
|
Steven Propst
3801 S National Ave |
$144.36 | 5,741 | 5,648 |
|
Gregory Hunter
1423 N Jefferson Ave |
$79.12 | 5,678 | 5,537 |
|
David Lee
1423 N National Ave |
$133.94 | 5,509 | 5,428 |
|
Richard Dwight Shaffer
3045 S National Ave Ste 110 |
$36.81 | 5,453 | 5,145 |
|
Bradley Messner
1423 N National Ave |
$146.15 | 5,403 | 5,323 |
|
Jacob Baltz
3801 S National Ave |
$155.01 | 5,327 | 5,238 |
|
Gregory J Kutter
3801 S National Ave |
$152.58 | 5,238 | 5,143 |
|
Kathryn L Egly
3801 S National Ave |
$134.60 | 5,146 | 4,995 |
|
Tyler Bray
3801 S National Ave |
$146.25 | 5,043 | 4,962 |
|
Marcelo Assmann
1235 E Cherokee St |
$140.60 | 5,035 | 4,834 |
|
Juliah C Tiedemann
3801 S National Ave |
$137.77 | 5,035 | 4,963 |
|
Lacy Reeves
3801 S National Ave |
$143.53 | 4,957 | 4,881 |
|
Jeffrey Wade Spencer
1235 E Cherokee St |
$106.43 | 4,935 | 4,758 |
|
Janel M Ochse
1235 E Cherokee St |
$113.80 | 4,931 | 4,712 |
|
Vincent Andrew Manning
3801 S National Ave |
$173.74 | 4,918 | 4,840 |
|
Andrew Wylie
3801 S National Ave |
$178.67 | 4,826 | 4,738 |
|
Kyle Christopher Fink
3801 S National Ave |
$161.01 | 4,757 | 4,677 |
|
Kathryn Elizabeth Little
620 S Glenstone Ave |
$282.75 | 4,673 | 4,058 |
|
Matthew Olney
3801 S National Ave |
$160.73 | 4,670 | 4,585 |
|
Amy Mccroskey
4121 S. Fremont Suite 120 |
$144.37 | 4,625 | 4,549 |
|
Michael A Galindo
3801 S National Ave |
$152.02 | 4,558 | 4,486 |
|
Jock Porter
1423 N National Ave |
$153.58 | 4,541 | 4,478 |
|
Dustin Gammon
1235 E Cherokee St |
$146.76 | 4,361 | 4,204 |
|
Rebecca D. Ziehr
1235 E Cherokee St |
$106.47 | 4,355 | 4,264 |
|
Douglas Scott Ham
1423 N Jefferson Ave |
$91.20 | 4,296 | 3,747 |
|
Nathan Roberts
3801 S National Ave |
$53.72 | 4,263 | 4,109 |
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 Springfield, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Springfield, MO is $135.19 per claim, based on 508,754 claims from 223 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 Springfield, MO?
There are 223 Medicaid providers offering Emergency Room Visit related services in Springfield, MO according to public payment data.
What is the price range for Emergency Room Visit in Springfield, MO?
Medicaid reimbursement for Emergency Room Visit in Springfield, MO ranges from $9.43 to $707.57 per claim, with an average of $135.19. 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 Springfield, MO
Behavioral & Mental Health Therapy
Avg $9.66
1,934,909 claims
Office Visit
Avg $67.19
1,644,591 claims
Psychiatric Evaluation
Avg $33.77
879,231 claims
Blood Work & Lab Tests
Avg $39.99
662,747 claims
Substance Abuse Treatment
Avg $28.32
597,533 claims
Dental Cleaning & Exam
Avg $34.33
253,187 claims
X-Ray
Avg $17.17
244,780 claims
EKG / ECG (Electrocardiogram)
Avg $19.43
222,452 claims