Average Medicaid Emergency Room Visit Payments in St Cloud, MN: $133.47
Avg. Paid
$133.47
Range
$60.82 – $722.14
Total Claims
39,214
Providers
16
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 St Cloud, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John E Mertz
1406 6 Ave N |
$128.28 | 7,205 | 6,867 |
|
Chadd T Allen
1200 Sixth Ave N |
$81.71 | 6,320 | 5,306 |
|
Renee Linda Funk
1406 6Th Ave N |
$132.19 | 5,541 | 5,344 |
|
Michael James Severson
1406 Sixth Ave N |
$210.23 | 5,134 | 4,185 |
|
Julie Anne Gay
1200 Sixth Ave N |
$132.51 | 3,967 | 3,808 |
|
Jeffrey Carl Windschitl
1406 6Th Ave N |
$123.58 | 3,688 | 3,499 |
|
Mark Elmer Hoffmann
1406 6Th Ave N |
$119.50 | 2,533 | 2,401 |
|
Joseph Justis Randolph
1406 6Th Ave N |
$185.45 | 2,148 | 1,860 |
|
Jenifer Karen Detert
Central Minnesota Emergency Physicians |
$95.09 | 719 | 671 |
|
Daniel Lloyd Fark
1406 6Th Ave N |
$105.55 | 710 | 678 |
|
Alan Paul Johnson
1406 6Th Avenue North |
$131.52 | 670 | 598 |
|
Peter L Charvat
1406 6Th Ave N |
$107.78 | 382 | 364 |
|
Timothy Michael Ehle
1200 Sixth Ave N |
$75.20 | 84 | 25 |
|
Anthony P Haas
1406 6Th Ave N |
$121.52 | 50 | 39 |
|
John D Mayerhofer
1200 Sixth Ave N |
$60.82 | 48 | 26 |
|
Paul L Marek
1200 Sixth Ave N |
$722.14 | 15 | 13 |
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 St Cloud, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in St Cloud, MN is $133.47 per claim, based on 39,214 claims from 16 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 St Cloud, MN?
There are 16 Medicaid providers offering Emergency Room Visit related services in St Cloud, MN according to public payment data.
What is the price range for Emergency Room Visit in St Cloud, MN?
Medicaid reimbursement for Emergency Room Visit in St Cloud, MN ranges from $60.82 to $722.14 per claim, with an average of $133.47. 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 St Cloud, MN
Blood Work & Lab Tests
Avg $7.56
89,230 claims
Office Visit
Avg $77.50
48,822 claims
Substance Abuse Treatment
Avg $178.38
44,995 claims
EKG / ECG (Electrocardiogram)
Avg $5.90
14,813 claims
Physical Therapy
Avg $33.08
10,269 claims
Behavioral & Mental Health Therapy
Avg $282.18
8,198 claims
Psychiatric Evaluation
Avg $80.34
7,630 claims
Dental Cleaning & Exam
Avg $55.66
7,047 claims