Average Medicaid Emergency Room Visit Payments in St. Louis, MO: $104.10
Avg. Paid
$104.10
Range
$17.85 – $602.90
Total Claims
37,096
Providers
27
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. Louis, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Colleen N Braun
1465 S Grand Blvd |
$108.37 | 7,146 | 6,958 |
|
Kenyatta Evans
3635 Vista At Grand Blvd, 3Rd Floor West Pavillion |
$126.02 | 6,186 | 6,124 |
|
David Sprowls
3635 Vista At Grand Blvd |
$111.50 | 6,176 | 5,775 |
|
William Kells Boland
1 Barnes-Jewish Hospital Plaza |
$65.75 | 3,772 | 3,734 |
|
Eman Gibral Spaulding
3635 Vista Ave |
$82.42 | 2,838 | 2,488 |
|
Sarah Elizabeth Walsh
10010 Kennerly Road, Emergency Department |
$121.73 | 2,050 | 1,950 |
|
Michael Paul Fullenkamp
1 Barnes Jewish Hospital Plaza |
$89.37 | 1,703 | 1,622 |
|
Oluwabamise Raymond Akinnawo
3635 Vista Avenue |
$103.63 | 1,096 | 1,034 |
|
Julie Ann Godefroid
1010 Old Des Peres Road |
$150.91 | 1,082 | 1,055 |
|
Cora Orphe-Harris
St Anthony'S Medical Center |
$107.52 | 1,040 | 1,028 |
|
Jennifer Lynn Wills Rosener
4650 Chippewa St |
$58.94 | 848 | 808 |
|
Andrew Ryan Davis
615 South New Ballas Road - Ob/Gyn Department |
$59.71 | 724 | 607 |
|
Daniel Vanvalkinburgh
3691 Rutger St. |
$127.21 | 524 | 308 |
|
Kelsey Lonergan
5647 Delmar Blvd. |
$122.26 | 405 | 396 |
|
Fritz Breckner
1 Barnes Jewish Hospital Plaza |
$80.88 | 313 | 307 |
|
Andrew Michael Garcia
1201 South Grand Blvd. |
$147.01 | 202 | 192 |
|
Nabiha Noma Awan
1465 S. Grand Blvd. |
$38.88 | 180 | 152 |
|
Christina A. Garretto
12348 Old Tesson Rd |
$76.52 | 170 | 170 |
|
Angela H Smithey
8888 Ladue Rd |
$118.65 | 141 | 138 |
|
Stephen B Osmon
St. Louis Va Medical Center |
$134.00 | 126 | 53 |
|
Shakira Dawn Powell
615 South New Ballas |
$37.39 | 118 | 112 |
|
Sai Prashanth Babu Palepu
10018 Kennerly Rd. |
$38.09 | 89 | 89 |
|
Kaleigh Halliburton Adrian
1465 S. Grand Blvd |
$43.64 | 64 | 52 |
|
Nicholas Simpson
8857 Ladue Road |
$17.85 | 59 | 58 |
|
Christopher Sallee
1465 S Grand Blvd |
$602.90 | 17 | 14 |
|
Lola J Loeb
5471 Dr. Martin Luther King Dr. |
$68.62 | 15 | 15 |
|
Anthony Michael Zunica
1465 S. Grand Blvd. |
$492.26 | 12 | 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 St. Louis, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in St. Louis, MO is $104.10 per claim, based on 37,096 claims from 27 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. Louis, MO?
There are 27 Medicaid providers offering Emergency Room Visit related services in St. Louis, MO according to public payment data.
What is the price range for Emergency Room Visit in St. Louis, MO?
Medicaid reimbursement for Emergency Room Visit in St. Louis, MO ranges from $17.85 to $602.90 per claim, with an average of $104.10. 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. Louis, MO
Office Visit
Avg $64.17
67,708 claims
X-Ray
Avg $9.67
32,553 claims
Blood Work & Lab Tests
Avg $41.14
20,595 claims
Prescription Medications
Avg $0.24
15,707 claims
Psychiatric Evaluation
Avg $59.98
14,685 claims
Nursing Facility Care
Avg $27.11
13,952 claims
Dental Cleaning & Exam
Avg $47.84
11,387 claims
Hearing Test (Audiometry)
Avg $37.59
9,844 claims