Average Medicaid Emergency Room Visit Payments in Summerville, SC: $63.51
Avg. Paid
$63.51
Range
$22.35 – $247.08
Total Claims
101,171
Providers
22
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 Summerville, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roper St Francis Hospital-Berkeley Inc.
100 Callen Blvd |
$30.87 | 52,812 | 47,785 |
|
Adam Daniel Barouh
295 Midland Pkwy |
$75.84 | 13,121 | 12,718 |
|
Christopher Todd Higgins
295 Midland Pkwy |
$247.08 | 7,081 | 6,936 |
|
Jennifer Anne Adair
Summerville Medical Center (Ed) |
$77.89 | 6,116 | 5,990 |
|
Michael C. Hopkins
295 Midland Pkwy |
$76.98 | 5,404 | 5,269 |
|
Amber D Willis
1114 N Main St |
$83.27 | 4,720 | 4,613 |
|
Michael L Masiowski
295 Midland Pkwy |
$63.42 | 4,540 | 3,663 |
|
Christian Raymond Kegg
295 Midland Pkwy |
$66.96 | 3,182 | 3,102 |
|
Richard Preston Wendell
295 Midland Pkwy |
$73.19 | 1,372 | 1,347 |
|
Iza De Los Reyes
410 N Main St |
$60.53 | 531 | 385 |
|
Karen L Kriza
295 Midland Parkway |
$62.94 | 488 | 478 |
|
Caroline Huffman
100 Callen Blvd |
$67.85 | 475 | 466 |
|
Michael B Carothers
104 Terrapin Cir |
$60.62 | 325 | 315 |
|
Yoseline Castillo Kibic
10160 Dorchester Rd |
$52.73 | 297 | 283 |
|
Danielle K. Bazemore
2001 2Nd Ave Ste 201 |
$32.74 | 213 | 151 |
|
Stephen J O' Connor
295 Midland Pkwy |
$54.71 | 203 | 196 |
|
Amanda Nichols
295 Midland Pkwy |
$53.31 | 123 | 118 |
|
Jaime Clark
112 Mikel Ct |
$22.35 | 73 | 51 |
|
Cady Kerr
1114 N Main St |
$37.59 | 33 | 31 |
|
Madison Anne Martin
103 Bennett Ln |
$70.64 | 28 | 28 |
|
Tayo E Haiyede-Shittu
5500 Front St Ste 240 |
$72.28 | 18 | 18 |
|
Janice Abigail Heintze
1520 Old Trolley Rd Ste 101 |
$181.18 | 16 | 14 |
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 Summerville, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Summerville, SC is $63.51 per claim, based on 101,171 claims from 22 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 Summerville, SC?
There are 22 Medicaid providers offering Emergency Room Visit related services in Summerville, SC according to public payment data.
What is the price range for Emergency Room Visit in Summerville, SC?
Medicaid reimbursement for Emergency Room Visit in Summerville, SC ranges from $22.35 to $247.08 per claim, with an average of $63.51. 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
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Avg $135.52
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Other Procedures in Summerville, SC
Office Visit
Avg $69.06
437,056 claims
Speech Therapy
Avg $60.13
164,665 claims
Dental Cleaning & Exam
Avg $34.80
164,488 claims
Urinalysis & Urine Tests
Avg $8.63
143,884 claims
Vaccines & Immunizations
Avg $19.13
128,690 claims
Blood Work & Lab Tests
Avg $15.51
85,637 claims
Physical Therapy
Avg $63.43
80,122 claims
Home Health Visit
Avg $90.61
72,635 claims