Average Medicaid Emergency Room Visit Payments in Sumter, SC: $38.43
Avg. Paid
$38.43
Range
$29.96 – $136.42
Total Claims
157,791
Providers
14
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 Sumter, SC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Prisma Health-Midlands
129 N. Washington Street |
$29.96 | 131,125 | 111,649 |
|
Garrett M Clanton
129 N Washington St |
$79.37 | 6,556 | 6,142 |
|
Luis Muniz
129 N Washington St |
$84.57 | 5,348 | 5,035 |
|
Christopher John Mynster
129 N Washington St |
$107.38 | 5,197 | 4,088 |
|
Tracey Denise Flemming
129 N Washington St |
$71.82 | 3,459 | 3,247 |
|
George Scot Dilts
129 North Washington Street |
$68.78 | 2,326 | 2,179 |
|
Cody Becksvoort
674 W Liberty St |
$31.78 | 1,214 | 1,094 |
|
Laquette Tamereka Hunter
129 N Washington St |
$63.46 | 874 | 792 |
|
Hannah Parker
129 N Washington St |
$53.25 | 783 | 765 |
|
Alexandra Lyn Condy
129 N Washington St |
$57.40 | 415 | 405 |
|
Norman Jarod Green
129 N Washington St |
$54.90 | 219 | 216 |
|
Fritz E Jean Gilles
129 N Washington St |
$82.57 | 189 | 165 |
|
Corrielle Caldwell
115 N Sumter St Ste 315 |
$136.42 | 60 | 12 |
|
Erryn C Provencher
674 W Liberty St |
$66.80 | 26 | 26 |
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 Sumter, SC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sumter, SC is $38.43 per claim, based on 157,791 claims from 14 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 Sumter, SC?
There are 14 Medicaid providers offering Emergency Room Visit related services in Sumter, SC according to public payment data.
What is the price range for Emergency Room Visit in Sumter, SC?
Medicaid reimbursement for Emergency Room Visit in Sumter, SC ranges from $29.96 to $136.42 per claim, with an average of $38.43. 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
4,391,753 claims · 1550 providers
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
3,661,931 claims · 1481 providers
Other Procedures in Sumter, SC
Office Visit
Avg $76.88
592,225 claims
Blood Work & Lab Tests
Avg $12.51
300,851 claims
Dental Cleaning & Exam
Avg $34.02
167,492 claims
Vaccines & Immunizations
Avg $19.55
162,920 claims
Urinalysis & Urine Tests
Avg $21.60
129,948 claims
Speech Therapy
Avg $38.90
125,766 claims
Home Health Visit
Avg $44.33
116,753 claims
Psychiatric Evaluation
Avg $158.47
109,398 claims