Average Medicaid Emergency Room Visit Payments in Sylvania, OH: $78.43
Avg. Paid
$78.43
Range
$21.80 – $140.27
Total Claims
38,693
Providers
13
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 Sylvania, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sara J Graber
5800 Monroe St |
$80.85 | 13,146 | 12,617 |
|
Ingrid Rodriguez
5200 Harroun Rd |
$80.19 | 10,082 | 9,571 |
|
Ashok Harwani
5200 Harroun Rd |
$74.08 | 9,124 | 8,730 |
|
Daniel J Hoffman
4605 Framingham Dr |
$78.63 | 3,765 | 3,592 |
|
Nadia Fatima Ashraf-Moghal
5200 Harroun Rd |
$60.22 | 1,549 | 1,463 |
|
Flower Hospital
5200 Harroun Rd |
$140.27 | 553 | 528 |
|
Emile Klada
5700 Monroe St Unit 308 |
$44.33 | 269 | 151 |
|
Julie K Brueggemeier
5300 Harroun Rd Ste 112 |
$21.80 | 64 | 59 |
|
Monica Marie Barnum
5700 Monroe St Unit 209 |
$25.89 | 59 | 53 |
|
Ahmad Walid Abdelwahed
5700 Monroe St Unit 308 |
$47.67 | 24 | 13 |
|
Nichole Miller
5700 Monroe St Unit 308 |
$75.30 | 22 | 14 |
|
Michael Kennis
5300 Harroun Rd |
$84.59 | 21 | 13 |
|
Jeffrey M Judis
5700 Monroe St |
$87.20 | 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 Sylvania, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Sylvania, OH is $78.43 per claim, based on 38,693 claims from 13 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 Sylvania, OH?
There are 13 Medicaid providers offering Emergency Room Visit related services in Sylvania, OH according to public payment data.
What is the price range for Emergency Room Visit in Sylvania, OH?
Medicaid reimbursement for Emergency Room Visit in Sylvania, OH ranges from $21.80 to $140.27 per claim, with an average of $78.43. 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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Avg $84.83
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Avg $203.26
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Avg $116.65
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Avg $130.02
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Avg $98.63
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Avg $130.10
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Avg $135.52
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Other Procedures in Sylvania, OH
Office Visit
Avg $45.33
200,405 claims
Substance Abuse Treatment
Avg $143.68
60,068 claims
Eye Exam
Avg $24.16
50,038 claims
Blood Work & Lab Tests
Avg $6.68
49,979 claims
Home Health Visit
Avg $41.43
47,813 claims
Speech Therapy
Avg $23.00
37,276 claims
Physical Therapy
Avg $16.20
27,074 claims
Behavioral & Mental Health Therapy
Avg $139.59
25,491 claims