Average Medicaid Emergency Room Visit Payments in Toledo, OH: $93.09
Avg. Paid
$93.09
Range
$14.43 – $247.63
Total Claims
1,886,372
Providers
319
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 Toledo, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health - St Vincent Medical Center Llc
2213 Cherry St |
$139.79 | 156,675 | 118,259 |
|
The Toledo Hospital
2142 N Cove Blvd |
$135.75 | 114,287 | 95,607 |
|
Emergency Physicians Of Northwest Ohio Inc.
2142 N Cove Blvd |
$67.08 | 101,624 | 93,041 |
|
Medical University Of Ohio At Toledo
3000 Arlington Ave |
$117.26 | 30,944 | 22,755 |
|
Eugene Izsak
2142 N Cove Blvd |
$81.34 | 30,792 | 29,709 |
|
Karen J. Stacey-Erwin
3404 Sylvania Avenue |
$115.39 | 30,577 | 29,161 |
|
Jeffrey D. Katko
3404 W Sylvania Ave |
$80.98 | 30,265 | 28,789 |
|
Michael C Plewa
2213 Cherry St |
$88.45 | 28,639 | 27,251 |
|
Aaron M Orqvist
2213 Cherry St |
$86.84 | 24,661 | 23,470 |
|
John Albert Russ
5500 Larchwood Ln |
$87.50 | 24,575 | 23,450 |
|
Stephen Forrest Zohn
2213 Cherry St |
$88.64 | 24,240 | 23,128 |
|
Gregory P Hymel
2213 Cherry St |
$86.55 | 24,152 | 22,990 |
|
Alexander David Dzurik
2213 Cherry St |
$86.41 | 23,629 | 22,526 |
|
Frank Albert Heinselman
2213 Cherry St |
$78.79 | 21,577 | 19,825 |
|
Mitchell H Bruss
2213 Cherry St |
$92.08 | 21,285 | 20,204 |
|
Rory T Strugalski
2213 Cherry St |
$83.10 | 20,652 | 19,544 |
|
David Solarz
3000 Arlington Ave |
$86.73 | 20,373 | 19,573 |
|
Courtney Erin Keel
2213 Cherry St |
$93.20 | 19,028 | 17,612 |
|
Christina Renee Ellis
2213 Cherry St |
$82.99 | 18,616 | 17,684 |
|
Kellen Thomas Bannon
2213 Cherry St |
$133.46 | 18,603 | 16,420 |
|
Thomas Williman
2213 Cherry St |
$132.86 | 18,379 | 15,896 |
|
Aileen Newmyer
2213 Cherry St |
$86.55 | 17,224 | 16,399 |
|
Russell Johnson
2142 N Cove Blvd |
$81.38 | 15,838 | 15,115 |
|
Heber Samuel Phillips
2213 Cherry St |
$105.90 | 15,822 | 14,928 |
|
David M Johnson
2213 Cherry St |
$88.20 | 15,575 | 14,932 |
|
Michael S Omori
2213 Cherry St |
$80.01 | 15,489 | 14,782 |
|
Russell Maxon
2142 N Cove Blvd |
$77.43 | 15,321 | 14,445 |
|
Todd Brookens
2142 N Cove Blvd |
$78.84 | 15,313 | 14,604 |
|
Syed Z. Husain
3404 W Sylvania Ave |
$74.01 | 15,262 | 14,634 |
|
Paul Martin Ferreira Leonard
5923 Renaissance Pl |
$80.83 | 14,835 | 14,038 |
|
Justin Michael Pollock
2142 N Cove Blvd |
$83.65 | 14,330 | 13,719 |
|
Dustin James Dean
3000 Arlington Ave Stop 1088 |
$213.28 | 14,250 | 9,430 |
|
William Preston Saunders
3000 Arlington Ave |
$80.98 | 13,845 | 13,059 |
|
Danielle Susan Doyle
2142 N Cove Blvd |
$76.21 | 13,719 | 12,843 |
|
Erica Goldberger
3000 Arlington Ave Stop 1088 |
$85.00 | 13,649 | 12,944 |
|
Timothy Cameron Steenhoff
2213 Cherry St |
$81.78 | 13,240 | 12,475 |
|
Julie Ann St Jean
3000 Arlington Ave |
$72.35 | 12,931 | 12,052 |
|
Ryan Howard Stahl
3404 W Sylvania Ave |
$76.46 | 12,745 | 11,878 |
|
De Ante Russ
3000 Arlington Ave |
$107.28 | 12,696 | 11,709 |
|
Allen J Williams
3000 Arlington Ave |
$82.02 | 12,502 | 11,911 |
|
Jean-Paul Amegee
3000 Arlington Ave |
$122.98 | 12,391 | 11,910 |
|
Steven Wing
2142 N Cove Blvd |
$74.52 | 12,310 | 11,743 |
|
Tyler Gombash
2213 Cherry St |
$91.96 | 11,326 | 10,860 |
|
Michael Tang
2213 Cherry St |
$111.60 | 11,311 | 10,639 |
|
Ryan Gombash
2213 Cherry St |
$73.75 | 10,523 | 10,020 |
|
Mark A Guzzo
2142 N Cove Blvd |
$78.42 | 10,504 | 10,013 |
|
Cuong Do
2142 N Cove Blvd |
$78.77 | 10,501 | 10,073 |
|
Mercy Emergency Care Services, Inc.
2213 Cherry St |
$62.85 | 10,481 | 9,679 |
|
Kathleen Moran
2213 Cherry St |
$98.85 | 10,424 | 9,132 |
|
Daniel Joseph Kemple
2142 N Cove Blvd |
$73.82 | 10,416 | 9,992 |
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 Toledo, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Toledo, OH is $93.09 per claim, based on 1,886,372 claims from 319 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 Toledo, OH?
There are 319 Medicaid providers offering Emergency Room Visit related services in Toledo, OH according to public payment data.
What is the price range for Emergency Room Visit in Toledo, OH?
Medicaid reimbursement for Emergency Room Visit in Toledo, OH ranges from $14.43 to $247.63 per claim, with an average of $93.09. 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 Toledo, OH
Blood Work & Lab Tests
Avg $5.48
4,007,495 claims
Office Visit
Avg $54.00
2,678,328 claims
Behavioral & Mental Health Therapy
Avg $95.61
2,310,766 claims
Home Health Visit
Avg $51.14
1,350,077 claims
Substance Abuse Treatment
Avg $102.58
1,129,559 claims
Psychiatric Evaluation
Avg $71.49
981,620 claims
Urinalysis & Urine Tests
Avg $2.28
710,251 claims
X-Ray
Avg $9.64
678,542 claims