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Based on public Medicaid payment data.

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

Other Procedures in Toledo, OH