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 |
|---|---|---|---|
|
Erica Morgan
2213 Cherry St |
$186.20 | 12 | 12 |
|
Mohammed S Alo
2409 Cherry St |
$83.35 | 12 | 12 |
|
Karen Moteller Adams-Ferguson
4895 Monroe St |
$167.16 | 13 | 12 |
|
Catherine Van Hook
3125 Transverse Dr Ste M |
$175.85 | 13 | 13 |
|
Zainulabedin Waqar
2213 Cherry St Unit 2B |
$234.64 | 13 | 13 |
|
Muhammad Bilal Mahmood
3333 Glendale Ave |
$109.71 | 14 | 13 |
|
Hibah H Ismail
2142 N Cove Blvd |
$23.63 | 14 | 13 |
|
Amber Nicole Araiz
4345 Secor Rd |
$14.43 | 14 | 14 |
|
Tracy Bartson
2142 N Cove Blvd |
$33.53 | 15 | 14 |
|
Babar Sanaullah
3000 Arlington Ave |
$101.04 | 16 | 14 |
|
Mohammad Ibrahim Mashaleh
2213 Cherry St Unit 2B |
$94.22 | 16 | 12 |
|
Steven Anthony Zimmerman
2213 Cherry St Ste 200 |
$58.30 | 17 | 13 |
|
Jaleela Pettaway
2142 N Cove Blvd |
$32.46 | 18 | 18 |
|
Sarah Walker
2142 N Cove Blvd |
$44.59 | 18 | 14 |
|
Amanda Grob
3000 Arlington Ave |
$58.11 | 18 | 18 |
|
Jennifer Arps Johnson
2142 N Cove Blvd |
$46.58 | 18 | 13 |
|
Shanan Middleton
2142 N Cove Blvd |
$49.29 | 18 | 15 |
|
Nicolas B Rivera
2142 N Cove Blvd |
$52.52 | 20 | 13 |
|
Muhammad Usman Ali
3000 Arlington Ave |
$53.98 | 21 | 12 |
|
Muhammad Ali Zulqarnain
3425 Executive Pkwy Ste 200 |
$16.72 | 23 | 12 |
|
Adrianus Patrick Lim
2142 N Cove Blvd |
$52.90 | 23 | 12 |
|
Brandon Licht
2142 N Cove Blvd |
$38.10 | 23 | 13 |
|
Aisha Keni Violette
3000 Arlington Ave Ste C |
$56.83 | 24 | 12 |
|
Raza Hashmi
2409 Cherry St |
$84.35 | 24 | 24 |
|
Eric John Paul Chanowski
3000 Arlington Ave |
$45.03 | 24 | 14 |
|
Luis E Jauregui
2222 Cherry St |
$54.50 | 25 | 12 |
|
Elysia Ginnette James
3000 Arlington Ave |
$81.10 | 25 | 12 |
|
Jennifer Bretl
1000 Regency Ct Ste 200 |
$59.76 | 26 | 26 |
|
Karen M Tweedy
2142 N Cove Blvd |
$43.42 | 29 | 27 |
|
Michael S Biggin
2142 N Cove Blvd |
$118.56 | 29 | 28 |
|
Pramit D. Patel
2142 N Cove Blvd |
$80.92 | 30 | 24 |
|
Nathaniel Westphal
2142 N Cove Boulevard |
$113.41 | 30 | 27 |
|
Vickie M Hill
2142 N Cove Blvd |
$16.72 | 30 | 28 |
|
Anthony Joseph Dolney
2213 Cherry St |
$67.17 | 34 | 33 |
|
Elijah Walters
2142 N Cove Blvd |
$75.65 | 35 | 35 |
|
Sinan Alo
2409 Cherry St Ste 100 |
$59.95 | 35 | 35 |
|
James Joseph Case
2142 N Cove Blvd |
$48.87 | 36 | 29 |
|
Sharon Takyiwaa Thomas
2121 Hughes Dr |
$68.68 | 37 | 24 |
|
Veronica Melanie Rosenberg
2142 N Cove Blvd |
$72.09 | 43 | 39 |
|
Jacob Stewart
2142 N Cove Blvd |
$23.74 | 50 | 40 |
|
University Of Toledo Physicians Llc
3000 Arlington Ave |
$59.79 | 51 | 48 |
|
Ryan F Kidner
2109 Hughes Dr |
$50.22 | 53 | 25 |
|
Peter J Wilson
2142 N Cove Blvd |
$37.26 | 54 | 31 |
|
Mohamed A Omballi
1325 Conference Dr |
$56.25 | 54 | 28 |
|
Marc A Lesitsky
2142 N Cove Blvd |
$50.23 | 57 | 38 |
|
Tamer Said Ahmed
2109 Hughes Dr Ste 760 |
$39.20 | 57 | 26 |
|
Zaid Noori
3333 Glendale Ave Ste 1350 |
$63.95 | 58 | 25 |
|
Edna A Lump
3404 W Sylvania Ave |
$26.83 | 59 | 53 |
|
Aixa Damaris Espinosa-Morales
3125 Transverse Dr |
$75.09 | 59 | 54 |
|
Elisha E Pelland
2142 N Cove Blvd |
$61.09 | 60 | 60 |
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