Average Medicaid Emergency Room Visit Payments in Troy, AL: $41.52
Avg. Paid
$41.52
Range
$25.83 – $44.39
Total Claims
40,765
Providers
12
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 Troy, AL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adolfo Robledo
1412 Elba Hwy |
$44.39 | 18,968 | 16,162 |
|
Mark Stephen Griffin
1330 Highway 231 S |
$43.34 | 8,315 | 7,453 |
|
Aaron Blake Kelly
1330 Highway 231 S |
$38.33 | 3,573 | 3,292 |
|
Howard Scott Tackett
1412 Elba Hwy |
$35.32 | 3,155 | 3,041 |
|
Richard Louis Schloemer
1330 Highway 231 S |
$34.00 | 2,538 | 1,943 |
|
Mercedes Jones Kilcrease
1330 Highway 231 S |
$36.89 | 1,914 | 1,669 |
|
Jefferson Edgington
1412 Elba Hwy |
$38.05 | 902 | 854 |
|
Leallen Alexander
1320 Highway 231 S |
$39.44 | 748 | 709 |
|
Cherita A Garcia
1330 Us-231 |
$34.55 | 382 | 355 |
|
Keystone Medical Services Of Alabama, Inc.
1330 Highway 231 S |
$25.83 | 197 | 187 |
|
Margaret Mary Tisdale Steed
1330 Highway 231 S |
$35.43 | 56 | 54 |
|
Rebecca Jo Allen-Jones
1320 Highway 231 S |
$37.27 | 17 | 16 |
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 Troy, AL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Troy, AL is $41.52 per claim, based on 40,765 claims from 12 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 Troy, AL?
There are 12 Medicaid providers offering Emergency Room Visit related services in Troy, AL according to public payment data.
What is the price range for Emergency Room Visit in Troy, AL?
Medicaid reimbursement for Emergency Room Visit in Troy, AL ranges from $25.83 to $44.39 per claim, with an average of $41.52. 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 Troy, AL
Office Visit
Avg $47.79
178,530 claims
Behavioral & Mental Health Therapy
Avg $48.91
79,618 claims
Psychiatric Evaluation
Avg $96.06
67,895 claims
Ambulance Transport
Avg $55.81
63,807 claims
Physical Therapy
Avg $4.15
54,134 claims
Case Management Services
Avg $63.82
45,613 claims
Dental Cleaning & Exam
Avg $22.64
36,887 claims
Vaccines & Immunizations
Avg $14.38
31,197 claims