Average Medicaid Emergency Room Visit Payments in Tucson, AZ: $160.21
Avg. Paid
$160.21
Range
$0.00 – $377.45
Total Claims
2,175,628
Providers
489
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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tucson Medical Center
5301 E Grant Rd |
$171.79 | 297,911 | 277,306 |
|
Banner - University Medical Center Tucson Campus Llc
1625 N Campbell Ave |
$377.45 | 209,059 | 188,078 |
|
Banner - University Medical Center South Campus Llc
2800 E Ajo Way |
$324.37 | 156,586 | 141,139 |
|
Northwest Hospital Llc
6200 N La Cholla Blvd |
$152.13 | 114,842 | 105,085 |
|
Smsj Tucson Holdings Llc
1601 W Saint Marys Rd |
$147.63 | 108,072 | 97,133 |
|
Smsj Tucson Holdings Llc
350 N Wilmot Rd |
$194.13 | 79,234 | 71,580 |
|
Claudia C Ochia
1501 N Campbell Ave |
$111.60 | 24,746 | 24,397 |
|
Northwest Hospital Llc
10146 E Old Vail Rd |
$139.94 | 16,260 | 15,335 |
|
Oro Valley Hospital Llc
6350 W Marana Center Blvd |
$140.89 | 14,939 | 14,127 |
|
Smsj Tucson Holdings, Llc
5620 W Cortaro Farms Rd |
$159.35 | 14,748 | 14,036 |
|
Sam Alnajjar
6200 N La Cholla Blvd |
$123.37 | 13,236 | 3,986 |
|
Isaac J Farrell
2800 E Ajo Way |
$101.44 | 12,945 | 12,517 |
|
Maria C Orourke
6200 N La Cholla Blvd |
$44.80 | 12,652 | 12,511 |
|
Ana Novilla D Swafford
5301 E Grant Rd |
$85.74 | 11,988 | 11,551 |
|
Smsj Tucson Holdings Llc
7401 S Wilmot Rd |
$184.96 | 11,812 | 11,175 |
|
Michael Karadsheh
1501 N Campbell Ave |
$81.04 | 11,529 | 11,015 |
|
Nathaniel Reagor Johnson
2746 N Warren Ave |
$102.73 | 11,204 | 10,985 |
|
Grant Y Roper
1501 N Campbell Ave |
$94.52 | 10,670 | 8,766 |
|
Guyve Shalileh
2800 E Ajo Way |
$76.79 | 10,384 | 10,163 |
|
John D Weilbacker
6200 N La Cholla Blvd |
$87.98 | 10,122 | 9,509 |
|
Marissa Jean Haberlach
1501 N Campbell Ave |
$107.30 | 9,972 | 9,826 |
|
Mark Estes Luce
8263 E Pima St |
$107.14 | 9,938 | 9,508 |
|
Kristen Diora Robertson
2800 E Ajo Way |
$133.19 | 9,899 | 9,089 |
|
Garrett Shane Pacheco
1501 N Campbell Ave |
$101.79 | 9,702 | 9,430 |
|
Jodee B Meddy
4744 East Sunrise Drive |
$95.74 | 9,376 | 8,444 |
|
Timothy Patrick Bohan
5700 E Pima Street |
$60.52 | 8,983 | 8,313 |
|
John C Sakles
1501 N Campbell Ave |
$108.77 | 8,710 | 8,271 |
|
Michael Ori
4934 E 12Th St |
$80.34 | 8,646 | 8,124 |
|
Daniel Oscislawski
6200 N La Cholla Blvd |
$93.00 | 8,557 | 8,108 |
|
Brian Tenelshof
5301 E Grant Rd |
$106.66 | 8,539 | 8,106 |
|
John Guisto
1501 N Campbell Ave |
$102.92 | 8,463 | 8,085 |
|
Stacy Brodrick
350 N Wilmot Rd |
$81.66 | 8,142 | 7,494 |
|
Lawrence Anthony Deluca
1501 N Campbell Ave |
$108.18 | 8,030 | 7,727 |
|
Alan P Hassel
350 N Wilmot Rd |
$94.38 | 8,015 | 7,003 |
|
John M. Reid
1601 W St Marys Rd. |
$64.59 | 7,783 | 7,349 |
|
Eric Lederer
3950 S. Country Club Rd |
$67.09 | 7,735 | 6,591 |
|
Mark D Wright
1501 N Campbell Ave |
$65.39 | 7,537 | 7,296 |
|
Frederick Flo
350 N Wilmot Rd |
$115.96 | 7,306 | 7,189 |
|
Christopher G Williams
1501 N Campbell Ave |
$100.43 | 7,280 | 6,970 |
|
Noah M Tolby
350 N Wilmot Rd |
$100.57 | 7,207 | 6,882 |
|
Manish Mansukhlal Shah
1501 N Campbell Ave |
$93.14 | 6,955 | 6,495 |
|
Brian Patrick Hagerty
5301 E Grant Road |
$78.35 | 6,867 | 6,525 |
|
Russell J Madsen
1601 W Saint Marys Rd |
$81.24 | 6,695 | 6,180 |
|
Aaron Nathaniel Leetch
1501 N Campbell Ave |
$99.52 | 6,682 | 6,495 |
|
Dang Hai Huynh
1501 N Campbell Ave |
$95.37 | 6,649 | 6,278 |
|
Sean Patrick Mayo
5210 E Farness Dr |
$76.92 | 6,640 | 6,235 |
|
Javier Figueroa
1501 N Campbell Ave |
$97.44 | 6,639 | 6,341 |
|
Gary Figge
6200 N La Cholla Blvd |
$96.45 | 6,562 | 6,266 |
|
Charles John Peterson
5301 E Grant Road |
$108.65 | 6,547 | 6,231 |
|
Cheston Ranier Rhoton
6200 N La Cholla Blvd |
$76.01 | 6,531 | 6,341 |
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 Tucson, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Tucson, AZ is $160.21 per claim, based on 2,175,628 claims from 489 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 Tucson, AZ?
There are 489 Medicaid providers offering Emergency Room Visit related services in Tucson, AZ according to public payment data.
What is the price range for Emergency Room Visit in Tucson, AZ?
Medicaid reimbursement for Emergency Room Visit in Tucson, AZ ranges from $0.00 to $377.45 per claim, with an average of $160.21. 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 Tucson, AZ
Case Management Services
Avg $33.22
5,915,648 claims
Substance Abuse Treatment
Avg $40.42
5,677,967 claims
Office Visit
Avg $46.43
5,463,316 claims
Blood Work & Lab Tests
Avg $2.95
2,730,604 claims
Personal Care Services
Avg $181.32
2,175,875 claims
Physical Therapy
Avg $34.35
1,681,838 claims
Dental Cleaning & Exam
Avg $16.59
1,430,398 claims
X-Ray
Avg $8.93
1,290,623 claims