Average Medicaid Emergency Room Visit Payments in Warren, MI: $188.70
Avg. Paid
$188.70
Range
$32.16 – $219.29
Total Claims
203,746
Providers
23
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 Warren, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Ford Health Macomb Oakland Hospital
11800 E 12 Mile Rd |
$219.29 | 152,278 | 145,354 |
|
Jake Graehm Halvorsen
11885 E 12 Mile Rd |
$148.28 | 9,548 | 9,350 |
|
Pulmonary And Medicine Associates
27472 Schoenherr Rd Ste 100 |
$120.02 | 9,524 | 3,126 |
|
Jeffrey Richard Respecki
13355 E 10 Mile Rd |
$87.68 | 9,038 | 8,796 |
|
Samuel I Martisius
13355 E 10 Mile Rd |
$71.06 | 6,546 | 6,374 |
|
Gurtejbir Singh Bilkhu
12000 E 12 Mile Rd |
$60.88 | 3,362 | 3,335 |
|
Jeffrey Cheefai Siu
13355 East Ten Mile Road |
$60.92 | 2,942 | 2,899 |
|
Trace Dotson
118000 E Twelve Mile Road |
$69.85 | 2,766 | 2,453 |
|
Anthony Allen Richa
11885 E 12 Mile Rd |
$64.74 | 1,873 | 1,624 |
|
Kaiser Medical Center Pc
11670 Martin Rd |
$120.42 | 1,751 | 577 |
|
Ilya Kott
11800 E 12 Mile Rd |
$72.33 | 1,139 | 1,099 |
|
Bal K Gupta Md Pc
11900 E Twelve Mile Rd |
$85.18 | 992 | 971 |
|
Amanda Grace Aquino-Almacen
11800 E 12 Mile Rd |
$105.39 | 723 | 718 |
|
Danelle A Kutner
13355 E 10 Mile Rd |
$52.86 | 503 | 414 |
|
Macomb Neurology Associates Pc
27427 Schoenherr |
$67.42 | 326 | 325 |
|
Soumitra Datta
13355 E 10 Mile Rd |
$101.83 | 147 | 146 |
|
Ayinde T Bourne
11800 E 12 Mile Rd |
$79.06 | 94 | 42 |
|
Warren Gastroenterology Pc
27560 Hoover Rd |
$53.76 | 50 | 40 |
|
Mustafizur Choudhury Llc
3148 Esch Dr |
$124.41 | 43 | 14 |
|
Henry Ford Health Macomb-Oakland Hospital
11800 E 12 Mile Rd |
$40.83 | 41 | 40 |
|
Belinda S Kakos
13355 E 10 Mile Rd |
$111.83 | 30 | 30 |
|
Henry Ford Health Macomb-Oakland Hospital
11800 E 12 Mile Rd |
$32.16 | 17 | 17 |
|
Leslie Adele Scott
11885 E 12 Mile Rd Ste 300A |
$128.59 | 13 | 12 |
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 Warren, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Warren, MI is $188.70 per claim, based on 203,746 claims from 23 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 Warren, MI?
There are 23 Medicaid providers offering Emergency Room Visit related services in Warren, MI according to public payment data.
What is the price range for Emergency Room Visit in Warren, MI?
Medicaid reimbursement for Emergency Room Visit in Warren, MI ranges from $32.16 to $219.29 per claim, with an average of $188.70. 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 Warren, MI
Office Visit
Avg $59.97
1,025,133 claims
Blood Work & Lab Tests
Avg $5.64
410,849 claims
Ambulance Transport
Avg $110.25
375,004 claims
Dental Cleaning & Exam
Avg $34.33
266,180 claims
Physical Therapy
Avg $24.46
257,050 claims
X-Ray
Avg $12.32
240,339 claims
Vaccines & Immunizations
Avg $7.51
224,312 claims
Urinalysis & Urine Tests
Avg $1.54
191,180 claims