Average Medicaid Emergency Room Visit Payments in Washington, MO: $137.38
Avg. Paid
$137.38
Range
$38.30 – $391.96
Total Claims
109,426
Providers
37
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 Washington, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bryan Joseph Menges
901 E 5Th St |
$151.49 | 9,651 | 7,537 |
|
Gregory Pfitzer
901 E 5Th St |
$198.01 | 8,870 | 8,756 |
|
Daniel Paul Hoehne
901 E 5Th St |
$71.18 | 7,758 | 7,408 |
|
Robert R Kunkel
851 E 5Th St |
$132.74 | 7,659 | 7,262 |
|
Daniel Donovan Jones
901 E 5Th St |
$136.89 | 7,610 | 5,852 |
|
Patrick Scott Houlihan
901 E 5Th St |
$142.52 | 6,884 | 5,442 |
|
Nestor Michael Shust
901 Patients First Dr |
$147.60 | 6,413 | 5,033 |
|
Alicia Caroline Baker
1070 W 7Th St |
$143.97 | 5,757 | 4,226 |
|
Garry R Scarato
901 E 5Th St |
$134.73 | 5,664 | 4,513 |
|
Ronak Dana Hendry
901 E 5Th St |
$66.10 | 5,633 | 5,209 |
|
David Joseph Mayo
901 E 5Th St |
$155.20 | 4,899 | 3,705 |
|
Emily Fisher
901 East Fifth Street |
$169.82 | 4,706 | 4,081 |
|
Kelly Lynn Dillard
555 Washington Square Shopping Ctr |
$95.85 | 4,124 | 3,917 |
|
Bret Allen Riegel
501 E 5Th St |
$118.95 | 4,042 | 3,113 |
|
Joshua E Lefler
901 E 5Th St |
$100.56 | 4,039 | 3,178 |
|
Aaron Tyree
901 E 5Th St |
$153.80 | 3,081 | 2,459 |
|
Melissa Anne Stapp
901 E 5Th St |
$152.05 | 3,001 | 2,325 |
|
Brandon Rosenberg
901 E 5Th St |
$164.35 | 2,558 | 2,011 |
|
Jerry Karr
901 E 5Th St |
$172.70 | 2,459 | 1,810 |
|
Sebastian A. Rueckert
901 E 5Th St |
$131.26 | 1,511 | 1,473 |
|
Shannon Deann Dobsch
1063 Bieker Rd |
$142.33 | 796 | 778 |
|
Emily Jane Glover
901 E 5Th St |
$166.71 | 542 | 382 |
|
Gary Michael Rosas
851 E 5Th St |
$82.40 | 440 | 412 |
|
Sara K Herbert
851 E 5Th St Ste 208 |
$149.85 | 375 | 364 |
|
Matthew Schuver
901 E 5Th St |
$159.63 | 309 | 223 |
|
Scott Anthony Crollard
901 E 5Th St |
$329.01 | 202 | 180 |
|
Jennifer Walk
901 Patients First Dr |
$65.71 | 114 | 114 |
|
Mandy Silver
901 E 5Th St |
$391.96 | 52 | 50 |
|
Jerry H Allen
851 E 5Th St |
$224.74 | 47 | 46 |
|
Kristine Sarah Stemmley
901 E 5Th St |
$182.44 | 43 | 36 |
|
Felix Nau Jr
901 E 5Th St |
$275.52 | 40 | 38 |
|
Megan Rochelle Wood
851 E 5Th St Ste 308 |
$38.30 | 35 | 25 |
|
Anthony Kruse
901 E 5Th St |
$343.81 | 30 | 27 |
|
Amy L Couch
901 Patients First Dr |
$52.40 | 30 | 30 |
|
Wagih Zayed
901 E 5Th St |
$325.67 | 26 | 26 |
|
Colleen Marie Wingate
901 E 5Th St |
$325.45 | 14 | 12 |
|
Changqing Zhao
901 E 5Th St |
$100.60 | 12 | 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 Washington, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Washington, MO is $137.38 per claim, based on 109,426 claims from 37 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 Washington, MO?
There are 37 Medicaid providers offering Emergency Room Visit related services in Washington, MO according to public payment data.
What is the price range for Emergency Room Visit in Washington, MO?
Medicaid reimbursement for Emergency Room Visit in Washington, MO ranges from $38.30 to $391.96 per claim, with an average of $137.38. 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 Washington, MO
Office Visit
Avg $68.78
122,314 claims
Blood Work & Lab Tests
Avg $32.47
64,235 claims
EKG / ECG (Electrocardiogram)
Avg $11.72
23,406 claims
Dental Cleaning & Exam
Avg $27.62
22,489 claims
X-Ray
Avg $23.21
20,433 claims
Vaccines & Immunizations
Avg $11.99
13,765 claims
Physical Therapy
Avg $9.01
13,270 claims
Nursing Facility Care
Avg $19.92
12,037 claims