Average Medicaid Emergency Room Visit Payments in Waterloo, IA: $132.61
Avg. Paid
$132.61
Range
$8.43 – $1,445
Total Claims
230,395
Providers
60
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 Waterloo, IA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey David Wilkins
1825 Logan Ave |
$129.98 | 18,052 | 17,326 |
|
Brandon Beauchamp
1825 Logan Ave |
$108.87 | 17,557 | 16,809 |
|
Stacey Marie Marlow Fisher
1825 Logan Ave |
$135.44 | 16,433 | 15,796 |
|
Nicholas J Goetsch
3421 W 9Th St |
$139.96 | 13,677 | 12,925 |
|
Orietta Girard
3840 W 9Th St |
$131.36 | 11,988 | 11,046 |
|
Jens Masters Olsen
1825 Logan Ave |
$137.45 | 10,806 | 10,342 |
|
Joseph Kwofie
1825 Logan Ave |
$149.23 | 10,767 | 10,387 |
|
William Paul Fangman
1825 Logan Ave |
$143.84 | 10,598 | 10,202 |
|
Nicholas Wade Stull
3421 W 9Th St |
$134.90 | 10,310 | 9,731 |
|
Todd K Lawrence
1825 Logan Ave |
$139.38 | 10,101 | 9,685 |
|
Robert Rogers
1825 Logan Ave |
$119.71 | 8,823 | 8,500 |
|
Laura Marie Merron
3421 W 9Th St |
$137.60 | 8,627 | 8,140 |
|
Katrina Stoffel
1825 Logan Ave |
$124.48 | 8,416 | 8,108 |
|
Katie R Baker
1825 Logan Ave |
$138.62 | 7,684 | 7,423 |
|
Kathy Ann Bell-Mahler
3421 W 9Th St |
$126.57 | 7,115 | 6,707 |
|
Robert Ansley Roof
3421 West 9Th St |
$123.89 | 5,664 | 5,371 |
|
Amber Lynn Heller
1825 Logan Ave |
$117.63 | 5,513 | 5,316 |
|
Rickie Griffith
3421 W 9Th St |
$109.98 | 5,102 | 4,953 |
|
Elizabeth Batterson
419 E Donald St |
$134.03 | 5,037 | 4,752 |
|
Paula Kae Anderson
1825 Logan Ave |
$126.82 | 4,358 | 4,213 |
|
Jessica A. White
1825 Logan Ave |
$110.46 | 3,620 | 3,348 |
|
Robert A. Mott
1825 Logan Ave |
$143.55 | 3,157 | 3,040 |
|
Wendalee K. Smith
1825 Logan Ave |
$170.97 | 2,897 | 2,808 |
|
Joseph Christopher Arnold
3421 W 9Th St |
$132.17 | 2,679 | 2,549 |
|
Stephanie Johannsen
3421 W 9Th St |
$137.38 | 2,131 | 2,002 |
|
David J Hagedorn
2101 Kimball Avenue |
$90.19 | 1,916 | 1,777 |
|
John Jacob Zion Kelly
3421 W 9Th St |
$92.68 | 1,889 | 1,793 |
|
Michael P. Nelsestuen
1825 Logan Ave |
$93.21 | 1,838 | 1,756 |
|
Brian Harold Cunningham
1825 Logan Ave |
$83.08 | 1,497 | 1,438 |
|
Jessica Frana
146 W Dale St |
$151.94 | 1,249 | 1,209 |
|
Connie Joylani
2055 Kimball Ave |
$93.93 | 1,243 | 1,191 |
|
Toni Lynn Luck
2710 Saint Francis Dr |
$129.40 | 1,024 | 983 |
|
Marek J. Rozek
2710 Saint Francis Dr |
$99.66 | 773 | 724 |
|
Gatbel Nyak Chamjock
1825 Logan Ave |
$93.92 | 734 | 715 |
|
Daniel Jon Howlett
125 E Tower Park Dr |
$80.68 | 661 | 617 |
|
Danny Lewis
2055 Kimball Ave Ste 101 |
$227.86 | 633 | 589 |
|
Dawn Marie Kleve
1753 W Ridgeway Ave Ste 105 |
$54.06 | 584 | 561 |
|
Sunita Kantamneni
2750 Saint Francis Dr |
$1,445 | 554 | 486 |
|
Md Samin Yasar
1825 Logan Ave |
$84.15 | 517 | 228 |
|
Paul Franke
3421 W 9Th St |
$54.14 | 475 | 360 |
|
Gyobanna C Driver
2055 Kimball Ave |
$103.10 | 473 | 437 |
|
Julio C Chirinos Lazarte
1825 Logan Ave Ste 201 |
$91.52 | 450 | 167 |
|
Allen Memorial Hospital Corporation
1825 Logan Ave |
$230.25 | 369 | 353 |
|
Brittany Acacia Schmitz
1825 Logan Ave |
$83.15 | 352 | 339 |
|
Paul David Shepard
1825 Logan Ave |
$93.91 | 331 | 325 |
|
Covenant Medical Center Inc
3421 W 9Th St |
$221.28 | 283 | 266 |
|
Iowa Emergency Physicians Llp
3421 West Ninth Street |
$18.27 | 194 | 176 |
|
Kamran Ilyas
1825 Logan Ave |
$94.78 | 176 | 98 |
|
Mohamad Hamdi
1015 S Hackett Rd |
$40.40 | 157 | 152 |
|
Allen Memorial Hospital Corporation
1825 Logan Ave |
$22.18 | 145 | 134 |
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 Waterloo, IA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Waterloo, IA is $132.61 per claim, based on 230,395 claims from 60 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 Waterloo, IA?
There are 60 Medicaid providers offering Emergency Room Visit related services in Waterloo, IA according to public payment data.
What is the price range for Emergency Room Visit in Waterloo, IA?
Medicaid reimbursement for Emergency Room Visit in Waterloo, IA ranges from $8.43 to $1,445 per claim, with an average of $132.61. 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 Waterloo, IA
Office Visit
Avg $28.16
739,153 claims
Psychiatric Evaluation
Avg $73.45
295,888 claims
Blood Work & Lab Tests
Avg $1.88
292,063 claims
Behavioral & Mental Health Therapy
Avg $100.02
178,626 claims
Dental Cleaning & Exam
Avg $22.88
146,099 claims
Vaccines & Immunizations
Avg $9.90
141,531 claims
Non-Emergency Medical Transportation
Avg $31.27
140,190 claims
Personal Care Services
Avg $322.89
97,883 claims