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Based on public Medicaid payment data.

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
Heather Renee Burgett

905 Franklin St

$152.78 16 16
Suzanne E Munns

2055 Kimball Ave

$971.79 19 13
Swaroopa Rani Nalamalapu

1825 Logan Ave

$8.43 42 12
Cristina B Pasarin

2710 Saint Francis Dr

$582.72 54 40
Benjamin Jason Howe

1825 Logan Ave

$108.32 77 49
David M Visokey

2710 Saint Francis Dr

$95.27 89 15
Luis Avila

2710 Saint Francis Dr

$99.43 105 15
Pradeep Manjanbail Ramesh

1825 Logan Ave

$106.17 107 51
Shadi Suhail Mustafa

2055 Kimball Ave Ste 101

$76.96 118 114
Keith Doyle Ruffcorn

1825 Logan Ave

$135.68 139 125
Allen Memorial Hospital Corporation

1825 Logan Ave

$22.18 145 134
Mohamad Hamdi

1015 S Hackett Rd

$40.40 157 152
Kamran Ilyas

1825 Logan Ave

$94.78 176 98
Iowa Emergency Physicians Llp

3421 West Ninth Street

$18.27 194 176
Covenant Medical Center Inc

3421 W 9Th St

$221.28 283 266
Paul David Shepard

1825 Logan Ave

$93.91 331 325
Brittany Acacia Schmitz

1825 Logan Ave

$83.15 352 339
Allen Memorial Hospital Corporation

1825 Logan Ave

$230.25 369 353
Julio C Chirinos Lazarte

1825 Logan Ave Ste 201

$91.52 450 167
Gyobanna C Driver

2055 Kimball Ave

$103.10 473 437
Paul Franke

3421 W 9Th St

$54.14 475 360
Md Samin Yasar

1825 Logan Ave

$84.15 517 228
Sunita Kantamneni

2750 Saint Francis Dr

$1,445 554 486
Dawn Marie Kleve

1753 W Ridgeway Ave Ste 105

$54.06 584 561
Danny Lewis

2055 Kimball Ave Ste 101

$227.86 633 589
Daniel Jon Howlett

125 E Tower Park Dr

$80.68 661 617
Gatbel Nyak Chamjock

1825 Logan Ave

$93.92 734 715
Marek J. Rozek

2710 Saint Francis Dr

$99.66 773 724
Toni Lynn Luck

2710 Saint Francis Dr

$129.40 1,024 983
Connie Joylani

2055 Kimball Ave

$93.93 1,243 1,191
Jessica Frana

146 W Dale St

$151.94 1,249 1,209
Brian Harold Cunningham

1825 Logan Ave

$83.08 1,497 1,438
Michael P. Nelsestuen

1825 Logan Ave

$93.21 1,838 1,756
John Jacob Zion Kelly

3421 W 9Th St

$92.68 1,889 1,793
David J Hagedorn

2101 Kimball Avenue

$90.19 1,916 1,777
Stephanie Johannsen

3421 W 9Th St

$137.38 2,131 2,002
Joseph Christopher Arnold

3421 W 9Th St

$132.17 2,679 2,549
Wendalee K. Smith

1825 Logan Ave

$170.97 2,897 2,808
Robert A. Mott

1825 Logan Ave

$143.55 3,157 3,040
Jessica A. White

1825 Logan Ave

$110.46 3,620 3,348
Paula Kae Anderson

1825 Logan Ave

$126.82 4,358 4,213
Elizabeth Batterson

419 E Donald St

$134.03 5,037 4,752
Rickie Griffith

3421 W 9Th St

$109.98 5,102 4,953
Amber Lynn Heller

1825 Logan Ave

$117.63 5,513 5,316
Robert Ansley Roof

3421 West 9Th St

$123.89 5,664 5,371
Kathy Ann Bell-Mahler

3421 W 9Th St

$126.57 7,115 6,707
Katie R Baker

1825 Logan Ave

$138.62 7,684 7,423
Katrina Stoffel

1825 Logan Ave

$124.48 8,416 8,108
Laura Marie Merron

3421 W 9Th St

$137.60 8,627 8,140
Robert Rogers

1825 Logan Ave

$119.71 8,823 8,500

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

Other Procedures in Waterloo, IA