Average Medicaid Emergency Room Visit Payments in West Plains, MO: $101.70
Avg. Paid
$101.70
Range
$37.46 – $130.87
Total Claims
48,737
Providers
14
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 West Plains, MO
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Curtis L Horstman
805 N Kentucky Ave |
$105.69 | 14,230 | 10,825 |
|
Emily Sexton
1100 N Kentucky Ave |
$87.26 | 9,830 | 7,827 |
|
Jeremy J Reed
1100 N Kentucky Ave |
$108.14 | 6,437 | 4,904 |
|
John Robert Piatt
1100 N Kentucky Ave |
$76.54 | 6,059 | 4,738 |
|
Gary W Brooks
1100 N Kentucky Ave |
$130.87 | 5,803 | 4,992 |
|
Misty Leeanne Denevan
1100 N Kentucky Ave |
$111.92 | 1,790 | 1,503 |
|
David Blaine Dunbar
1100 N Kentucky Ave |
$129.50 | 1,691 | 1,207 |
|
Sonia M Browning Gerlick
1100 N Kentucky Ave |
$119.12 | 1,136 | 1,028 |
|
William Brock Frazier
1100 N Kentucky Ave |
$79.28 | 913 | 865 |
|
Samuel Charles Evans
181 N Kentucky Ave Ste 100 |
$37.46 | 395 | 290 |
|
Kamel Gharaibeh
1100 N Kentucky Ave |
$87.61 | 186 | 71 |
|
Praveen Datar
1100 N Kentucky Ave |
$97.96 | 101 | 12 |
|
Douglas A Crase
805 N Kentucky Ave |
$43.93 | 86 | 85 |
|
Richard Loveland
1801 E State Route K |
$47.74 | 80 | 70 |
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 West Plains, MO?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in West Plains, MO is $101.70 per claim, based on 48,737 claims from 14 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 West Plains, MO?
There are 14 Medicaid providers offering Emergency Room Visit related services in West Plains, MO according to public payment data.
What is the price range for Emergency Room Visit in West Plains, MO?
Medicaid reimbursement for Emergency Room Visit in West Plains, MO ranges from $37.46 to $130.87 per claim, with an average of $101.70. 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 West Plains, MO
Office Visit
Avg $53.49
211,745 claims
Behavioral & Mental Health Therapy
Avg $75.33
148,217 claims
Substance Abuse Treatment
Avg $102.45
71,105 claims
Blood Work & Lab Tests
Avg $20.98
57,044 claims
Ambulance Transport
Avg $773.89
51,685 claims
Psychiatric Evaluation
Avg $50.91
45,672 claims
Speech Therapy
Avg $39.61
38,378 claims
Eye Exam
Avg $31.15
31,683 claims