Average Medicaid Emergency Room Visit Payments in Westerville, OH: $94.20
Avg. Paid
$94.20
Range
$19.84 – $188.66
Total Claims
239,848
Providers
52
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 Westerville, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mount Carmel Health System
500 S Cleveland Ave |
$129.27 | 45,627 | 37,509 |
|
Paul Steven Robinson
575 Copeland Mill Rd |
$88.67 | 21,774 | 20,645 |
|
Heather Healy
500 S Cleveland Ave |
$92.39 | 13,489 | 12,860 |
|
Krista Kugajevsky Olson
500 S Cleveland Ave |
$97.37 | 12,853 | 12,281 |
|
James V Falk
500 S Cleveland Ave |
$107.07 | 12,538 | 11,969 |
|
Keith R Smith
500 S Cleveland Ave |
$91.42 | 11,887 | 11,297 |
|
Peter R Raphael
495 Cooper Rd |
$93.88 | 11,752 | 9,920 |
|
Robert J. Day
932 Valleyview Dr |
$87.06 | 11,386 | 10,709 |
|
Brent Mok
500 S Cleveland Ave |
$96.09 | 10,784 | 10,309 |
|
David B Hill
898 Knebworth Ct |
$78.78 | 10,014 | 8,261 |
|
Matthew Dickson
500 S Cleveland Ave |
$114.34 | 9,497 | 8,967 |
|
Loren Leidheiser
500 S Cleveland Ave |
$80.56 | 6,668 | 6,303 |
|
Mohamed Tunkara
500 S Cleveland Ave |
$72.28 | 6,322 | 5,973 |
|
David Michael Painter
500 S Cleveland Ave |
$110.83 | 6,283 | 6,004 |
|
Michael Weinstock
500 S Cleveland Ave |
$78.53 | 5,112 | 4,910 |
|
Ferdinand S. Fojas
7475 Augusta Woods Ter |
$73.19 | 5,074 | 4,809 |
|
Saulius Ivanauskas
6476 Scioto Ct |
$72.57 | 4,580 | 4,246 |
|
Milan Amin
500 S Cleveland Ave |
$50.62 | 4,178 | 3,964 |
|
Jared Sauder
500 S Cleveland Ave |
$49.38 | 3,906 | 3,699 |
|
Jessica Brown
500 S Cleveland Ave |
$52.69 | 3,649 | 3,437 |
|
Jamie Szippl
500 S Cleveland Ave |
$54.55 | 3,413 | 3,224 |
|
Heather Lynn Yates
495 Cooper Rd Ste 325 |
$66.52 | 2,783 | 2,738 |
|
Andrew C. Diehl
575 Copeland Mill Rd Ste 1D |
$42.58 | 2,642 | 2,562 |
|
Audry Slane
500 S Cleveland Ave |
$63.34 | 2,594 | 2,394 |
|
Alexander Yau
500 S Cleveland Ave |
$113.52 | 1,911 | 1,854 |
|
Corey Gasbarro
477 Cooper Rd |
$51.77 | 1,476 | 1,403 |
|
Kayleigh Michelle Fraley
500 S Cleveland Ave |
$52.63 | 1,455 | 1,378 |
|
Sarah Elizabeth Carder
5965 S Sunbury Rd |
$44.30 | 893 | 779 |
|
Stephen Scott
187 W Schrock Rd |
$108.82 | 828 | 811 |
|
David Patrick Healy
500 S Cleveland Ave |
$45.53 | 687 | 278 |
|
Geoffrey M Polen
500 S Cleveland Ave |
$91.91 | 545 | 506 |
|
Albert J Hart
901 Eastwind Dr |
$64.43 | 475 | 454 |
|
Maxwell Benjamin Couch
444 N Cleveland Ave Ste 130 |
$67.30 | 463 | 450 |
|
Michael Kevin Haninger
500 S Cleveland Ave |
$45.09 | 440 | 417 |
|
Megan E Conroy
6100 N Hamilton Rd Fl 4 |
$64.19 | 330 | 107 |
|
Cara Louise Rockwood
460 Polaris Pkwy Ste 100 |
$48.04 | 263 | 261 |
|
Genevieve B. Hagerty
500 S Cleveland Ave |
$47.06 | 256 | 244 |
|
John Odackal
6100 N Hamilton Rd |
$56.65 | 250 | 86 |
|
Karen D'Angelo
495 Cooper Rd |
$170.36 | 201 | 171 |
|
Jodi Bender
550 S. Cleveland Ave |
$43.83 | 148 | 143 |
|
Teniele M Marburger
8720 Bunch Flower Ct |
$30.64 | 84 | 83 |
|
Cep America - Ohio Llc
500 S Cleveland Ave |
$44.77 | 78 | 77 |
|
Cynthia Curl
500 S Cleveland Ave |
$48.64 | 71 | 65 |
|
Thomas A Doyle
450 Alkyre Run Ste 350 |
$188.66 | 48 | 44 |
|
J.Kevin Kington
500 S Cleveland Ave |
$87.76 | 39 | 37 |
|
Ramachander Rao Eluri
495 Cooper Rd Ste 414 |
$54.69 | 20 | 13 |
|
Shannon Brennan
400 Altair Pkwy Ste 4400 |
$19.84 | 16 | 16 |
|
Patrick Shayne Rheaume
904 Eastwind Dr |
$37.99 | 14 | 14 |
|
Alan James Murnane
444 N Cleveland Ave Ste 120 |
$35.04 | 14 | 13 |
|
John Christopher Novak
300 Polaris Pkwy Ste 210 |
$63.09 | 13 | 13 |
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 Westerville, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Westerville, OH is $94.20 per claim, based on 239,848 claims from 52 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 Westerville, OH?
There are 52 Medicaid providers offering Emergency Room Visit related services in Westerville, OH according to public payment data.
What is the price range for Emergency Room Visit in Westerville, OH?
Medicaid reimbursement for Emergency Room Visit in Westerville, OH ranges from $19.84 to $188.66 per claim, with an average of $94.20. 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 Westerville, OH
Home Health Visit
Avg $53.03
1,155,652 claims
Office Visit
Avg $58.21
585,772 claims
Blood Work & Lab Tests
Avg $3.36
282,970 claims
Durable Medical Equipment (DME)
Avg $34.13
268,628 claims
Physical Therapy
Avg $19.38
166,895 claims
Psychiatric Evaluation
Avg $73.32
118,006 claims
Dental Cleaning & Exam
Avg $26.39
88,323 claims
Vaccines & Immunizations
Avg $10.27
76,149 claims