Average Medicaid Emergency Room Visit Payments in Wilmington, DE: $187.07
Avg. Paid
$187.07
Range
$0.00 – $1,043
Total Claims
346,985
Providers
103
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 Wilmington, DE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
The Nemours Foundation
1600 Rockland Rd |
$177.34 | 86,928 | 64,555 |
|
Christiana Care Health Services, Inc.
501 W 14Th St |
$108.03 | 42,522 | 29,935 |
|
Emergency Physician Associates Of Delaware Pc
701 N Clayton St |
$51.47 | 39,400 | 29,147 |
|
The Nemours Foundation
1600 Rockland Rd |
$420.66 | 32,935 | 30,855 |
|
St. Francis Hospital Inc.
701 N Clayton St |
$295.03 | 12,814 | 11,560 |
|
Nelson R. Santos
Nemours Pediatrics St. Francis |
$252.72 | 11,018 | 10,267 |
|
Dean Debroekert
1941 Limestone Rd |
$38.56 | 7,084 | 6,681 |
|
Jaime Roques
7Th & Clayton Streets |
$214.26 | 7,027 | 6,241 |
|
Janice K. Balas
7Th & Clayton Sts |
$203.20 | 7,009 | 6,210 |
|
Matthew Cully
1600 Rockland Rd |
$111.31 | 6,285 | 5,972 |
|
Lisa Rani Maercks-Nagle
701 N Clayton St |
$267.41 | 4,991 | 4,418 |
|
Jason Lee Matthews
1601 Kirkwood Hwy |
$88.71 | 4,787 | 3,641 |
|
Emily Hegamyer
1600 Rockland Rd |
$67.31 | 4,621 | 4,345 |
|
Richard M. Lucas
7Th & Clayton Sts |
$134.54 | 4,317 | 4,193 |
|
Kathleen M. Palmer
A.I. Dupont Hospital For Children |
$270.61 | 4,279 | 4,066 |
|
Sonia S Cheng
1600 Rockland Rd |
$249.70 | 4,021 | 3,780 |
|
Marianne Theresa Liles
7Th And Clayton Street |
$305.29 | 3,799 | 3,562 |
|
Jonathan Kussmaul
1600 Rockland Rd |
$235.60 | 3,483 | 3,309 |
|
Evan James Lynn
701 N Clayton St |
$188.59 | 3,447 | 3,387 |
|
Madison Rausch
1600 Rockland Rd |
$69.86 | 3,186 | 3,044 |
|
Kathryn M. Giordano
1600 Rockland Road |
$256.68 | 3,019 | 2,780 |
|
Nicole A Green
1600 Rockland Road |
$291.92 | 2,849 | 2,668 |
|
J. Daniel Hess
501 W 14Th St |
$82.14 | 2,822 | 1,984 |
|
Kristine Michelle Trotter
1600 Rockland Rd |
$31.94 | 2,543 | 2,514 |
|
Kaynan Doctor
1600 Rockland Rd |
$327.61 | 2,541 | 2,361 |
|
Magdy W. Attia
A.I. Dupont Hospital For Children |
$263.73 | 2,517 | 2,337 |
|
Alexandra A. Taylor
A.I. Dupont Hospital For Children |
$322.20 | 2,039 | 1,913 |
|
Jeannine Del Pizzo
1600 Rockland Rd |
$241.68 | 1,978 | 1,973 |
|
Karolina Maria Piszczek
1600 Rockland Rd |
$386.28 | 1,854 | 1,839 |
|
Susan M. Kelly
1600 Rockland Rd |
$216.06 | 1,824 | 1,750 |
|
Elysha Lynn Pifko
1600 Rockland Rd |
$178.82 | 1,711 | 1,585 |
|
Joseph Raziano
1301 N Harrison St Ste 102 |
$77.26 | 1,672 | 1,638 |
|
Amani Sanchez
1600 Rockland Rd |
$160.42 | 1,623 | 1,558 |
|
Monique A Devens
1600 Rockland Rd |
$236.45 | 1,620 | 1,526 |
|
Mariah Cicioni
1600 Rockland Rd |
$304.46 | 1,614 | 1,545 |
|
Hospitalist Medicine Physicians Of Delaware, Pa
701 N Clayton St |
$72.86 | 1,600 | 447 |
|
Atlantic Physician Services Of Maryland, P.C.
701 N Clayton St. |
$38.23 | 1,560 | 1,432 |
|
Brett Russell
1600 Rockland Rd |
$92.94 | 1,272 | 1,206 |
|
John M. Loiselle
A.I. Dupont Hospital For Children |
$267.51 | 1,238 | 1,155 |
|
Wendy K Ottenbacher
701 N Clayton St |
$7.47 | 1,225 | 1,078 |
|
Amy D. Thompson
1600 Rockland Road |
$272.95 | 1,215 | 1,123 |
|
Jody Critchfield Kieffer
1600 Rockland Rd |
$318.42 | 1,076 | 1,020 |
|
Deborah Lauren Hammett
1600 Rockland Rd |
$362.93 | 1,075 | 1,025 |
|
John Edward Schneider
1600 Rockland Rd |
$157.30 | 879 | 827 |
|
Steven M. Selbst
A.I. Dupont Hospital For Children |
$260.74 | 644 | 602 |
|
Hope Jolie Slomich
7Th & Clayton Sts |
$109.30 | 601 | 491 |
|
Kristopher Starr
501 W 14Th St |
$65.24 | 572 | 451 |
|
Margarita S Lorch
1600 Rockland Road |
$219.03 | 558 | 522 |
|
Kelvin Fong
1600 Rockland Rd |
$67.61 | 534 | 513 |
|
Kristin Grannum Scotton
1600 Rockland Rd |
$278.87 | 513 | 507 |
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 Wilmington, DE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Wilmington, DE is $187.07 per claim, based on 346,985 claims from 103 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 Wilmington, DE?
There are 103 Medicaid providers offering Emergency Room Visit related services in Wilmington, DE according to public payment data.
What is the price range for Emergency Room Visit in Wilmington, DE?
Medicaid reimbursement for Emergency Room Visit in Wilmington, DE ranges from $0.00 to $1,043 per claim, with an average of $187.07. 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 Wilmington, DE
Personal Care Services
Avg $113.14
1,523,473 claims
Office Visit
Avg $55.68
1,174,146 claims
Substance Abuse Treatment
Avg $14.51
1,110,493 claims
Vaccines & Immunizations
Avg $9.43
497,265 claims
Dental Cleaning & Exam
Avg $47.53
375,713 claims
Physical Therapy
Avg $30.41
305,435 claims
Psychiatric Evaluation
Avg $47.31
297,416 claims
Blood Work & Lab Tests
Avg $19.23
287,397 claims