Average Medicaid Emergency Room Visit Payments in Wilmington, NC: $138.32
Avg. Paid
$138.32
Range
$0.00 – $401.38
Total Claims
511,613
Providers
108
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, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eric Fox Silman
2131 S 17Th St |
$141.31 | 16,693 | 13,641 |
|
Benjamin Scott Wiles
2131 S 17Th St |
$156.03 | 16,615 | 13,890 |
|
John Mearns
4402 Shipyard Blvd |
$157.59 | 16,174 | 13,525 |
|
Carrie Ann Fales
4402 Shipyard Blvd |
$152.72 | 15,375 | 13,045 |
|
Matthew Paul Geib
4402 Shipyard Blvd |
$159.49 | 15,281 | 12,864 |
|
Michael William Joseph Brown
2131 S 17Th St |
$146.00 | 15,100 | 12,513 |
|
Kevin John Reese
4402 Shipyard Blvd |
$159.79 | 14,766 | 12,517 |
|
Robert Lee Young
2131 S 17Th St |
$152.81 | 14,023 | 11,881 |
|
Jonathan Winter
5301 Wrightsville Ave |
$165.05 | 13,816 | 12,033 |
|
Christopher Scott Reavill
4402 Shipyard Blvd |
$162.29 | 13,015 | 11,122 |
|
Tammy Nicole Moore
4402 Shipyard Blvd |
$129.24 | 12,784 | 11,422 |
|
Brian James Mcgrath
Eastern Carolina Emergency Physicians |
$164.37 | 12,581 | 10,414 |
|
Andrew Mirkil Terzian
4402 Shipyard Blvd |
$158.19 | 12,533 | 10,918 |
|
Todd C. Snyder
4402 Shipyard Blvd |
$159.31 | 12,414 | 10,487 |
|
Stephen Bryan Durham
4402 Shipyard Blvd |
$159.89 | 12,181 | 10,645 |
|
James Hoffman
2131 S 17Th St |
$146.67 | 12,035 | 10,081 |
|
Pearlie Bradford Watkins
4402 Shipyard Blvd. |
$174.84 | 11,864 | 10,453 |
|
Michael Robert Ott
4402 Shipyard Blvd |
$156.16 | 11,679 | 9,859 |
|
Adam Wesley Saucerman
2131 S 17Th St |
$150.28 | 11,553 | 9,606 |
|
Sean Patrick O'Brien
4402 Shipyard Blvd |
$152.77 | 11,369 | 9,700 |
|
Samuel Brown Collins
4402 Shipyard Blvd |
$151.06 | 11,321 | 9,379 |
|
De Benjamin Winter
4402 Shipyard Blvd |
$157.44 | 11,302 | 9,454 |
|
James Foutty
4402 Shipyard Blvd |
$149.66 | 11,172 | 9,249 |
|
Mary Suzanne Hampson
4402 Shipyard Blvd |
$163.74 | 11,155 | 9,670 |
|
Joshua Ward Sawyer
4402 Shipyard Blvd |
$155.76 | 11,094 | 9,023 |
|
John Tsung-Long Tseng
4402 Shipyard Blvd |
$169.18 | 11,094 | 9,859 |
|
Cynthia Lee Bowers-Lee
4402 Shipyard Blvd |
$159.34 | 10,645 | 8,723 |
|
Brandon L Smallwood
4402 Shipyard Blvd |
$167.15 | 10,456 | 8,899 |
|
Michael Paul Moulton
4402 Shipyard Blvd |
$144.92 | 10,171 | 8,941 |
|
Randall Norman Willard
4402 Shipyard Blvd |
$155.32 | 10,171 | 8,512 |
|
Russell Anthony Incatasciato
4402 Shipyard Blvd |
$156.22 | 9,527 | 8,325 |
|
Allen J Holmes
265 Racine Dr Ste 102 |
$135.11 | 8,778 | 7,402 |
|
Michael A. England
1302 Medical Center Dr |
$79.08 | 8,719 | 7,456 |
|
Eduardo Sanmiguel
4402 Shipyard Blvd |
$85.70 | 8,256 | 7,757 |
|
Lashawn Beverly-Howard
1414 Physicians Drive |
$66.78 | 7,366 | 6,402 |
|
Christine Eve Fleming
4402 Shipyard Blvd |
$47.10 | 6,367 | 5,414 |
|
Clayton Lee Quinn
615 Shipyard Blvd |
$80.42 | 6,096 | 4,831 |
|
Jonathan M Campbell
1650 Greenfield St |
$44.47 | 5,834 | 4,924 |
|
Joseph Dixon
3787 Shipyard Blvd |
$46.86 | 5,770 | 4,819 |
|
Vijay Ramchandra Randive
6932J Market Street |
$112.60 | 5,188 | 4,673 |
|
Donald Lee Mclamb
4402 Shipyard Blvd |
$154.71 | 4,981 | 4,238 |
|
Kristen Heffelfinger Wilson
4402 Shipyard Blvd |
$51.01 | 3,235 | 2,882 |
|
Cortis Ward Bailey
4402 Shipyard Blvd |
$45.44 | 3,212 | 2,744 |
|
John Stephen Delucas
5214 Market St |
$79.63 | 3,109 | 2,496 |
|
William Edison Rigsbee
1202 Medical Center Dr |
$40.97 | 2,893 | 2,534 |
|
Franklin G Trenery
1202 Medical Center Dr |
$58.16 | 2,845 | 2,157 |
|
Olga Lembersky
1202 Medical Center Dr |
$163.44 | 2,605 | 2,138 |
|
Eric Dustin Morgan
1099 Medical Center Dr Ste 101 |
$42.38 | 2,442 | 2,138 |
|
Kevin Eugene Potts
4402 Shipyard Blvd |
$112.15 | 2,323 | 2,132 |
|
Lauren Brianne Peyton
4402 Shipyard Blvd |
$69.56 | 2,160 | 1,607 |
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, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Wilmington, NC is $138.32 per claim, based on 511,613 claims from 108 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, NC?
There are 108 Medicaid providers offering Emergency Room Visit related services in Wilmington, NC according to public payment data.
What is the price range for Emergency Room Visit in Wilmington, NC?
Medicaid reimbursement for Emergency Room Visit in Wilmington, NC ranges from $0.00 to $401.38 per claim, with an average of $138.32. 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, NC
Office Visit
Avg $55.56
1,298,205 claims
Speech Therapy
Avg $55.85
566,290 claims
Psychiatric Evaluation
Avg $41.28
438,201 claims
Blood Work & Lab Tests
Avg $11.72
431,588 claims
Substance Abuse Treatment
Avg $59.14
392,292 claims
Dental Cleaning & Exam
Avg $31.04
328,640 claims
Physical Therapy
Avg $63.02
316,863 claims
Vaccines & Immunizations
Avg $13.35
285,108 claims