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Based on public Medicaid payment data.

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

Other Procedures in Wilmington, NC