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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
Colleen Margaret Esposito

5211 College Rd S

$54.15 13 13
Thomas Erik Paulson

2131 S 17Th St

$0.00 14 14
Theresa Marie Hoffman

2421 Silver Stream Ln

$37.40 14 12
Christopher Russell

4402 Shipyard Blvd

$60.68 14 14
Jennifer Wootton Johnson

1202 Medical Center Dr

$73.40 15 14
Hiba Mohamed Younis

1202 Medical Center Dr

$33.81 17 14
Christian Blakeslee Lloyd

1090 Medical Center Dr

$50.13 19 12
Michael A Stoiko

2131 S 17Th St

$207.14 20 12
Nichole Renee Carlton

1509 Doctors Cir Bldg C

$43.35 20 14
Matthew Kalp

1509 Doctors Cir Bldg C

$108.54 26 14
Jafar Riad Hashem

1509 Doctors Cir Bldg C

$140.06 32 12
Novant Health New Hanover Regional Medical Center Llc

2131 S 17Th St

$125.16 39 37
Katy R Robinette

2131 S 17Th St

$55.36 43 38
Brianna Christine Wesley

2131 S 17Th St

$49.06 45 30
Nicholas Peter Schumann

5214 Market St

$22.34 51 42
Sahaj D Vallabh

2131 S 17Th St

$116.74 57 12
David Glen Tipton

2131 S 17Th St

$40.06 86 75
Brendan T Payne

925 N 4Th St

$0.00 92 86
Krista Gruber

1709 S 16Th St Ste A

$188.34 101 101
Malli Fowler Gensler

4402 Shipyard Blvd

$33.14 106 70
Lawrence Max Linett

2307 N College Rd

$67.11 124 118
David Emanuel Green

1202 Medical Center Dr

$105.64 144 57
Hector Ivan Sanchez

1202 Medical Center Dr

$98.71 153 60
Barry J Politi

925 N 4Th St

$24.52 154 142
Mary Elizabeth Price

4402 Shipyard Blvd

$34.02 175 122
Aaron Joseph Parker

4402 Shipyard Blvd

$105.77 180 172
Nicholas Hummer Schambach

2131 S 17Th St

$132.90 191 164
Cameron Dengler

5115 Oleander Dr

$39.75 194 168
Daniel D Fottrell

1202 Medical Center Dr

$56.30 272 220
Brian Jan Gilmore

1090 Medical Center Dr

$91.75 275 127
Shantanu Baghel

2131 S 17Th St

$37.64 280 240
Mitchell D Lee

1202 Medical Center Dr

$99.55 291 95
David L Smith

2131 S 17Th St

$276.49 310 276
Rigardy Pagayonan Munoz

311-4E Judges Road

$100.00 313 260
Doris Jean Landreth

1202 Medical Center Dr

$76.12 338 327
Abhik Kumar Biswas

2131 S 17Th St

$401.38 571 397
Kevin M O'Neil

1202 Medical Center Dr

$99.06 580 206
Rya Elisabeth Lawrence

4402 Shipyard Blvd

$44.94 643 590
Matthew Martin Yeager

4402 Shipyard Blvd

$222.47 647 577
Oluwole Ademola Odunusi

1090 Medical Center Dr

$130.21 673 211
Diana C Morgan

4402 Shipyard Blvd

$36.69 767 686
Kelli Dawn Hogan

2131 S 17Th St

$162.30 811 809
Nasar Ahmad Siddiqi

1090 Medical Center Dr

$98.25 887 330
Lisa Leigh Ricci

5115 Oleander Dr

$39.22 979 833
Michael Mundy Ward

2215 Canterwood Dr

$126.61 1,009 896
Andrea L. Payne

1725 New Hanover Medical Park Dr

$48.54 1,019 842
Mary Tyson Turner

2131 S 17Th St

$77.22 1,067 972
Julian Williams Kehaya

2131 S 17Th St

$55.31 1,069 876
Aarika Lieske Turner

1202 Medical Center Dr

$46.87 1,085 968
Casey Jo Chevalier

1202 Medical Center Dr

$107.55 1,154 1,018

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