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
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