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Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments in Wilmington, OH: $81.92

Avg. Paid

$81.92

Range

$37.95 – $183.59

Total Claims

99,588

Providers

20

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, OH

Provider Avg. Paid Claims Patients
Christopher Robert Gailliot

891 W Locust St

 $183.59 13 13
Michael C. Choo

2241 Rombach Rd.

 $59.69 14 13
Caitlyn Schlie Fannin

2845 Progress Way

 $43.88 14 13
Ronald Casey

610 W Main St

 $39.76 57 50
Carrie Cooper-Fenske Sanan

596 W Main St

 $62.20 68 58
Santosh R. Likki

1184 W Locust St

 $59.07 88 67
John Charles Clarke

610 West Main Street

 $37.95 363 341
Ricardo C Riveron

2241 Rombach Rd.

 $58.89 508 456
Kyle Fenner

610 W Main St

 $46.08 565 494
Jamie Michelle Duck

610 West Main Street

 $40.57 623 564
Wieslaw Mostowy

2241 Rombach Rd.

 $80.84 2,224 2,091
Kuljeet Kelly Singh-Biles

610 W Main St

 $60.38 3,113 2,856
Kathleen Michelle Miller

610 West Main Street

 $72.22 3,298 3,144
Matthew Patel

610 W Main St

 $85.52 3,549 3,338
Emergency Physician Associates Of Ohio, Inc

610 W Main St

 $47.19 4,114 3,785
Heather M Schulte

488 Ireland Rd

 $72.23 13,618 12,608
Ronald Seaman

2241 Rombach Rd

 $78.26 15,846 14,854
Rchp-Wilmington, Llc

610 W Main St

 $123.68 16,221 12,988
David Cohen

2241 Rombach Rd.

 $79.56 16,502 15,617
Keith Tofte

2241 Rombach Rd.

 $74.56 18,790 17,531

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, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Wilmington, OH is $81.92 per claim, based on 99,588 claims from 20 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, OH?

There are 20 Medicaid providers offering Emergency Room Visit related services in Wilmington, OH according to public payment data.

What is the price range for Emergency Room Visit in Wilmington, OH?

Medicaid reimbursement for Emergency Room Visit in Wilmington, OH ranges from $37.95 to $183.59 per claim, with an average of $81.92. 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, OH

Substance Abuse Treatment

Avg $31.25

463,030 claims

Office Visit

Avg $43.62

249,036 claims

Blood Work & Lab Tests

Avg $6.04

117,739 claims

Behavioral & Mental Health Therapy

Avg $59.61

56,535 claims

Vaccines & Immunizations

Avg $10.10

50,209 claims

Urinalysis & Urine Tests

Avg $2.11

35,003 claims

Psychiatric Evaluation

Avg $64.98

33,845 claims

EKG / ECG (Electrocardiogram)

Avg $4.42

30,833 claims