Average Medicaid Emergency Room Visit Payments in Winston Salem, NC: $152.58
Avg. Paid
$152.58
Range
$0.00 – $1,070
Total Claims
1,052,025
Providers
315
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Chad David Mccalla
Medical Center Blvd |
$220.84 | 39,166 | 35,196 |
|
Scott William Sutton
Medical Center Blvd |
$209.50 | 37,949 | 34,274 |
|
Milan Dattatam Nadkarni
Medical Center Blvd |
$235.66 | 28,718 | 25,897 |
|
Adam Barrett Johnson
Medical Center Blvd |
$211.82 | 25,288 | 23,148 |
|
Michael S Mitchell
Medical Center Blvd |
$219.85 | 22,722 | 20,491 |
|
Christopher Bradley Watkins
Medical Center Blvd |
$218.14 | 19,512 | 17,486 |
|
Kevin Scott Koehler
3333 Silas Creek Pkwy |
$117.04 | 17,928 | 15,406 |
|
Douglas Brtalik
Medical Center Blvd |
$110.51 | 17,875 | 16,004 |
|
James C O'Neill
Medical Center Blvd |
$230.10 | 17,226 | 15,243 |
|
Andrew O Pylant
3333 Silas Creek Pkwy |
$114.34 | 17,204 | 15,141 |
|
Timothy M Galey
Medical Center Blvd |
$69.44 | 16,150 | 14,713 |
|
Benjamin P Sayers
3333 Silas Creek Pkwy |
$113.95 | 15,261 | 13,263 |
|
Alison Rachel Gardner
1351 Westgate Center Dr |
$193.37 | 13,886 | 13,113 |
|
Daniel G Barnes
3333 Silas Creek Pkwy |
$111.03 | 12,891 | 11,163 |
|
David Locke Glenn
Medical Center Blvd |
$126.66 | 12,839 | 11,306 |
|
Daniel Patrick Floyd
Medical Center Blvd |
$173.45 | 12,775 | 11,299 |
|
Grant Thomas Brinkley
3333 Silas Creek Pkwy |
$115.00 | 12,217 | 10,657 |
|
Martha Ann Sieber
3333 Silas Creek Pkwy |
$110.62 | 12,211 | 10,546 |
|
Henderson Dwayne Mcginnis
Medical Center Blvd |
$238.29 | 11,543 | 10,102 |
|
Thomas Michael Cruz
3333 Silas Creek Pkwy |
$118.91 | 11,306 | 9,776 |
|
Burnie Roy Little
Medical Center Blvd |
$96.67 | 11,092 | 9,300 |
|
Theresa M Terlecki
3333 Silas Creek Pkwy |
$117.95 | 10,829 | 9,400 |
|
Jason Mesner
Medical Center Blvd |
$173.03 | 10,423 | 9,145 |
|
Robert Luke Kinner
Medical Center Blvd |
$167.53 | 10,255 | 9,169 |
|
Justin Bennett
Medical Center Blvd |
$106.36 | 10,238 | 9,230 |
|
Andrew Peter Wong
Wake Forest Baptist Health Medical Center Blvd |
$162.32 | 10,112 | 8,716 |
|
Scott Thomas Goldston
Medical Center Blvd |
$180.86 | 9,479 | 8,309 |
|
Pedro Eduardo Cardama
Medical Center Blvd |
$176.05 | 9,241 | 8,187 |
|
Andrew Colson
Medical Center Blvd |
$162.06 | 9,140 | 7,924 |
|
Charles Caleb Hundley
Medical Center Blvd |
$103.24 | 9,096 | 8,351 |
|
William Blair Walden
Medical Center Blvd |
$109.81 | 9,011 | 7,634 |
|
Adam Scott Curatolo
Emergency Medicine Department Meads Hl Fl 2 |
$195.14 | 8,996 | 7,795 |
|
Keri Lynne Smith
Medical Center Blvd |
$165.01 | 8,976 | 8,019 |
|
Scott Lund
Medicine Center Boulevard |
$74.41 | 8,458 | 7,137 |
|
Aaron Schmitt
Medical Center Blvd |
$93.14 | 8,434 | 8,088 |
|
Erin Elizabeth Schlossman
Wake Forest Baptist Medical Ctr |
$178.77 | 8,401 | 6,947 |
|
John Michael Butler
Gme Wake Forest Baptist Medical Ctr |
$178.90 | 8,385 | 7,559 |
|
Peter Guertin
1 Medical Center Blvd |
$104.95 | 8,320 | 7,017 |
|
Mary Suzanne Cramer
Baptist Wake Forest Medical Ctr |
$181.71 | 8,259 | 7,225 |
|
William Nicholas Moore
Medical Center Boulevard |
$69.54 | 8,232 | 7,547 |
|
Christopher Tegeler
Medical Center Blvd |
$197.04 | 8,223 | 7,366 |
|
Kesah Lynn Delisio
Medical Center Blvd |
$101.88 | 8,057 | 7,077 |
|
Cameron Isaacs
Wake Forest Baptist Medical Center Medical Blvd |
$164.41 | 7,533 | 6,465 |
|
Laura Yoder
Medical Center Blvd |
$170.09 | 7,500 | 6,934 |
|
Elizabeth Mitchell Caudill
1 Medical Center Blvd |
$107.91 | 7,300 | 6,160 |
|
Lisa Lynn Evans
Medical Center Blvd |
$135.42 | 7,118 | 6,611 |
|
Casey M Glass
Medical Center Blvd |
$213.78 | 7,036 | 6,200 |
|
Charles J. Gainor
5093 University Pkwy |
$96.14 | 7,035 | 6,333 |
|
Deborah Michelle Lundy
Medical Center Blvd |
$216.88 | 7,019 | 6,317 |
|
Andrew Seymore
Medical Center Blvd |
$155.87 | 6,890 | 5,586 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Winston Salem, NC is $152.58 per claim, based on 1,052,025 claims from 315 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 Winston Salem, NC?
There are 315 Medicaid providers offering Emergency Room Visit related services in Winston Salem, NC according to public payment data.
What is the price range for Emergency Room Visit in Winston Salem, NC?
Medicaid reimbursement for Emergency Room Visit in Winston Salem, NC ranges from $0.00 to $1,070 per claim, with an average of $152.58. 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 Winston Salem, NC
Office Visit
Avg $56.55
2,112,661 claims
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims
Psychiatric Evaluation
Avg $70.45
352,495 claims