Average Medicaid Emergency Room Visit Payments in Zephyrhills, FL: $70.57
Avg. Paid
$70.57
Range
$12.50 – $138.59
Total Claims
31,449
Providers
15
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 Zephyrhills, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Christopher Haughey
7050 Gall Blvd |
$56.27 | 8,718 | 6,299 |
|
Mark Arlington Timmel
7050 Gall Blvd |
$77.15 | 6,447 | 5,261 |
|
Weston Wayne Hampton
7050 Gall Blvd |
$90.38 | 4,984 | 4,380 |
|
Andrew Spencer
36763 Eiland Blvd Ste 201 |
$57.71 | 4,054 | 3,514 |
|
Nata Cisse
7050 Gall Blvd |
$90.43 | 2,524 | 2,255 |
|
Venugopal Palani
7050 Gall Blvd |
$56.13 | 919 | 853 |
|
Frank A. Ruisi
7050 Gall Blvd |
$49.13 | 917 | 850 |
|
James Leal
7050 Gall Blvd |
$138.59 | 795 | 772 |
|
Gregory Dean Baisden
7050 Gall Blvd |
$32.29 | 539 | 364 |
|
Amir Quefatieh
6719 Gall Blvd |
$114.05 | 441 | 118 |
|
Timothy C Kane
38021 Market Square Dr |
$62.15 | 376 | 372 |
|
Christopher Lancaster
38135 Market Sq |
$37.37 | 372 | 266 |
|
Olivia Marie Pellissier
7050 Gall Blvd |
$12.50 | 227 | 162 |
|
Kyle Eury
38051 Market Sq |
$32.24 | 118 | 107 |
|
Melissa C Bailey
38021 Market Sq |
$20.27 | 18 | 13 |
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 Zephyrhills, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Zephyrhills, FL is $70.57 per claim, based on 31,449 claims from 15 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 Zephyrhills, FL?
There are 15 Medicaid providers offering Emergency Room Visit related services in Zephyrhills, FL according to public payment data.
What is the price range for Emergency Room Visit in Zephyrhills, FL?
Medicaid reimbursement for Emergency Room Visit in Zephyrhills, FL ranges from $12.50 to $138.59 per claim, with an average of $70.57. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
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Avg $110.55
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Chicago, IL
Avg $84.83
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Phoenix, AZ
Avg $203.26
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Indianapolis, IN
Avg $116.65
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New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
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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 Zephyrhills, FL
Office Visit
Avg $46.03
208,700 claims
EKG / ECG (Electrocardiogram)
Avg $3.22
45,098 claims
Nursing Facility Care
Avg $4.00
28,868 claims
Home Health Visit
Avg $0.85
26,125 claims
Blood Work & Lab Tests
Avg $1.90
19,461 claims
Dental Cleaning & Exam
Avg $21.07
19,285 claims
Vaccines & Immunizations
Avg $8.90
17,641 claims
Echocardiogram
Avg $43.82
14,700 claims