Based on public Medicaid payment data.

Average Medicaid Emergency Room Visit Payments

Typical Medicaid Emergency Room Visit reimbursement across 7,184 cities

Avg. Medicaid Paid

$119.20

Price Range

$0.00 – $985.41

Total Claims

450.3M

Cities

7184

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.

About This Procedure

Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City	Avg. Paid	Min / Max	Claims	Providers
Apopka, FL	$67.23	$15.89 – $111.47	32,971	16
Florence, AZ	$182.87	$116.40 – $198.91	32,976	2
Zachary, LA	$76.10	$20.19 – $132.01	33,006	14
Burleson, TX	$85.34	$34.24 – $138.90	33,022	19
Whitefish, MT	$40.26	$13.92 – $116.50	33,036	8
Geneva, IL	$62.94	$41.19 – $115.00	33,083	22
Blythe, CA	$57.88	$54.03 – $60.73	33,087	3
Burr Ridge, IL	$90.60	$23.66 – $205.13	33,099	16
Medford, WI	$190.86	$47.48 – $213.94	33,126	8
Pottstown, PA	$110.51	$28.37 – $237.37	33,179	16
Norwich, NY	$209.38	$20.66 – $211.09	33,191	3
Jellico, TN	$116.11	$48.81 – $131.06	33,214	4
Grants, NM	$333.23	$41.85 – $334.45	33,224	2
Joint Base Lewis Mcchord, WA	$110.06	$29.08 – $198.89	33,236	18
Shakopee, MN	$191.09	$113.03 – $393.19	33,241	12
Cypress, TX	$158.05	$12.66 – $1,556	33,309	36
Hardin, MT	$21.93	$5.89 – $108.52	33,381	8
Powell, TN	$124.60	$41.32 – $153.90	33,395	12
Beverly Hills, CA	$71.89	$0.00 – $262.83	33,416	24
Margate, FL	$67.52	$0.00 – $112.97	33,443	21
Boron, CA	$61.38	$61.38 – $61.38	33,497	1
Branson, MO	$119.03	$19.28 – $251.29	33,538	18
Youngsville, LA	$83.54	$50.21 – $128.87	33,592	6
Kenton, OH	$105.36	$35.78 – $131.73	33,655	10
Bettendorf, IA	$84.33	$35.29 – $234.61	33,729	18
Junction City, KS	$57.83	$26.66 – $106.08	33,749	13
Owasso, OK	$163.35	$34.84 – $359.93	33,763	11
Commerce Township, MI	$169.61	$169.61 – $169.61	33,763	1
Hoover, AL	$54.97	$16.55 – $154.86	33,811	11
Woodbury, MN	$153.67	$16.01 – $308.05	33,825	26
State College, PA	$71.71	$45.32 – $148.14	33,837	17
Kaufman, TX	$115.09	$25.82 – $402.05	33,838	8
Saint Gabriel, LA	$96.26	$80.79 – $121.49	33,852	2
Lake Geneva, WI	$130.29	$18.83 – $169.50	33,860	16
Roswell, GA	$156.25	$16.14 – $196.53	33,867	9
Miami, OK	$131.35	$91.16 – $280.94	33,895	8
Norfolk, NE	$98.94	$6.31 – $542.36	33,982	22
Southington, CT	$46.23	$11.67 – $54.92	33,985	11
Grafton, WI	$48.62	$18.50 – $566.82	34,000	18
Marshall, MO	$98.32	$54.44 – $150.43	34,023	14
Wilson, NC	$89.89	$0.00 – $294.23	34,060	17
Humacao, PR	$49.84	$0.00 – $95.19	34,067	32
Big Bear Lake, CA	$78.26	$51.90 – $134.01	34,077	8
Hope Mills, NC	$129.30	$129.30 – $129.30	34,086	1
Magee, MS	$105.69	$8.59 – $116.97	34,130	6
Belmont, NC	$113.55	$42.98 – $177.90	34,179	10
Boone, NC	$93.67	$35.08 – $113.30	34,181	16
West Chester, PA	$128.64	$44.41 – $340.92	34,181	18
Berlin, WI	$133.44	$20.58 – $173.33	34,231	8
Ft Washington, MD	$159.42	$53.45 – $159.51	34,232	2

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

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 averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.